II. Epidemiology

  1. Disease of infants and young children

III. Pathophysiology

  1. Retropharyngeal lymph nodes not atrophied in children
  2. Accumulation of pus in retropharyngeal space
  3. Mixed aerobic and anaerobic flora

IV. Symptoms

  1. Neck Pain (out of proportion to findings)
  2. Dysphagia
  3. Fever

V. Signs

  1. May be difficult to appreciate pharyngeal fullness

VI. Radiology

  1. Lateral neck XRay
    1. Bulging of posterior pharyngeal wall
  2. CT Neck
    1. May demonstrate abscess extent

VII. Management

  1. Hospitalize
    1. Airway observation
    2. IV Antibiotics
  2. Early ENT Consultation
    1. Incision and Drainage in operating room

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