Journal of the Korean Association of Oral and Maxillofacial Surgeons

  • 제36권4호
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  • Pages.314-319
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  • 2010
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  • 2234-7550(pISSN)
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  • 2234-5930(eISSN)
대한구강악안면외과학회 (The Korean Association of Oral and Maxillofacial Surgeons)
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치성감염의 확산으로 인한 후인두간극농양: 증례보고

Retropharyngeal space abscess due to spread of odontogenic infection: two cases report

  • 정태영 (인제대학교 의과대학 부산백병원 구강악안면외과학교실) ;
  • 채병무 (인제대학교 의과대학 부산백병원 구강악안면외과학교실) ;
  • 정용선 (인제대학교 의과대학 부산백병원 구강악안면외과학교실) ;
  • 박상준 (인제대학교 의과대학 부산백병원 구강악안면외과학교실)
  • Jung, Tae-Young (Department of Oral and Maxillofacial Surgery, Busan Paik Hospital, College of Medicine, Inje University) ;
  • Chae, Byung-Moo (Department of Oral and Maxillofacial Surgery, Busan Paik Hospital, College of Medicine, Inje University) ;
  • Jeong, Yong-Seon (Department of Oral and Maxillofacial Surgery, Busan Paik Hospital, College of Medicine, Inje University) ;
  • Park, Sang-Jun (Department of Oral and Maxillofacial Surgery, Busan Paik Hospital, College of Medicine, Inje University)
  • 투고 : 2010.04.15
  • 심사 : 2010.06.07
  • 발행 : 2010.08.31
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초록

Odontogenic infections are a normally locally confined, self-limiting process that is easily treated by antibiotic therapy and local surgical treatment. However, it may spread into the surrounding tissues through a perforation of the bone, and into contiguous fascial spaces or planes like the primary or secondary fascial spaces. If the infection extends widely, it may spread into the lateral pharyngeal and retropharyngeal space. The retropharyngeal space is located posterior to the pharynx. If an odontogenic infection spreads into this space, severe life-threatening complications will occur, such as airway obstruction, mediastinitis, pericarditis, pleurisy, pulmonary abscess, aspiration pneumonia and hematogenous dissemination to the distant organs. The mortality rate of mediastinitis ranges from 35% to 50%. Therefore, a rapid evaluation and treatment are essential for treating retropharyngeal space abscesses and preventing severe complications. Recently, we encountered two cases of a retropharyngeal space abscess due to the spread of an odontogenic infection. In all patients, early diagnosis was performed by computed tomography scanning and a physical examination. All patients were treated successfully by extensive surgical and antibiotic therapy.

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참고문헌

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피인용 문헌

  1. 치성 원인에 의한 경안면 감염에 대한 후향적 연구 vol.35, pp.4, 2010, https://doi.org/10.14402/jkamprs.2013.35.4.236