A case of deep neck infection resulting from intubation-induced hypopharyngeal injury

기관내 삽관으로 발생한 하인두 천공에 기인한 심경부 감염 1례

  • Kim, Min-Soo (Department of Otorhinolaryngology-Head & Neck Surgery, National Medical Center) ;
  • Seo, Hyung-Seok (Department of Otorhinolaryngology-Head & Neck Surgery, National Medical Center) ;
  • Lim, Hye-Jin (Department of Otorhinolaryngology-Head & Neck Surgery, National Medical Center) ;
  • Jung, Jae-Ho (Department of Otorhinolaryngology-Head & Neck Surgery, National Medical Center) ;
  • Lee, Kang-Jin (Department of Otorhinolaryngology-Head & Neck Surgery, National Medical Center) ;
  • Kang, Jae-Goo (Department of Otorhinolaryngology-Head & Neck Surgery, National Medical Center)
  • 김민수 (국립의료원 이비인후-두경부외과학교실) ;
  • 서형석 (국립의료원 이비인후-두경부외과학교실) ;
  • 임혜진 (국립의료원 이비인후-두경부외과학교실) ;
  • 정재호 (국립의료원 이비인후-두경부외과학교실) ;
  • 이강진 (국립의료원 이비인후-두경부외과학교실) ;
  • 강제구 (국립의료원 이비인후-두경부외과학교실)
  • Published : 2008.12.30

Abstract

Hypopharyngeal perforation secondary to tracheal intubation is rare, but may result in severe airway complications that include retropharyngeal abscess, pneumothorax, pneumonia, mediastinitis and death. The most common site of hypopharyngeal perforation is the pyriform sinus and the region of the cricopharyngeus muscle. We report a 62-year old man with intubation-induced hypopharyngeal injury presenting as deep neck infection. The patient presented with dyspnea and pain on the neck. Neck CT scan identified fluid and air collection on the neck from the hyoid bone to the thoracic inlet level. Despite of delayed diagnosis, we successfully operated him by using strap muscle myofascial transposition flap. The patient was followed up for 3 months without any complications.

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