外科的治療を要した小児深頸部膿瘍の3例

概要

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Deep neck abscess is relatively rarer in children than in adults. During a one-year period, we experienced 3 cases of deep neck abscess in children who were treated with surgical drainage. Two of the three cases, in which contrast enhanced computed tomography (CE-CT) showed an abscess internal to the carotid artery, were treated using an intraoral approach. The treatment rate using an intraoral approach in our hospital was higher among children than among adults, consistent with a previous report. We confirmed that a deep neck abscess in children could more often be treated using an intraoral approach because of the specificity and secondary abscess formation from lymphogenous infection. We consider that CE-CT is useful in terms of detecting the positional relation to the great vessels and to select the best surgical approach.