舌底膿瘍

Tongue Base Abscess

舌底膿瘍是一個相當稀少的疾病，同時也因為可能造成呼吸道阻塞而有潛在的致死危險性。雖然有許多的因素都會導致舌底膿瘍，但目前確切的致病機轉仍然不明。在醫學資料庫及教科書上也只有少數的案例報告。本案例為52 歲男性，初始症狀以漸進式的喉嚨疼痛來表現，我們以內視鏡檢查和電腦斷層確診，並且以保守治療成功治癒該病人。因該病例的相對稀少性，特此提出病例報告，並討論診斷、治療方法及相關文獻回顧，希冀增加臨床醫師對該疾病的警覺性及了解。

Tongue base abscess is an extremely rare condition that is potentially lethal because of the risk of airway compromise. Various causes are attributed to this condition, but the underlying pathophysiology remains unknown; only a few reports are present in major literature databases. We present a case of tongue base abscess in a 52-year-old man who initially presented with a progressive sore throat. We confirmed the diagnosis by performing endoscopy and computed tomography, and successfully treated the patient without surgical intervention. We aim to increase awareness of this condition among clinical practitioners and otolaryngologists.