Korean Journal of Bronchoesophagology (대한기관식도과학회지)

The Korean Bronchoesophagological Society (대한기관식도과학회)
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Actinomycotic Infection of the Epiglottis: A Case Report and Review

후두개에 발생한 방선균 감염 1례

  • Jeong, Seung-Won (Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Hanyang University) ;
  • Kim, Kyung-Rae (Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Hanyang University) ;
  • Tae, Kyung (Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Hanyang University) ;
  • Kim, Yun-Jeong (Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Hanyang University)
  • 정승원 (한양대학교 의과대학 이비이후과-두경부외과학교실) ;
  • 김경래 (한양대학교 의과대학 이비이후과-두경부외과학교실) ;
  • 태경 (한양대학교 의과대학 이비이후과-두경부외과학교실) ;
  • 김윤정 (한양대학교 의과대학 이비이후과-두경부외과학교실)
  • Received : 2010.09.30
  • Accepted : 2010.12.08
  • Published : 2010.12.30
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Abstract

We report a case of actinomycotic infection in epiglottis. Actinomycosis in the head and neck area is relatively rare but extremely rare in the larynx. A 63-year old man presented with continuous discomfort of the throat while swallowing. He had a history of oral injury caused by a fish bone a few weeks prior. Upon Examination with a flexible laryngoscope, a whitish round mass was noted at the lingual surface of the epiglottis. Under local anesthesia, a punch biopsy was performed and showed the typical features of actinomycosis. The mass was removed using a Diode laser under suspension laryngoscope. Additive oral antibiotic therapy was done for 2 weeks. No definite recurrence was noted at the operation site and the patient is now free of disease.

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