Presentation, Diagnosis, and Management of Deep-Neck Abscesses in Infants

Cmejrek, Ryan C.; Coticchia, James M.; Arnold, James E.

doi:10.1001/archotol.128.12.1361

Cited by 70 publications

(47 citation statements)

References 20 publications

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“…A study of paediatric neck abscesses [16] reported most common symptoms as fever, limited motion of neck, and odynophagia. Similar study of paediatric neck abscesses in infants [17] reported neck mass in 92% (n = 23) of patients; fever, 60% (n = 15); and dysphagia and/or poor intake by mouth, 36% (n = 9).…”

Section: Clostridium Gp 1 Acinetobactersupporting

confidence: 56%

“…Success rate was 20% while failure rate was 80%. In Ryan C. Cmejrek et al [17] series 5 patients went aspiration but none responded with 100% failure rate. While in contrary other reports claim that use of closed drainage by aspiration produces rates of resolution around 80% [16].…”

Section: Treatment Optionsmentioning

confidence: 98%

“…Parotid space abscesses was seen in our study in 12% of patients while one study [10] reported it only in 1% of patients. Ryan C. Cmejrek et al [17] in a study on 25 paediatric patients found that the more superficial anterior and posterior triangle abscesses (11/25) tend to be more common than those in the parapharyngeal (5/25) or retropharyngeal (3/25) spaces. However, there are different results, in different studies, in the literature regarding the distribution of abscesses among the spaces of the neck [10].…”

Section: Clostridium Gp 1 Acinetobactermentioning

confidence: 99%

See 2 more Smart Citations

Pediatric Deep Neck Space Abscesses: A Prospective Observational Study

Patigaroo¹,

Patigaroo²

2012

Emergency Medicine

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Pediatric patients with deep neck space abscesses were prospectively followed from 2009 to 2011 in SKIMS MC and Peoples care polyclinic. Observational data were collected regarding age, location and size of abscess, source of infection, organism, antibiotic susceptibility, treatment plan, and rate of complications. A brief review of the literature is included to compare our patient population to what has previously been reported in the literature.

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Section: Clostridium Gp 1 Acinetobactersupporting

confidence: 56%

Section: Treatment Optionsmentioning

confidence: 98%

Section: Clostridium Gp 1 Acinetobactermentioning

confidence: 99%

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Pediatric Deep Neck Space Abscesses: A Prospective Observational Study

Patigaroo¹,

Patigaroo²

2012

Emergency Medicine

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“…Dental infection followed by tonsillar infection, as a cause of deep neck space infection, later being common in pediatrics, was reported by many studies. 8,9,[17][18][19][20] Peritonsillar abscess or cellulitis secondary to acute tonsillitis may penetrate buccopharyngeal fascia directly or extend by retrograde thrombophlebitis to involve parapharyngeal space. The carotid sheath, which traverses parapharyngeal space can get involved and provide a pathway of spread to mediastinum.…”

Section: Discussionmentioning

confidence: 99%

A study on presentation, etiology, complications and management of deep neck space infections: our experience

Khokle

Lahane

Mishra

et al. 2017

Int J Otorhinolaryngol Head Neck Surg

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Background: To analyze our experience in presentation, etiology, complications and difficulties encountered in diagnosis and management of deep neck space infections.Methods: 52 cases of deep neck space infections were analyzed within the period of November 2013 to November 2015 in ENT OPD at GMC Latur. Patients with airway compromise or in failures were managed with intubation or tracheostomy. All patients were investigated with detail history, hematological and radiological investigations like X- Ray, USG or CT scan. Although all patients were treated with intravenous antibiotics, surgical drainage was the definitive management. Results: Study includes 29 males and 23 females. Neck pain was most common presentation in 90.38% with airway compromise being most common complication. Submandibular (34.61%) and peritonsillar (21%) space were commonly involved with odontogenic and upper airway infections being leading causes. Diabetes was common comorbidity found among patients. Staphylococcus aureus being common isolate (Klebsiella in diabetics). Surgical drainage with antibiotics as per culture sensitivity was treatment modality of choice.Conclusions: Early diagnosis and appropriate management is key for better outcome. Odontogenic etiology being most common correlates well with poor oral hygiene and tobacco chewing. Surgical drainage and antibiotics are the treatment modalities. Complications and associated comorbidities affect the course of DNSI and hence require appropriate management.

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“…This is due to the fact that at the age of about 4-5 years the retropharyngeal space is filled with lymph nodes (Henle nodes) [1,3,6,7]. After this time, according to Cmejrek et al, retropharyngeal lymph nodes undergo spontaneous regression [8]. Retropharyngeal lymph nodes collect lymph from the nasal cavity, pharynx, maxillary sinuses and pharyngeal tonsil [9,10].…”

Section: Introductionmentioning

confidence: 99%

Ropień zagardłowy u 56-letniego mężczyzny – rzadkie powikłanie zębopochodnego stanu zapalnego. Własna propozycja skutecznego drenażu

Sikora¹,

Sielski²,

Stąpor³

et al. 2017

Pomeranian J Life Sci

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Retropharyngeal abscess in adults occurs rarely. In a small number of patients it arises as a complication of odontogenic inflammation, as in the case we describe. The key task in the treatment of patients with retropharyngeal abscess is to make the correct diagnosis. The image examination of choice in adult patients with suspected retropharyngeal abscess should be computed tomography with contrast. After making the correct diagnosis it is necessary to initiate the appropriate treatment (conservative or surgical). In cases treated surgically the effective and free approach to retropharyngeal space is transcervical access. The effective drainage of the retropharyngeal space using the rinsing drain devised by the authors enabled the total evacuation of residual suppurative content and prevented dangerous complications, such as descending necrotic mediastinitis, leading to the recovery of the patient. Keywords: computed tomography with contrast; drainage of retropharyngeal space; retropharyngeal abscess; rinsing drain. ABSTRAKTRopień zagardłowy u osób dorosłych jest schorzeniem występującym rzadko. W niewielkiej liczbie przypadków jest to powikłanie zębopochodnego stanu zapalnego implikowanego przyjmowaniem metotreksatu. Przypadek taki został opisany w niniejszej pracy. W rozpoznaniu ropnia zagardłowego istotną rolę odgrywa diagnostyka obrazowa ze wskazaniem na tomografię komputerową szyi z kontrastem. Po właściwym ustaleniu rozpoznania niezbędne jest szybkie wdrożenie właściwego postępowania terapeutycznego: zachowawczego w postaci antybiotykoterapii o szerokim spektrum, a w uzasadnionych sytuacjach również chirurgicznego. U chorych leczonych chirurgicznie stosuje się przezszyjny dostęp do przestrzeni zagardłowej. W przypadku opisanym w niniejszej pracy zastosowano drenaż przestrzeni zagardłowej za pomocą drenu płuczącego własnej konstrukcji, który umożliwił skuteczne odprowadzenie treści ropnej. Postę-powanie to pozwoliło na uniknięcie niebezpiecznego powikłania, jakim jest zstępujące martwicze zapalenie śródpiersia, i umoż-liwiło całkowite wyleczenie chorego. Słowa kluczowe: dren płuczący; drenaż przestrzeni zagardło-wej; ropień zagardłowy; tomografia komputerowa z kontrastem.

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Presentation, Diagnosis, and Management of Deep-Neck Abscesses in Infants

Cited by 70 publications

References 20 publications

Pediatric Deep Neck Space Abscesses: A Prospective Observational Study

Pediatric Deep Neck Space Abscesses: A Prospective Observational Study

A study on presentation, etiology, complications and management of deep neck space infections: our experience

Ropień zagardłowy u 56-letniego mężczyzny – rzadkie powikłanie zębopochodnego stanu zapalnego. Własna propozycja skutecznego drenażu

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