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KMID : 0356920080540030356
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Korean Journal of Anesthesiology
2008 Volume.54 No. 3 p.356 ~ p.358
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Retropharyngeal Abscess after an Unexpected Difficult Tracheal Intubation
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Im Kyung-Sil
Lee Jae-Myeong
Kim Jong-Bun
Lee Min-Hye
Kim Duk-Ja
Jung Hyun-Ju
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Abstract
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A retropharyngeal abscess is a rare complication of tracheal intubation.A case of retropharyngeal abscess after unexpected difficult tracheal intubation is presented with a review of the medical literature.A 45-year-old female patient underwent excision and biopsy of the left false vocal cord mass under general anesthesia with tracheal intubation.There was unexpected difficulty of the tracheal intubation and several trials of intubations were performed.The patient complained of pain on the left side of the neck, a sore throat, dysphagia, and chest discomfort one day postoperatively.The patient had fever of 38.7oC.Flexible laryngoscopy, neck X-ray, neck computed tomography, and pharyngoesophagographic studies were performed, which revealed a retropharyngeal abscess.The patient was treated with antibiotics, nil per os, nasogastric tube feeding and underwent surgery for incision and drainage of the retropharyngeal abscess under local anesthesia.The patient recovered without complications, and the patient was discharged 12 days postoperatively.(Korean J Anesthesiol 2008; 54: 356∼8)
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KEYWORD
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complication, difficult tracheal intubation, retropharyngeal abscess
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