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CASE REPORTS

A Rare Surgical Emergency in Geriatric Patient: Epiglottic Abscess
Geriatrik Hastada Gelişen Nadir Bir Cerrahi Acil: Epiglot Apsesi
Received Date : 12 Jan 2021
Accepted Date : 16 Feb 2021
Available Online : 17 Mar 2021
Doi: 10.24179/kbbbbc.2021-81252 - Makale Dili: EN
KBB ve BBC Dergisi. 2021;29(3):236-40
Copyright © 2020 by Turkey Association of Society of Ear Nose Throat and Head Neck Surgery. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)
ABSTRACT
Epiglottic abscess is a rare complication of acute epiglottitis that can lead to upper airway obstruction and is fatal if not diagnosed early and treated. Common symptoms include dysphagia, odynophagia, dysphonia, stridor and fever. Fiberoptic laryngoscopy and contrast-enhanced neck computed tomography are the most common methods of diagnosis. In the treatment of this complication, the airway should be secured initially, abscess should be drained then and intravenous antibiotherapy should be administered. In the present study, we discuss our approach to epiglottic abscesses through a geriatric patient who underwent an emergency operation for epiglottic abscess and was treated successfully.
ÖZET
Epiglot apseleri, akut epiglottinin üst havayolu obstrüksiyonuna neden olabilen, erken tanı ve tedavi uygulanmazsa mortal seyreden nadir bir komplikasyonudur. Sık görülen semptomları; disfaji, odinofaji, disfoni, stridor ve ateş yüksekliğidir. Tanıda en sık fiberoptik larinks endoskopisi ve kontrastlı boyun bilgisayarlı tomografisinden faydalanılır. Tedavide öncelikle havayolu güvene alınmalı, takiben apse drene edilip intravenöz antibiyoterapi verilmelidir. Bu çalışmada, epiglot apsesi nedeniyle acil operasyona alınıp başarıyla tedavi ettiğimiz geriatrik hasta üzerinden epiglot apselerine yaklaşımı ele aldık.
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