Mitigating Infectious Complications of Injection Pharyngoplasty with Calcium Hydroxyapatite for Velopharyngeal Insufficiency: Retropharyngeal Abscess and Osteomyelitis.
Michaele Francesco CorbisieroAnthony SmythJordan StellernSteven LeoniakMelissa M RainesBrandi AxfordAllison M DobbiePublished in: The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association (2023)
Velopharyngeal insufficiency is a complex condition with various treatment options. In this case, a patient with a cleft palate who was treated for velopharyngeal insufficiency with calcium hydroxyapatite injection pharyngoplasty developed persistent cervical pain on postoperative day 6. CT imaging showed a hypodense structure in the right retropharyngeal tissue, and cultures tested positive for Streptococcus intermedius and Staphylococcus aureus . An MRI later revealed skull base osteomyelitis. The infection was controlled via surgical intervention and antibiotics. This case highlights potential severe complications from injection pharyngoplasty and it underscores the importance of early recognition and management of infectious complications.
Keyphrases
- staphylococcus aureus
- risk factors
- ultrasound guided
- contrast enhanced
- randomized controlled trial
- chronic pain
- biofilm formation
- magnetic resonance imaging
- high resolution
- computed tomography
- patients undergoing
- early onset
- neuropathic pain
- pain management
- magnetic resonance
- candida albicans
- risk assessment
- bone regeneration
- tissue engineering
- spinal cord injury
- positron emission tomography
- pseudomonas aeruginosa
- dual energy
- fluorescence imaging
- photodynamic therapy
- postoperative pain