Retropharyngeal abscess – a ten‐year experience

Barratt, George E.; Koopmann, Charles F.; Coulthard, Stanley W.

doi:10.1288/00005537-198404000-00003

Cited by 120 publications

(94 citation statements)

References 25 publications

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“…Meanwhile, it has been reported that though the number of cases of retropharyngeal abscess is decreasing among children due to the advancements of antibiotics, it has been increasing lately among adults. Retropharyngeal abscess in adults has been reported to be due to vertebral osteomyelitis (Barratt et al 1984), caries of the cervical spine (Bosley 1962), or external injuries caused by endoscopes (Delozier et al 1986) or fish bones (Berger et al 1990). As for underlying diseases, many patients were diabetics or had been taking steroids for Behçet's syndrome, rheumatism, systemic lupus erythematosus, and so on (Tannebaum 1996).…”

Section: Discussionmentioning

confidence: 99%

Retropharyngeal Abscess Complicated with Torticollis: Case Report and Review of the Literature

Hasegawa

Tateda

Hidaka

et al. 2007

Tohoku J. Exp. Med.

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Abscess Complicated with Torticollis:Case Report and Review of the Literature. Tohoku J. Exp. Med., 2007, 213 (1), [99][100][101][102][103][104] Retropharyngeal abscess commonly develops among infants and small children, and is associated with the severe inflammation of the retropharyngeal lymph nodes located in the retropharyngeal space. Retropharyngeal abscess causes cervical pain, swelling, contracture of the neck, and in rare cases inflammatory torticollis, all of which result from an inflammatory process that irritates the cervical muscles, nerves or vertebrae. Here we report a rare case of retropharyngeal abscess with a complication of torticollis. A 4-yearold girl suffered from severe retropharyngeal abscess spreading through the deep cervical fascia, as judged by magnetic resonance imaging of the neck. Blood analysis showed high degree of inflammatory reactions, and so the patient was transferred to our hospital ward. The inflammation caused spasms of the prevertebral muscles, eventually leading to torticollis. The surgical drainage was performed immediately under general anesthesia, and an anti-inflammation therapy with intravenously administered meropenem trihydrate and clindamycin was used together with traction therapy to relieve the symptoms of the patient. We must be careful about the existence of epidural abscess and infectious spondylitis when the retropharyngeal abscess causes torticollis. In conclusion, an anti-inflammation therapy using antibiotics, along with traction therapy, was effective to relieve the symptoms. In addition to repeated clinical examinations, cooperation with orthopedists and careful follow-up are necessary. We also discussed the relationship between acute torticollis and retropharyngeal abscess. retropharyngeal abscess; torticollis; danger space; deep neck fascia; traction therapy

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Section: Discussionmentioning

confidence: 99%

Retropharyngeal Abscess Complicated with Torticollis: Case Report and Review of the Literature

Hasegawa

Tateda

Hidaka

et al. 2007

Tohoku J. Exp. Med.

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“…1 S›kl›kla bu boflluklar›n bafll›calar› olan parafarengeal ve submandibular bölgeleri tutmaktad›r. Eriflkinlerde en s›k neden dental ve tükürük bezi enfeksiyonlar› ve boyunda intravenöz ilaç kullan›m›d›r.…”

Section: Giriflunclassified

Derin boyun enfeksiyonu: 63 hastanın incelenmesi

2008

Turk Arch Otolaryngol

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Results: There were 43 male 20 female patients. The submandibular space was the most frequent location (49%) followed by the parapharyngeal space (36%). All the patients were taken to intravenous antibiotic therapy and an additional drainage in 10 patients (16%) were also carried out. One patient was died from septicemia. Conclusion:Patients who receive an appropriate medical treatment immediately after the diagnosis of deep neck infection.

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“…Congenital lesions such as hemangioma and lymphangioma, benign tumors like lipoma, and malignant tumors such as nasopharyngeal carcinoma and lymphoma are also among the factors likely to involve this region to increase tissue thickness. Moreover, infectious conditions, such as retropharyngeal cellulites and retropharyngeal abscess formation can also affect this area of interest (1,2,8).…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the prevertebral soft tissue thickness by magnetic resonance imaging in patients with mild neck problem

Öztürk¹,

Bulut²,

Atalar³

et al. 2013

Turkish Neurosurgery

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AIm:We encountered no study conducted on the evaluation of prevertebral soft tissue (PVST) thickness by magnetic resonance imaging (MRI) during our literature search. Measuring PVST thickness by MRI in the cervical region of adult cases was aimed in the present retrospective study. mAterIAl and methOds: For the intended purpose, a total of 136 patients, composed of both males and females, with ages ranging from 20 to 69 years, in whom no pathology in the cervical prevertebral region was revealed by MRI modality implemented for various reasons, were included in the study. results:The upper limit of normal for PVST thickness was measured in our study to be 10 mm, 7 mm and 20 mm at C1, C2-C3 and C6-C7 vertebral levels, respectively. The least variation in the measurements and standard deviations were obtained at C3-C4 vertebral levels. Upon making a comparison between the measured PVST thicknesses on the basis of gender, the measurements at C2,C4 and C7 were found to display significant difference, whereas that was not the case for the measurements obtained at the other levels.COnClusIOn: Progressively widespread use of MRI for the traumas inflicting the cervical region makes it obligatory to specify normal values for the thickness of PVST measured by MRI. BulGulAr: Çalışmamızda PVYD kalınlığının üst sınırı C1 seviyesinde 10 mm, C2 ve C3 seviyesinde 7 mm, C6 ve C7 seviyesinde 20 mm olarak ölçüldü. En düşük değişkenlik ve standart deviasyon C2 ve C3 vertebra seviyelerinde bulundu. Cinsiyetlere göre olguların PVYD kalınlığı karşılaştırıldığında C2, C4 ve C7 seviyelerinde cinsiyetler arası farklılık önemli bulunurken diğer seviyelerde önemsiz bulundu. sOnuÇ: MRG'nin servikal spinal travmalarda giderek yaygın kullanımı MRG açısından PVYD kalınlığının normal değerlerini belirlemeyi zorunlu kılmaktadır.

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Retropharyngeal abscess – a ten‐year experience

Cited by 120 publications

References 25 publications

Retropharyngeal Abscess Complicated with Torticollis: Case Report and Review of the Literature

Retropharyngeal Abscess Complicated with Torticollis: Case Report and Review of the Literature

Derin boyun enfeksiyonu: 63 hastanın incelenmesi

Evaluation of the prevertebral soft tissue thickness by magnetic resonance imaging in patients with mild neck problem

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