alexa Parapharyngeal abscess in children: five year retrospective study.


Emergency Medicine: Open Access

Author(s): Marques PM, Spratley JE, Leal LM, Cardoso E, Santos M

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Abstract Lateropharyngeal and retropharyngeal abscesses are potentially life threatening infections in children AIM: To review the etiologic, clinical, and imaging signs of lateropharyngeal and retropharyngeal abscesses in children as well as treatment-outcomes and complications using a surgical trans-oral approach. METHOD: Retrospective analysis of 11 children, hospitalized in the last 5 years, with a diagnosis of lateropharyngeal (n = 8) and retropharyngeal (n = 3) abscesses, ages ranging from 0 to 12 years old. Charts and CT scans were reviewed. RESULT: The average age of presentation was 3.3 years. Neck stiffness (64\%) and odynophagia (55\%) were the most common symptoms. Fever (64\%), stiff neck (64\%), bulging of the oropharyngeal wall (55\%), mass in the neck (55\%) and lymphadenopathy (36\%) were the most prevalent physical findings. All these patients were submitted to surgical drainage using a trans-oral approach in the first 48 hours after admission. About 82\% of the patients showed improvement after 48 hours, and 100\% after 72 hours, without any complications. CONCLUSION: Based on the good clinical outcomes and low incidence of complications, the present study suggests that antibiotic therapy complemented with a timely surgical treatment, is a valid treatment option in refractory parapharyngeal abscesses.
This article was published in Braz J Otorhinolaryngol and referenced in Emergency Medicine: Open Access

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