#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

Hluboký krční zánět s mediastinitidou iatrogenní etiologie – kazuistika


Autoři: T. Kostlivý 1 ;  M. Riant 1;  P. Klail 1;  P. Škopek 1;  A. Šrámková 2 ;  D. Kalfeřt 3 ;  J. Miletín 3 ;  J. Plzák 3 ;  H. Mírka 4 ;  J. Ludvík 4;  D. Slouka 1
Působiště autorů: Department of Otorhinolaryngology and Head and Neck Surgery, Faculty of Medicine in Pilsen, Charles University, University Hospital in Pilsen 1;  Department of Microbiology, Faculty of Medicine in Pilsen, Charles University, University Hospital in Pilsen 2;  Department of Otorhinolaryngology and Head and Neck Surgery, First Faculty of Medicine, Charles University and University Hospital Motol and Homolka, Prague 3;  Department of Imaging Methods, Faculty of Medicine in Pilsen, Charles University, University Hospital in Pilsen 4
Vyšlo v časopise: Otorinolaryngol Foniatr, 75, 2026, No. 1, pp. 75-79.
Kategorie: Kazuistika
doi: https://doi.org/10.48095/ccorl202675

Souhrn

Deep neck infections are inflammatory lesions that affect clearly defined areas of the neck and present as phlegmon or abscess. They are most often odontogenic in origin, or the result of acute pharyngeal inflammation. Iatrogenic damage is one of the rare causes of deep neck infection and is the subject of this case report. We present a case of cervical esophageal injury that occurred during an endoscopy performed by a gastroenterologist, resulting in a deep neck infection and acute mediastinitis. The report aims to emphasize the need for comprehensive, multidisciplinary care for such patients, and to draw attention to potential complications that may arise even after the acute infection has been managed.

Klíčová slova:

deep neck infection – acute mediastinitis – iatrogenic esophageal perforation

------------------------


Zdroje

1. Osborn TM, Assael LA, Bell RB. Deep space neck infection: principles of surgical management. Oral Maxillofac Surg Clin North Am 2008; 20 (3): 353–365. Doi: 10.1016/j.coms.2008.04.002.

2. Čelakovský P, Kalfeřt D, Tuček L et al. Deep neck infections: risk factors for mediastinal extension. Eur Arch Otorhinolaryngol 2014; 271 (6): 1679–1683. Doi: 10.1007/s00405-013 -⁠ 2651-5.

3. Hurley RH, Douglas CM, Montgomery J et al. The hidden cost of deep neck space infections. Ann R Coll Surg Engl 2018; 100 : 129–134. Doi: 10.1308/rcsann.2017.0193.

4. Adovica A, Veidere L, Ronis M et al. Deep neck infections: review of 263 cases. Otolaryngol Pol 2017; 71 : 37–42. Doi: 10.5604/01.3001. 0010.5315.

5. Ridder GJ, Maier W, Kinzer S et al. Descending necrotizing mediastinitis: contemporary trends in etiology, diagnosis, management, and outcome. Ann Surg 2010; 251 (3): 528–534. Doi: 10.1097/SLA.0b013e3181c1b0d1.

6. Kang SK, Lee S, Oh HK et al. Clinical features of deep neck infections and predisposing factors for mediastinal extension. Korean J Thorac Cardiovasc Surg 2012; 45 (3): 171–176. Doi: 10.5090/kjtcs.2012.45.3.171.

7. Komínek P, Chrobok V, Astl J et al. Záněty hltanu. 3. aktualizované vydání. Medicína hlavy a krku. Havlíčkův Brod: Tobiáš 2016.

8. Abu-Omar Y, Kocher GJ, Bosco P et al. European Association for Cardio-Thoracic Surgery expert consensus statement on the prevention and management of mediastinitis. Eur J Cardiothorac Surg 2017; 51 : 10–29. Doi: 10.1093/ejcts/ezw326.

9. Mureșan M, Mureșan S, Balmoș I et al. Sepsis in acute mediastinitis –⁠ a severe complication after oesophageal perforations. A review of the literature. J Crit Care Med (Targu Mures) 2019; 5 : 49–55. Doi: 10.2478/jccm-2019-0008.

10. Kostlivý T, Slouka D, Chrobok V et al. Příručka pro praxi: Hluboké krční infekce. Praha, ČSORLCHHK ČLS JEP 2023. 2023 [online]. Dostupné na: https: //www.otorinolaryngologie.cz/content/uploads/2023/10/48_hluboke_krcni_infekce_elektr.publ_.pdf

11. Iwamoto Y, Shirai R, Koyama K et al. Deep neck infection caused by Pseudomonas aeruginosa. Intern Med 2025; 64 (20): 3057–3061. Doi: 10.2169/internalmedicine.4756-24.

12. Abboud NM, Dziubek M, Bogaert S et al. A surgical alternative in the treatment of hypopharyngeal perforation. Plast Reconstr Surg Glob Open 2022; 10 (1): e4029. Doi: 10.1097/GOX.0000000000004029.

13. Giordano L, Di Santo D, Occhini A et al. Supraclavicular artery island flap (SCAIF): a rising opportunity for head and neck reconstruction. Eur Arch Otorhinolaryngol 2016; 273 (12): 4403–4412. Doi: 10.1007/s00405-016 -⁠ 4092-4.

14. Moscoso JF, Urken ML. Radial forearm flaps. Otolaryngol Clin North Am 1994; 27 (6): 1119–1140. Doi: 10.1016/S0030-6665 (20) 30589-2.

15. Poh M, Selber JC, Skoracki R, et al. Technical challenges of total esophageal reconstruction using a supercharged jejunal flap. Ann Surg 2011; 253 (6): 1122–1129. Doi: 10.1097/SLA. 0b013e318217e875.

16. Kokot N, Mazhar K, Reder LS, et al. The supraclavicular artery island flap in head and neck reconstruction: applications and limitations. JAMA Otolaryngol Head Neck Surg 2013; 139 (11): 1247–1255.Doi: 10.1001/jamaoto.2013. 5057.

Štítky
Audiologie a foniatrie Dětská otorinolaryngologie Otorinolaryngologie

Článek vyšel v časopise

Otorinolaryngologie a foniatrie

Číslo 1

2026 Číslo 1

Nejčtenější v tomto čísle
Přihlášení
Zapomenuté heslo

Zadejte e-mailovou adresu, se kterou jste vytvářel(a) účet, budou Vám na ni zaslány informace k nastavení nového hesla.

Přihlášení

Nemáte účet?  Registrujte se

#ADS_BOTTOM_SCRIPTS#