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Dysphagia after Retropharyngeal Abscess Treated with Transcutaneous Injection of Botulinum Toxin at Cricopharyngeus Muscle

경피적 윤상인두근 보툴리눔 독소 주입으로 치료한 후인두농양 후 발생한 연하곤란증

  • Kwon, Ki Jin (Department of Otorhinolaryngology-Head and Neck Surgery, School of Medicine, Kyung Hee University) ;
  • Kim, Tae Hoon (Department of Otorhinolaryngology-Head and Neck Surgery, School of Medicine, Kyung Hee University) ;
  • Eun, Young-Gyu (Department of Otorhinolaryngology-Head and Neck Surgery, School of Medicine, Kyung Hee University) ;
  • Lee, Young Chan (Department of Otorhinolaryngology-Head and Neck Surgery, School of Medicine, Kyung Hee University)
  • 권기진 (경희대학교 의과대학 이비인후과학교실) ;
  • 김태훈 (경희대학교 의과대학 이비인후과학교실) ;
  • 은영규 (경희대학교 의과대학 이비인후과학교실) ;
  • 이영찬 (경희대학교 의과대학 이비인후과학교실)
  • Received : 2019.10.23
  • Accepted : 2019.11.22
  • Published : 2019.12.30

Abstract

Recently, negative pressure wound therapy (NPWT) has been reported to be effective for the treatment of cervical infections including retropharyngeal abscess. The 71-year-old woman with retropharyngeal abscess presented in this case showed improvement of infection through long-term NPWT. She continued to complain of swallowing difficulties after recovery. In this case, we performed the transcutaneous injection of botulinum toxin at the cricopharyngeus muscle for the patient who developed dysphagia after treatment for retropharyngeal abscess and observed improvement in swallowing.

Keywords

References

  1. Jung KT, Choi HK, Lee KB, Yu JH, Kim JH, Park YG, et al. Endoscopic botulinum toxin injection in cricopharyngeal dysphagia. Korean J Med 2010;79(3):301-5.
  2. Yoon BW, Yi KI, Kang JH, Kim SG, Cha W. Negative pressure wound therapy for cervical esophageal perforation with abscess. Auris Nasus Larynx 2015;42(3):254-7. https://doi.org/10.1016/j.anl.2014.11.003
  3. Harkani A, Hassani R, Ziad T, Aderdour L, Nouri H, Rochdi Y, et al. Retropharyngeal abscess in adults: five case reports and review of the literature. ScientificWorldJournal 2011;11:1623-9. https://doi.org/10.1100/2011/915163
  4. Park KH, Park A, Kwon CY, Yoo YS, Choi JH, Cho KR, et al. Application of negative pressure wound therapy for deep neck infection. Korean J Otorhinolaryngol-Head Neck Surg 2016;59(2):125-32. https://doi.org/10.3342/kjorl-hns.2016.59.2.125
  5. Nanda N, Zalzal HG, Borah GL. Negative-pressure wound therapy for Ludwig's Angina: a case series. Plast Reconstr Surg Glob Open 2017;5(11):e1561. https://doi.org/10.1097/GOX.0000000000001561
  6. Mir A, Guys N, Arianpour K, Svider PF, Rayess H, Zuliani G, et al. Negative pressure wound therapy in the head and neck: an evidencebased approach. Laryngoscope 2019;129(3):671-83. https://doi.org/10.1002/lary.27262
  7. Choi KH. Challenging technique of dysphagia. Brain Neurorehabil 2009;2(2):113-7. https://doi.org/10.12786/bn.2009.2.2.113
  8. Ahsan SF, Meleca RJ, Dworkin JP. Botulinum toxin injection of the cricopharyngeus muscle for the treatment of dysphagia. Otolaryngol Head Neck Surg 2000;122(5):691-5. https://doi.org/10.1067/mhn.2000.105997
  9. Kelly EA, Koszewski IJ, Jaradeh SS, Merati AL, Blumin JH, Bock JM. Botulinum toxin injection for the treatment of upper esophageal sphincter dysfunction. Ann Otol Rhinol Laryngol 2013;122(2):100-8. https://doi.org/10.1177/000348941312200205
  10. Kim MS, Kim GW, Rho YS, Kwon KH, Chung EJ. Office-based electromyography-guided botulinum toxin Injection to the cricopharyngeus muscle: optimal patient selection and technique. Ann Otol Rhinol Laryngol 2017;126(5):349-56. https://doi.org/10.1177/0003489416689469