Otolaryngology Book

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Retropharyngeal Abscess

Aka: Retropharyngeal Abscess
  1. Epidemiology
    1. Disease of infants and young children
  2. Pathophysiology
    1. Retropharyngeal lymph nodes not atrophied in children
    2. Accumulation of pus in retropharyngeal space
    3. Mixed aerobic and anaerobic flora
  3. Symptoms
    1. Neck Pain (out of proportion to findings)
    2. Dysphagia
    3. Fever
  4. Signs
    1. May be difficult to appreciate pharyngeal fullness
  5. Radiology
    1. Lateral neck XRay
      1. Bulging of posterior pharyngeal wall
    2. CT Neck
      1. May demonstrate abscess extent
  6. Management
    1. Hospitalize
      1. Airway observation
      2. IV Antibiotics
    2. Early ENT Consultation
      1. Incision and Drainage in operating room

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