2012
DOI: 10.1093/jscr/2012.10.7
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Retropharyngeal abscess - A complication of laryngeal mask airway

Abstract: Retropharyngeal or parapharyngeal abscesses developing after intubation are rare. This can present as surgical emergency post extubation. We report a case of retropharyngeal abscess that probably occurred as a complication of laryngeal mask insertion.

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Cited by 3 publications
(4 citation statements)
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“…The evidence of some blood on the LMA at the time of removal could have alerted medical staff to the possibility of trauma caused by the LMA. Evidence exists that patients with a postoperative sore throat and bloodstained sputum should undergo more thorough clinical investigations [ 11 ]. In this patient, because only a small amount of bloodstained sputum was observed, no further investigation was initiated.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…The evidence of some blood on the LMA at the time of removal could have alerted medical staff to the possibility of trauma caused by the LMA. Evidence exists that patients with a postoperative sore throat and bloodstained sputum should undergo more thorough clinical investigations [ 11 ]. In this patient, because only a small amount of bloodstained sputum was observed, no further investigation was initiated.…”
Section: Discussionmentioning
confidence: 99%
“…Severe respiratory complications due to retropharyngeal abscesses following injuries caused by LMA are rare [ 11 16 ]. The extension of the abscess into the parapharyngeal space is even more rare.…”
Section: Introductionmentioning
confidence: 99%
“…One case study by Casey et al reports a severe retropharyngeal abscess following use of a reinforced laryngeal mask with a Bosworth introducer, believed to be caused by pharyngeal trauma during the procedure [6] . Another study by Lynn et al reports retropharyngeal abscess following LMA insertion during a breast lump excision [7] . Retropharyngeal abscesses are of high morbidity and mortality due to risk of airway obstruction, aspiration pneumonia, mediastinitis, jugular venous thrombosis, necrotizing fasciitis, sepsis and erosion in the carotid artery [7] , thus require immediate management through surgical drainage and antibiotics.…”
Section: Introductionmentioning
confidence: 98%
“…Another study by Lynn et al reports retropharyngeal abscess following LMA insertion during a breast lump excision [7] . Retropharyngeal abscesses are of high morbidity and mortality due to risk of airway obstruction, aspiration pneumonia, mediastinitis, jugular venous thrombosis, necrotizing fasciitis, sepsis and erosion in the carotid artery [7] , thus require immediate management through surgical drainage and antibiotics.…”
Section: Introductionmentioning
confidence: 98%