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題名 | Otogenic Deep Neck Abscess: A Rare Complication of Cholesteatoma with Acute Mastoiditis=源起於耳部的深頸部膿瘍-珍珠瘤及急性乳突炎引發的罕見併發症 |
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作者 | 陳耀亮; 吳樹鏗; 黃浩輝; 黃敏政; 衛優遊; 萬永亮; Chen, Yao-liang; Ng, Shu-hang; Wong, Ho-fai; Wong, Mun-ching; Wai, Yau-yau; Wan, Yung-liang; |
期刊 | 中華放射線醫學雜誌 |
出版日期 | 20021000 |
卷期 | 27:5 2002.10[民91.10] |
頁次 | 頁251-256 |
分類號 | 416.821 |
語文 | eng |
關鍵詞 | 乳突炎; Bezold氏膿瘍; 頸部膿瘍; 側竇栓塞; Mastoiditis; Bezold's abscess; Neck abscess; Sinus thrombosis; |
中文摘要 | 抗生素發現及使用後,急性乳突炎罕見併發深頸部膿傷﹔在此之前,急性乳突炎較常造成Bezold氏膿傷。我們報導一位19歲男性病人罹患中耳珍珠瘤併發化膿性突炎,側竇栓塞,同側內頸靜脈炎及深頸部膿傷。這種深頸部膿傷的形成路徑迴異於Bezold氏膿傷。電腦斷層,磁振造影及超音波對於發現這類感染起源及路徑各擅勝場亦可互補所短,綜合影像判斷可知局部受感染的內頸靜脈壁溶蝕是導致深頸部膿傷的主因。 |
英文摘要 | Deep neck abscess is a rere complication of acute mastoiditis in the era of antibiotics. In preantibiotic era, Bezold's abscess was the most common cause of the otogenic deep neck abscess. We reported a 19-year-old male with cholesteatoma complicated by acute suppurative mastoiditis, lateral sinus throm-bosis, thrombophlebitis of the ipsilateral internal jugular vein and deep neck abscess formation. The pathway of the deep neck abscess formation is dif-ferent from the classic presentations of Bezold's abscess. Computed tomography, magnetic resonance imaging and ultrasonography, magnetic resonance imaging and ultrasonography were complementary for the detailed demonstration of the origin and the extent of the disease. Segmental mural lysis of the infected internal jugular vein was considered to be responsible for the development of deep neck abscess formation. |
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