CAJ | 학술논문

目的：提高对耳源性颈深部脓肿的认识和处理能力。方法回顾性分析2例患者的诊治经过及文献复习。结果两患者中耳炎病史均较长，MRI检查均显示颈部病灶与中耳乳突内异常信号相连，均行乳突病灶清除及颈部脓肿乳突腔引流而治愈。结论耳源性颈深部脓肿与其他颈深部脓肿在病因、发病机制、细菌学及治疗上等各方面均有明显不同；颈部MRI检查在病灶性质、软组织分辨及与乳突病变的关联上具有显著优势，可作为首选；只要及时行乳突手术，无须颈侧切开引流；在颈部脓肿彻底治愈前，保持乳突尖的通畅引流对预防复发至关重要，术后要加强乳突换药。
목적：제고대이원성경심부농종적인식화처리능력。방법회고성분석2례환자적진치경과급문헌복습。결과량환자중이염병사균교장，MRI검사균현시경부병조여중이유돌내이상신호상련，균행유돌병조청제급경부농종유돌강인류이치유。결론이원성경심부농종여기타경심부농종재병인、발병궤제、세균학급치료상등각방면균유명현불동；경부MRI검사재병조성질、연조직분변급여유돌병변적관련상구유현저우세，가작위수선；지요급시행유돌수술，무수경측절개인류；재경부농종철저치유전，보지유돌첨적통창인류대예방복발지관중요，술후요가강유돌환약。
[ABSTRACT]OBJECTIVETo improve the understanding and treatment of otogenic deep neck abscess.METHODSTo analyse the treatments of 2 cases retrospectively and do the literature review.RESULTS 2 cases had long history of otitis media, showed abnormal signal connection on MRI image between neck lesion and middle ear. They were cured by mastoidectomy and drainage from neck abscess to mastoid cavity.CONCLUSIONThe otogenic deep neck abscess is different from other one in the etiology, pathogenesis, pathogenic bacteria, treatment and so on. The neck MRI examination has obvious advantages in the nature of the lesion, the resolution of the soft tissue and the correlation of lesions between the neck and the mastoid, and can be used as the predominant treatment. Incision and drainage of the neck abscess is unnecessary if operated on time. Before the neck abscess is cured thoroughly, keeping drainage of the mastoid tip is very important for prevention of recurrence. Postoperative change dressing should also be strengthened.