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Parapharyngeal abscess in children: five year retrospective study Marques PM; Spratley JE; Leal LM; Cardoso E; Santos MBraz J Otorhinolaryngol 2009[Nov]; 75 (6): 826-30Lateropharyngeal and retropharyngeal abscesses are potentially life threatening infections in children AIM: To review the etiologic, clinical, and imaging signs of lateropharyngeal and retropharyngeal abscesses in children as well as treatment-outcomes and complications using a surgical trans-oral approach. METHOD: Retrospective analysis of 11 children, hospitalized in the last 5 years, with a diagnosis of lateropharyngeal (n = 8) and retropharyngeal (n = 3) abscesses, ages ranging from 0 to 12 years old. Charts and CT scans were reviewed. RESULT: The average age of presentation was 3.3 years. Neck stiffness (64%) and odynophagia (55%) were the most common symptoms. Fever (64%), stiff neck (64%), bulging of the oropharyngeal wall (55%), mass in the neck (55%) and lymphadenopathy (36%) were the most prevalent physical findings. All these patients were submitted to surgical drainage using a trans-oral approach in the first 48 hours after admission. About 82% of the patients showed improvement after 48 hours, and 100% after 72 hours, without any complications. CONCLUSION: Based on the good clinical outcomes and low incidence of complications, the present study suggests that antibiotic therapy complemented with a timely surgical treatment, is a valid treatment option in refractory parapharyngeal abscesses.|Abscess/diagnosis/drug therapy/surgery[MESH]|Anti-Bacterial Agents/therapeutic use[MESH]|Child[MESH]|Child, Preschool[MESH]|Female[MESH]|Humans[MESH]|Infant[MESH]|Infant, Newborn[MESH]|Male[MESH]|Pharyngeal Diseases/diagnosis/drug therapy/*surgery[MESH]|Retropharyngeal Abscess/diagnosis/drug therapy/surgery[MESH]|Retrospective Studies[MESH]|Tomography, X-Ray Computed[MESH]|Treatment Outcome[MESH] |
