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Deep Neck Infection with Mediastinal Abscess Treated by Modified Vacuum-Assisted Closure Application

Title
Deep Neck Infection with Mediastinal Abscess Treated by Modified Vacuum-Assisted Closure Application
Author
송창면
Keywords
Vacuum-assisted closure; Negative-pressure wound thearpy; Mediastinitis; Retropharyngeal abscess
Issue Date
2017-04
Publisher
대한외상중환자외과학회
Citation
Journal of Acute Care Surgery, v. 7, no. 1, page. 34-38
Abstract
Deep neck infection is a surgical emergency that can result in life threatening complications such as airway obstruction, aspiration, thrombosis of major vessels and mediastinitis by spread of infection along fascial planes. Although appropriate surgical intervention and prompt antibiotics are given, revision surgeries are often required. We report a patient with mediastinal abscess caused by a deep neck infection that was initially intractable with usual surgical drainage but was eventually successfully treated with the modified application of a vacuum-assisted closure (VAC) device (InfoV.A.C. Therapy Unit; Kinetic Concept Inc., USA). We inserted silastic drain tubes into paratracheal area. It was difficult to pack the VAC foams, so they were prone to fail, with complete debridement. With modified VAC therapy assisted by silastic drain tube, the deeply located mediastinal abscess that had been unresponsive to conventional surgical drainage was successfully treated. (J Acute Care Surg 2017;7:34-38)
URI
http://www.jacs.or.kr/journal/view.html?volume=7&number=1&spage=34&year=2017https://repository.hanyang.ac.kr/handle/20.500.11754/113858
ISSN
2288-5862; 2288-9582
DOI
10.17479/jacs.2017.7.1.34
Appears in Collections:
COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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