경부 심부 농양의 초음파 유도하 흡인 및 배농

한경열; 이종혁; 김진호; 김종양; 심병수; 송용진

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자료유형: 학술저널

저자정보: 한경열 이종혁 김진호 김종양 심병수 송용진

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제52권 제4호

발행연도: 2009.1

수록면: 354 - 358 (5page)

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연구방법

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연구결과

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Background and Objectives：For abscesses in the head and neck, traditional open surgical incision-and-drainage procedure may incur added morbidity and result in disfiguring scars. Therefore, a noninvasive alternative to open surgical drainage may be quite beneficial. The purpose of this study was to evaluate the efficacy of percutaneous ultrasonography-guided aspiration and drainage in the management of the selected head and neck abscesses. Subjects and Method：Retrospective review was done for 12 patients with unilocular or multilocular abscess sized 2 cm or more in the greatest in different locations and origins. All patients did not present imminent airway compromise and subsequently underwent ultrasonography guided aspiration and drainage. Results：All of the abscesses were resolved in 11 patients within 10 days. Even multilocular abscesses were resolved without open surgical drainage. One abscess in which Mycobacterium tuberculosis was isolated persisted more than 3 weeks in spite of ultrasonography guided aspiration and drainage, and resolved by antituberculosis medication of more than 10 months. Conclusion：Percutaneous ultrasonography-guided aspiration and drainage is a safe and effective procedure, for the abscesses in the head and neck without life threatening conditions.

#경부·농양·경피적 배농 #Neck·Abscess·Percutaneous drainage

참고문헌 (11)

참고문헌 신청

Al-Belasy FA / 2005 / Ultrasound-guided drainage of submasseteric space abscesses / J Oral Maxillofac Surg 63 (1) : 36 ~ 41

Baatenburg de Jong RJ / 1990 / Ultrasound-guided percutaneous drainage of deep neck abscesses / Clin Otolaryngol Allied Sci 15 (2) : 159 ~ 166

Chang KP / 2005 / Ultrasound-guided closed drainage for abscesses of the head and neck / Otolaryngol Head Neck Surg 132 (1) : 119 ~ 124

Hemming A / 1991 / Surgical versus percutaneous drainage of intra-abdominal abscesses / Am J Surg 161 (5) : 593 ~ 595

Herzon FS / 1985 / Management of nonperitonsillar abscesses of the head and neck with needle aspiration / Laryngoscope (95) : 780 ~ 781

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