The Lateral Roentgenogram of the Neck

Wholey, Mark H.; Bruwer, A; Baker, Hillier L.

doi:10.1148/71.3.350

Cited by 272 publications

(64 citation statements)

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“…He concluded that measurements greater than 7 mm at C2 and 14 mm (children) or 22 mm (adults) at C6 are abnormal and strongly support the diagnosis of RPA. 20 A lateral radiograph is considered diagnostic of a RPA, if the retropharyngeal space, measured from the posterior wall of the pharynx to the anterior border of the C2 is widened to more than the width of the cervical vertebra. Other suggestive radiological signs include gas in the prevertebral tissue, air-fluid level, evidence of a foreign body and loss of the normal curvature of the cervical spine.…”

Section: Discussionmentioning

confidence: 99%

Adult Retropharyngeal Abscess: A Retrospective Case Series

Kumar¹

2015

An International Journal of Otorhinolaryngology Clinics

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Introduction: Retropharyngeal abscess (RPA), is a deep tissue neck infection. It is a serious and occasionally life-threatening infection due to the anatomic location and the potential for obstruction of the upper airway. The retropharyngeal space is found posterior to the esophageal wall and anterior to the prevertebral fascia. Lymph nodes found in this space drain the nasopharynx, paranasal sinuses and middle ear. Often infections of these areas will lead to infection in the retropharyngeal space. Atrophy of these lymph nodes at or before puberty has been found as an explanation of the predominance of RPAs in young children. In fact, some believe that they atrophy after 4 years of age. Once almost exclusively a disease of children, is observed with increasing frequency in adults. Retropharyngeal abscess poses a diagnostic challenge for the ENT surgeon because of its infrequent occurrence and variable presentation.

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Section: Discussionmentioning

confidence: 99%

Adult Retropharyngeal Abscess: A Retrospective Case Series

Kumar¹

2015

An International Journal of Otorhinolaryngology Clinics

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“…This explains the rarity we see in adults. 7 Only some patients diagnosed with RPA have visible swelling over the posterior pharyngeal wall and thus negative finding cannot rule it out. Hence, lateral neck X-ray is useful in diagnosis.…”

Section: Case Reportmentioning

confidence: 99%

Retropharyngeal and longus capitis intramuscular abscesses in a four year old presenting as torticollis

Gan

Sazly

Taha

2016

Bangladesh J Med Sci

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Abstract:Retropharyngeal abscess (RPA) is defined as a potentially serious deep neck space infection, commonly seen in children and usually associated with prior upper respiratory tract infection (URTI), history of trauma or foreign body ingestion. We report a rare case of RPA and longus capitis intramuscular abscesses in a 4 year old, who presented with chief complaint of torticollis but with normal oropharyngeal findings. RPA, longus capitis inflammation may be common but abscess in the longus capitis muscle is rare. The aim of this case report is to highlight that subclinical RPA in pediatric age group may present with only acquired torticollis and without sore throat nor high fever. Diagnosis and evaluation of extension was made with contrast enhanced computer tomography (CECT) of the neck. In stable patient with non-extensive abscess and low risk of developing complications, medical management is always the preferred choice.

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“…According to Wholey et al [10], a displacement of more than 10 mm between the basion and the tip of the odontoid was considered abnormal.…”

Section: Basion Dens Index (Bdi)mentioning

confidence: 99%

“…Despite the availability of several, radiological and conventional evaluation procedures for the detection of AOD [6][7][8][9][10][11][12], it still remains unclear as to whether the injury per se or the severity of comorbid trauma leads to death.…”

Section: Introductionmentioning

confidence: 99%

Incidence and outcome of atlanto-occipital dissociation at a level 1 trauma centre: a prospective study of five cases within 5 years

et al. 2012

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Background Prospective evaluation of atlanto-occipital dissociations (AODs) at a level 1 trauma centre within 5 years. Methods Over a period of 5 years (2005)(2006)(2007)(2008)(2009), all CT scans of the skull base and the upper cervical spine due to traumatic injuries were prospectively entered into a database. Furthermore, in cases of confirmed AOD all empirical data were prospectively collected. A more detailed data analysis of all AOD patients was conducted 2 years post-trauma. If required, another prospective follow-up was performed. Results 2,616 CT scans were performed in total. Out of these, there were five male patients with confirmed AOD. Thus, the total incidence was 0.2 %. AOD was associated with occipital condyle fractures in three out of the five cases. Three out of five patients (60 %) died due to the severity of the injury. It was possible to stabilise two patients surgically with a clinical/radiological follow-up 2 years post-surgery. At that time, one patient had an incomplete tetraplegia and was wheelchair ridden without needing ventilation, while the other patient suffered from post-traumatic stress disorder, but was able to walk and live alone. Conclusions AOD is a rarely seen injury, even in a level 1 trauma centre, and is associated with high morbidity and mortality. However, it is possible for adults to survive this severe occipito-cervical injury after surgical repair while maintaining the ability to walk. All the results and recommendations are still based on a low level of evidence, due to the low incidence of this injury.

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The Lateral Roentgenogram of the Neck

Cited by 272 publications

References 0 publications

Adult Retropharyngeal Abscess: A Retrospective Case Series

Adult Retropharyngeal Abscess: A Retrospective Case Series

Retropharyngeal and longus capitis intramuscular abscesses in a four year old presenting as torticollis

Incidence and outcome of atlanto-occipital dissociation at a level 1 trauma centre: a prospective study of five cases within 5 years

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