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KMID : 0602820080140020057
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Korean Journal of Bronchoesophagology
2008 Volume.14 No. 2 p.57 ~ p.63
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A case of deep neck infection resulting from intubation-induced hypopharyngeal injury
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Kim Min-Soo
Lim Hye-Jin
Seo Hyung-Seok
Jung Jae-Ho
Lee Kang-Jin
Kang Jae-Goo
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Abstract
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Hypopharyngeal perforation secondary to tracheal intubation is rare, but may result in severe airway complications that include retropharyngeal abscess, pneumothorax, pneumonia, mediastinitis and death. The most common site of hypopharyngeal perforation is the pyriform sinus and the region of the cricopharyngeus muscle. We report a 62-year old man with intubation-induced hypopharyngeal injury presenting as deep neck infection. The patient presented with dyspnea and pain on the neck. Neck CT scan identified fluid and air collection on the neck from the hyoid bone to the thoracic inlet level. Despite of delayed diagnosis, we successfully operated him by using strap muscle myofascial transposition flap. The patient was followed up for 3 months without any complications.
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KEYWORD
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Hypopharyngeal perforation, tracheal intubation, deep neck infection, strap muscle myofascial transposition flap
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