Nonsurgical management of deep neck infections in children

Broughton, Robert A.

doi:10.1097/00006454-199201000-00005

Cited by 84 publications

(59 citation statements)

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“…The treatment options vary between immediate surgical drainage of the abscess to instituting a trial of intravenous antibiotics in every stable case or in selected cases [3,[5][6][7] . Until recently the most recommended treatment was surgical drainage with concomitant intravenous antibiotic treatment.…”

Section: Discussionmentioning

confidence: 99%

Parapharyngeal Abscess: Comprehensive Management Protocol

Oh¹,

Kim²,

Kim³

2006

ORL

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Parapharyngeal infections are rare, but they cause serious morbidity and mortality. Therefore, until now, the recommended treatment of parapharyngeal abscess has been early open surgical drainage. The purpose of this study is to review the clinical course and outcome of treatment in parapharyngeal abscess according to method of treatment. A prospective study was designed for parapharyngeal abscess in patients admitted for deep neck infection. During an 8-year period, from June 1994 to January 2003, 34 patients were enrolled. All had contrast-enhanced computed tomography (CT) imaging and confirmation of an abscess in the parapharyngeal space. All patients were treated with intravenous antibiotics. We treated 19 cases (conservative group) with antibiotics only or needle aspiration and 15 (surgical group) with intraoral or external drainage. The mean duration of hospitalization was 8.2 days in the conservative group and 11.6 days in the surgical group. There was no complication except mediastinitis in 1 case of the conservative group. Because of severe dyspnea, 5 patients required tracheotomy. Neck CT scan is a useful diagnostic tool to detect and establish the treatment plan of parapharyngeal abscess. Parapharyngeal abscess may, in some cases, respond to antibiotics, become localized to the parapharyngeal space and be treated conservatively with no need for early open surgical drainage.

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Section: Discussionmentioning

confidence: 99%

Parapharyngeal Abscess: Comprehensive Management Protocol

Oh¹,

Kim²,

Kim³

2006

ORL

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“…Los gérmenes más frecuentemente involucrados son estreptococos betahemolíticos, alfahemolíticos, difteroides, estafilococos y anaerobios, generalmente en cultivos mixtos. El diagnóstico se basa en el estudio de la punción-aspiración y en los métodos de imagen, siendo éstos especialmente importantes para establecer el diagnóstico diferencial con la celulitis periamigdalina 1,2 . Se recomienda el tratamiento inicial con dosis elevadas de penicilina intravenosa acompañado de drenaje quirúrgico no siendo necesario recurrir, en la mayoría de los casos, a la amigdalectomía durante la fase aguda 2,3 .…”

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“…El diagnóstico se basa en el estudio de la punción-aspiración y en los métodos de imagen, siendo éstos especialmente importantes para establecer el diagnóstico diferencial con la celulitis periamigdalina 1,2 . Se recomienda el tratamiento inicial con dosis elevadas de penicilina intravenosa acompañado de drenaje quirúrgico no siendo necesario recurrir, en la mayoría de los casos, a la amigdalectomía durante la fase aguda 2,3 . Aunque E. corrodens es un microorganismo que coloniza la mayoría de las superficies mucosas, su implicación en los diversos procesos infecciosos no es muy frecuente.…”

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“…Esto último sería debido a la administración previa de antibióticos que podrían haber suprimido otras especies bacterianas inicialmente causantes de la infección y seleccionado a la especie aislada, resistente en este caso a eritromicina. Pensamos que esta buena evolución se debe a la combinación del tratamiento médico y quirúrgico 2,3 . Consideramos que es importante la sospecha de este germen en los cuadros en los que podría estar implicado de cara a un correcto diagnóstico microbiológico y a la instauración de un tratamiento adecuado.…”

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Niña con fiebre, tumefacción y procidencia velopalatina unilateral

López-Prieto¹,

Fernández²,

Ruiz³

et al. 2004

Enferm Infecc Microbiol Clin

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“…2 Delay in treatment can lead to development of complications, which include spontaneous rupture of the abscess, jugular vein thrombosis, Lemierre's syndrome, tracheobronchial aspiration, stridor due to laryngeal edema or mediastinitis. [3][4][5] The aim of this paper is to discuss different surgical approaches to the parapharyngeal space.…”

Section: Introductionmentioning

confidence: 99%

Surgical Management of Parapharyngeal Abscess

Tubachi¹,

Hakeem²,

D³

et al. 2012

An International Journal of Otorhinolaryngology Clinics

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Parapharyngeal abscess is a life-threatening infection. It occurs due to spread of infection form anatomical locations in the vicinity of the space. Management of the deep neck infection is governed by the general condition of the patient, the extent of disease and patency of airway. In treatment of deep neck infections intensive antibiotic therapy and surgical drainage are complementary to each other.

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Nonsurgical management of deep neck infections in children

Cited by 84 publications

References 0 publications

Parapharyngeal Abscess: Comprehensive Management Protocol

Parapharyngeal Abscess: Comprehensive Management Protocol

Niña con fiebre, tumefacción y procidencia velopalatina unilateral

Surgical Management of Parapharyngeal Abscess

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