Retropharyngeal abscesses in children: a 10-year review.

Abstract:

:Retropharyngeal abscess is a rather rare, deep-neck infection of children and may seriously compromise the airway and mimic other diseases. A retrospective review of 17 cases of retropharyngeal abscess presenting to The Children's Hospital, Denver, from 1976 to 1986 was performed. Nine children (56%) had stridor or airway obstruction. Seven patients (41%) had perforations of their hypopharynx or esophagus, including two neonates (most likely associated with intubation attempts). Two patients presented in the emergency department with a tentative diagnosis of "epiglottitis," while another referred to as having "persistent fever" was found to have a needle embedded in the hypopharynx. Fourteen children (81%) were brought to the operating room for examination and/or drainage of the abscess under general anesthesia. One child received an elective tracheotomy, and two others remained intubated postoperatively, pending resolution of their airway compromise. X-rays of the lateral neck were confirmatory in all these cases, with an unusually high incidence of "air/fluid levels," probably reflecting the corresponding large number of perforations of the hypopharynx or esophagus with subsequent communication into the retropharyngeal space.

journal_name

Pediatr Emerg Care

journal_title

Pediatric emergency care

authors

Morrison JE Jr,Pashley NR

doi

10.1097/00006565-198803000-00003

subject

Has Abstract

pub_date

1988-03-01 00:00:00

pages

9-11

issue

1

eissn

0749-5161

issn

1535-1815

journal_volume

4

pub_type

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