Case 2
A 66 year old female patient was admitted with ”pharyngeal pain for 4
days and dyspnea for 1 day”. She had a history of type 2 diabetes for 2
years with poor control. Speciality check-up: swelling and tenderness in
submaxillary and bilateral cervical areas was obvious, tenderness was
positive. Emergency neck CT showed infections in retropharyngeal space,
submental space and parapharyngeal space, and no large-scale abscess was
found (Figure. 4A). Tracheotomy was performed under emergency local
anesthesia (Figure. 4B). After the operation, anti-inflammatory,
detumescence and blood glucose control were given, and the neck CT was
reexamined every day. The general condition of the patient was improved
day by day. Half a month later, the neck CT showed that the infection
focus had disappeared (Figure. 4C), and the neck swelling was obviously
improved. The tracheotomy cannula was removed (Figure. 4D), and the
patient was cured and discharged.