Deep Neck Infection with Mediastinal Abscess Treated by Modified Vacuum-Assisted Closure Application
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...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Korean Society of Acute Care Surgery
2017-04-01
|
| Series: | Journal of Acute Care Surgery |
| Subjects: | |
| Online Access: | http://www.jacs.or.kr/upload/pdf/jacs-7-34.pdf |
| _version_ | 1797682359499227136 |
|---|---|
| author | Bongyoung Kim Jieun Kim Hye-seon Kim Chang Myeon Song Hyunjoo Pai |
| author_facet | Bongyoung Kim Jieun Kim Hye-seon Kim Chang Myeon Song Hyunjoo Pai |
| author_sort | Bongyoung Kim |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-03-11T23:58:32Z |
| format | Article |
| id | doaj.art-db51151643a1439d8de9181656b18a46 |
| institution | Directory Open Access Journal |
| issn | 2288-5862 2288-9582 |
| language | English |
| last_indexed | 2024-03-11T23:58:32Z |
| publishDate | 2017-04-01 |
| publisher | Korean Society of Acute Care Surgery |
| record_format | Article |
| series | Journal of Acute Care Surgery |
| spelling | doaj.art-db51151643a1439d8de9181656b18a462023-09-18T06:38:40ZengKorean Society of Acute Care SurgeryJournal of Acute Care Surgery2288-58622288-95822017-04-0171343810.17479/jacs.2017.7.1.3437Deep Neck Infection with Mediastinal Abscess Treated by Modified Vacuum-Assisted Closure ApplicationBongyoung Kim0Jieun Kim1Hye-seon Kim2Chang Myeon Song3Hyunjoo Pai4 Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea Department of Thoracic and Cardiovascular Surgery, Hanyang University College of Medicine, Seoul, Korea Department of Otolaryngology-Head and Neck Surgery, Hanyang University College of Medicine, Seoul, Korea Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea 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.http://www.jacs.or.kr/upload/pdf/jacs-7-34.pdfvacuum-assisted closurenegative-pressure wound thearpymediastinitisretropharyngeal abscess |
| spellingShingle | Bongyoung Kim Jieun Kim Hye-seon Kim Chang Myeon Song Hyunjoo Pai Deep Neck Infection with Mediastinal Abscess Treated by Modified Vacuum-Assisted Closure Application Journal of Acute Care Surgery vacuum-assisted closure negative-pressure wound thearpy mediastinitis retropharyngeal abscess |
| title | Deep Neck Infection with Mediastinal Abscess Treated by Modified Vacuum-Assisted Closure Application |
| title_full | Deep Neck Infection with Mediastinal Abscess Treated by Modified Vacuum-Assisted Closure Application |
| title_fullStr | Deep Neck Infection with Mediastinal Abscess Treated by Modified Vacuum-Assisted Closure Application |
| title_full_unstemmed | Deep Neck Infection with Mediastinal Abscess Treated by Modified Vacuum-Assisted Closure Application |
| title_short | Deep Neck Infection with Mediastinal Abscess Treated by Modified Vacuum-Assisted Closure Application |
| title_sort | deep neck infection with mediastinal abscess treated by modified vacuum assisted closure application |
| topic | vacuum-assisted closure negative-pressure wound thearpy mediastinitis retropharyngeal abscess |
| url | http://www.jacs.or.kr/upload/pdf/jacs-7-34.pdf |
| work_keys_str_mv | AT bongyoungkim deepneckinfectionwithmediastinalabscesstreatedbymodifiedvacuumassistedclosureapplication AT jieunkim deepneckinfectionwithmediastinalabscesstreatedbymodifiedvacuumassistedclosureapplication AT hyeseonkim deepneckinfectionwithmediastinalabscesstreatedbymodifiedvacuumassistedclosureapplication AT changmyeonsong deepneckinfectionwithmediastinalabscesstreatedbymodifiedvacuumassistedclosureapplication AT hyunjoopai deepneckinfectionwithmediastinalabscesstreatedbymodifiedvacuumassistedclosureapplication |