두경부 감염의 천층 및 심층부로의 확산 경로
The Superficial and Deep Spreading Pathways of Infection of the Maxillofacial and Neck Area
이정교, 최병준, 김여갑, 이백수, 권용대, 김영란,
소속 상세정보
이정교 ( Lee Jung-Gyo ) - 경희대학교 치의학전문대학원 구강악안면외과학교실
최병준 ( Choi Byung-Jun ) - 경희대학교 치의학전문대학원 구강악안면외과학교실
김여갑 ( Kim Yeo-Gap ) - 경희대학교 치의학전문대학원 구강악안면외과학교실
이백수 ( Lee Baek-Soo ) - 경희대학교 치의학전문대학원 구강악안면외과학교실
권용대 ( Kwon Yong-Dae ) - 경희대학교 치의학전문대학원 구강악안면외과학교실
김영란 ( Kim Young-Ran ) - 경희대학교 치의학전문대학원 구강악안면외과학교실
KMID : 0360120100320010062
Abstract
The spreading pathways which is the cause of infection on head and neck area are submandibular space, masticatory space, parapharyngeal space, retropharyngeal space, carotid sheath and mediastinum, etc. If spread to parapharyngeal area involving airway, such infection can be life-threatening by airway obstruction, or can cause vascular injury followed by hemorrhage, nerve injuries. Also, if spread to superficially, necrotizing fasciitis and many complications may occur including gangrene of skin. The key to successful treatment of infection on head and neck area is recognition of spreading pathways, early diagnosis and following therapeutic management. Our department present two cases, one is infection progressed superficially to suprasternal space, another is spreading deep according to parapharyngeal space, subclavian space and carotid sheath followed by airway obstruction, and obtained significant results with surgical incision and drainage, administration of selected antibiotics, continuous post-operative treatment. We report these 2 cases with literatures review.
키워드
Necrotizing fasciitis;Deep neck infection;Space abscess
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