PDF(Pubmed)
Abstract：
UNASSIGNED: Pyolaryngocele is a very rare and serious complication of laryngocoele. The clinical presentation can be extremely severe acute epiglottitis with laryngeal dyspnea and major dysphagia. The treatment of choice is surgical excision. Our aim is to attract the intention of the surgeon to this unusual entity and describe its clinical features.
METHODS: We report a case of a 70-year-old male patient with a five-day history of left neck swelling, sore throat, and low-grade fever. An urgent CT scan showed a mixed pyolaryngocele. The management consisted of high-dose antibiotics and excision of the residual laryngocoele via an external approach.
UNASSIGNED: A pyolaryngocele is an unusual complication of laryngocoele that becomes secondarily infected causing serious symptoms. The management consists of administrating broad-spectrum antibiotics and aspiration of purulent material to decompress the sac. At a later stage, after relieving the acute symptoms we performed an external approach with formal excision of the laryngocele.
CONCLUSIONS: Pyolaryngocele is a rare complication of laryngocele and can present with serious complaints like dyspnea and sepsis. Excision of the laryngocoele is still the best treatment option to prevent this complication and recurrence.
METHODS: We report a case of a 70-year-old male patient with a five-day history of left neck swelling, sore throat, and low-grade fever. An urgent CT scan showed a mixed pyolaryngocele. The management consisted of high-dose antibiotics and excision of the residual laryngocoele via an external approach.
UNASSIGNED: A pyolaryngocele is an unusual complication of laryngocoele that becomes secondarily infected causing serious symptoms. The management consists of administrating broad-spectrum antibiotics and aspiration of purulent material to decompress the sac. At a later stage, after relieving the acute symptoms we performed an external approach with formal excision of the laryngocele.
CONCLUSIONS: Pyolaryngocele is a rare complication of laryngocele and can present with serious complaints like dyspnea and sepsis. Excision of the laryngocoele is still the best treatment option to prevent this complication and recurrence.
摘要：
■恶肠膨出是一种非常罕见且严重的喉癌并发症。临床表现可能是非常严重的急性会厌炎，伴有喉部呼吸困难和严重吞咽困难。选择的治疗方法是手术切除。我们的目的是将外科医生的意图吸引到这个不寻常的实体并描述其临床特征。
方法：我们报告一例70岁男性患者，有5天的左颈肿胀史，喉咙痛,低烧。紧急CT扫描显示混合性脓性脑膨出。管理包括高剂量抗生素和通过外部方法切除残留的喉部。
喉癌是一种罕见的喉癌并发症，二次感染引起严重症状。管理包括施用广谱抗生素和吸入脓性物质以减压囊。在稍后的阶段，在缓解了急性症状后，我们进行了正式的喉癌切除术。
结论：脓肠膨出是喉囊膨出的一种罕见并发症，可表现为严重的症状，如呼吸困难和败血症。喉部切除术仍然是预防这种并发症和复发的最佳治疗选择。
方法：我们报告一例70岁男性患者，有5天的左颈肿胀史，喉咙痛,低烧。紧急CT扫描显示混合性脓性脑膨出。管理包括高剂量抗生素和通过外部方法切除残留的喉部。
喉癌是一种罕见的喉癌并发症，二次感染引起严重症状。管理包括施用广谱抗生素和吸入脓性物质以减压囊。在稍后的阶段，在缓解了急性症状后，我们进行了正式的喉癌切除术。
结论：脓肠膨出是喉囊膨出的一种罕见并发症，可表现为严重的症状，如呼吸困难和败血症。喉部切除术仍然是预防这种并发症和复发的最佳治疗选择。
