Airway narrowing post surgical drainage of neck abscess

Case contributed by Dr Steve Lau

Presentation

Post exploration, removal of cervical fusion plates and evacuation of neck abscess. Extubated post op and reintubated due to airway compromise. Past History: C3/C4 spinal fusion

Patient Data

Age: 67
Gender: Female

CT neck

Modality: CT

CT neck show moderately severe oropharyngeal and supraglottic airway narrowing to the level of larynx secondary to soft tissue oedema and collapse of soft tissues around endotrachael tube.

Drain tubes inserted into right submandibular and retropharyngeal space. There is no evidence of a rim enhancing collection or acute large volume haematoma. C3/C4 disc cage remains in situ.

 

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Case Information

rID: 28885
Case created: 19th Apr 2014
Last edited: 26th Sep 2015
System: Head & Neck
Inclusion in quiz mode: Included

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