Journal of Clinical Otolaryngology Head and Neck Surgery

The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery

J Clin Otolaryngol Head Neck Surg 2004; 15(1):119-122

pISSN: 1225-0244, eISSN: 2713-833X

DOI: https://doi.org/10.35420/jcohns.2004.15.1.119

증례

무선주파수 열융제(Radiofrequency Thermal Ablation)를 이용한 편도축소술후에 발생한 경부 괴사성 근막염 1예

김철호¹^,^*, 배준호¹, 최현승²

Cervical Necrotizing Fasciitis as a Complication of Tonsillotomy by Radiofrequency Thermal Ablation

Chul-Ho Kim¹^,^*, Joon-Ho Bae¹, Hyun Sung Choi²

¹아주대학교 의과대학 이비인후과학교실

²연세대학교 의과대학 이비인후과학교실

¹Department of Otolaryngology, Ajou University School of Medicine, Suwon, Korea

²Department of Otorhinolaryngology, Yonsei University College of Medicine, Seoul, Korea

^*교신저자: 김철호, 442-721 경기도 수원시 팔달구 원천동 산 5번지 아주대학교 의과대학 이비인후과학교실 전화： (031) 219-5269·전송： (031) 219-5264 E-mail： chkim@mdhouse.com

© Copyright 2004 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Mar 20, 2004; Accepted: May 21, 2004

Published Online: May 31, 2020

ABSTRACT

Necrotizing fasciitis is a highly aggressive infectious process characterized by spread along fascial planes. This process can rapidly involve overlying skin, subcutaneous tissue, muscle, and other adjacent soft tissue structures. The infection, bacterial in nature, can result in ischemia and necrosis of these tissues, with subsequent overwhelming sepsis and death. So rapid diagnosis and early surgical debridement was essential in cervical necrotizing fasciitis. Radiofrequency thermal ablation (RFTA) is an attractive and promising treatment modality for various disease such as obstructive sleep apnea (OSA), turbinate hypertrophy, tonsillar diseases. The success of RFTA in the treatment of OSA is well documented, but complications are not as well documented. There is no reports about cervical necrotizing fasciitis as a complication of RFTA. So we present a case of cervical necrotizing fasciitis complicated by RFTA (Cobulator^®) tonsillotomy in an immunocompetent adult host. (J Clinical Otolaryngol 2004;15:119–122)

Keywords: 편도축소술; 무선주파수 열융제; 괴사성 근막염

Keywords: Tonsillotomy; Radiofrequency thermal ablation; Necrotizing fasciitis