羟基磷灰石钙注射咽喉成形术治疗咽功能不全的感染性并发症的缓解：咽后脓肿和骨髓炎。

IF 1.1 4区医学 Q2 Dentistry

Cleft Palate-Craniofacial Journal Pub Date : 2025-02-01 Epub Date: 2023-10-17 DOI:10.1177/10556656231207468

Michaele Francesco Corbisiero, Anthony Smyth, Jordan Stellern, Steven Leoniak, Melissa M Raines, Brandi Axford, Allison M Dobbie

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引用次数: 0

摘要

速度咽功能不全是一种复杂的情况，有多种治疗选择。在这种情况下，一名腭裂患者在术后第6天因腭咽闭合不全接受羟基磷灰石钙注射咽成形术治疗，出现持续的颈部疼痛。CT成像显示右侧咽后组织中存在低密度结构，培养物中中间链球菌和金黄色葡萄球菌检测呈阳性。核磁共振成像显示颅底骨髓炎。通过手术干预和抗生素控制了感染。该病例突出了注射咽喉成形术潜在的严重并发症，并强调了早期识别和管理感染性并发症的重要性。

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Mitigating Infectious Complications of Injection Pharyngoplasty with Calcium Hydroxyapatite for Velopharyngeal Insufficiency: Retropharyngeal Abscess and Osteomyelitis.

Velopharyngeal insufficiency is a complex condition with various treatment options. In this case, a patient with a cleft palate who was treated for velopharyngeal insufficiency with calcium hydroxyapatite injection pharyngoplasty developed persistent cervical pain on postoperative day 6. CT imaging showed a hypodense structure in the right retropharyngeal tissue, and cultures tested positive for Streptococcus intermedius and Staphylococcus aureus. An MRI later revealed skull base osteomyelitis. The infection was controlled via surgical intervention and antibiotics. This case highlights potential severe complications from injection pharyngoplasty and it underscores the importance of early recognition and management of infectious complications.

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来源期刊

Cleft Palate-Craniofacial Journal DENTISTRY, ORAL SURGERY & MEDICINE-SURGERY

CiteScore

2.20

自引率

36.40%

发文量

审稿时长

4-8 weeks

期刊介绍： The Cleft Palate-Craniofacial Journal (CPCJ) is the premiere peer-reviewed, interdisciplinary, international journal dedicated to current research on etiology, prevention, diagnosis, and treatment in all areas pertaining to craniofacial anomalies. CPCJ reports on basic science and clinical research aimed at better elucidating the pathogenesis, pathology, and optimal methods of treatment of cleft and craniofacial anomalies. The journal strives to foster communication and cooperation among professionals from all specialties.