Korean J Otorhinolaryngol-Head Neck Surg.  2015 Feb;58(2):124-129. 10.3342/kjorl-hns.2015.58.2.124.

A Case of Massive Oropharyngeal Bleeding from Pseudoaneurysm of Superior Thyroid Artery Associated with Parapharyngeal Abscess

• Cheon YI
• Woo CK
• Park CH
• Lim YS

• KMID: 1784963
• DOI: http://doi.org/10.3342/kjorl-hns.2015.58.2.124

Abstract

Parapharyngeal abscess is relatively common but it can cause life-threatening complications like internal jugular vein thrombophlebitis, septic shock, airway obstruction, and mediastinitis. The diagnosis is dependent on physical examination, endoscopic view, and CT and MR imaging. The treatment is antibiotics but sometimes incision and drainage are necessary. Pseudoaneurysm in deep neck space is very rare and mainly caused by trauma, postoperative state of head and neck surgery and radiation therapy. We herein report a case of massive oropharyngeal bleeding from pseudoaneurysm of the superior thyroid artery associated with parapharyngeal abscess with a review of related literature.

Keyword

Parapharyngeal abscess; Pseudoaneurysm; Superior thyroid artery

MeSH Terms

Abscess*
Airway Obstruction
Aneurysm, False*
Anti-Bacterial Agents
Arteries*
Diagnosis
Drainage
Head
Hemorrhage*
Jugular Veins
Magnetic Resonance Imaging
Mediastinitis
Neck
Physical Examination
Shock, Septic
Thrombophlebitis
Thyroid Gland*
Anti-Bacterial Agents