Key point: • Being one of the commonest presenting emergencies,
epistaxis can increase the pressure on the health service; in times
similar to COVID-19 pandemic such pressure can be crucial and
challenging to deal with. • Non-absorbable nasal packing and home
discharge for selected patients can be a safe and efficient alternative
treatment method with low readmission rates (5.3 %); such management
can be of tremendous help when the hospital capacity is overwhelmed. •
Although such protocols can be challenging to generalize, the presented
protocol seems safe, easily adoptable without any significant
complications.
Keypoints: • The presence of a pharyngeal mucosal space abscesses (PMA),
being confined between the pharyngeal mucosa and the pharyngeal
constrictor muscle, is considered rare. However, in our series
represented 14,3% of deep neck infections (DNIs), suggesting that they
may not be so rare as they are considered to be. • PMAs’ symptoms and
clinical findings are similar to those of other DNIs, but trismus and
neck swelling seem to be significant lower in PMAs. • Imaging studies
will set PMA diagnosis, while CT with contrast is the modality of
choice. • PMAs seems to be less dangerous than their deep-seated
counterparts, since its superficial location renders them amenable to
spontaneous drainage, aspiration, incision and drainage intraorally
obviating spread to deeper structures.
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