RETROPHARYNGEAL ABSCESS: A CLINICAL STUDY
Abstract
Retropharyngeal abscesses are more common in children than the adult population. This is a potentially lethalinfection in the Paediatric population under the age of five years. Abscesses in this group are secondary to upperrespiratory tract infection. In the adult group they are usually secondary to trauma, foreign bodies or as acomplication of dental infections. We have treated 12 cases of Retropharyngeal Abscesses between 1990 to 1998 inour department. Factors such as age, sex, aetiology, presenting signs & symptoms, methods of diagnosis, treatmentand complications are reviewed. A lateral neck film showing widening of the prevertebral space was the mostdiagnostic tool. Ten cases required surgical drainage. The other two were completely cured with parenteral broadspectrum Antibiotics. The most commonly isolated pathogen was streptococcus pyogenes. There were no deaths andonly one recurrence required repeated surgical drainage.References
Coulthard M, Isaacs D. Retropharyngeal abscess.
Archives of Disease in Childhood 1991 ;66: 1227-
De Clereq LD, Chole RA. Retropharyngeal abscess in
the adult. Otolaryngology-Head and Neck Surgery
88:684-689
Goldenberg DA. Golz HZ, Husaru J, Nedzelski. JM.
Retropharyngeal abscess and upper airway obstruction.
Journal of Otolaryngology 1979; 8: 443-447.
Manjusha GJ, Edwards MS. Clinical indicators of
childhood retropharyngeal abscess. American journal
of Emergency Medicine 1995; 13:333-336
Pickles JM. Retropharyngeal abscess complicating a
neck wound (A Case report). Journal of Laryngology
and Otology 1988; 102:552-553.
Har-EL PJ, Lucente FE. Retropharyngeal abscess:
Clinical review. Ear Nose Throat Journal 1995; 74:701-
Seid AB, Dunbar JS, Cotton RT. Retropharyngeal
abscesses in children revisited. Laryngoscope 1979; 89:
-1724.
Wholey MH, Bruwer AJ, Baker HL. The lateral
roentgenogram of the neck. Radiology 1958; 71:350-
Wong YK. Novotny GM. Retropharyngeal space-A
review of anatomy, pathology and clinical presentation.
Journal of Otolaryngology 1978; 7:528-536
Issue
Section
License
Journal of Ayub Medical College, Abbottabad is an OPEN ACCESS JOURNAL which means that all content is FREELY available without charge to all users whether registered with the journal or not. The work published by J Ayub Med Coll Abbottabad is licensed and distributed under the creative commons License CC BY ND Attribution-NoDerivs. Material printed in this journal is OPEN to access, and are FREE for use in academic and research work with proper citation. J Ayub Med Coll Abbottabad accepts only original material for publication with the understanding that except for abstracts, no part of the data has been published or will be submitted for publication elsewhere before appearing in J Ayub Med Coll Abbottabad. The Editorial Board of J Ayub Med Coll Abbottabad makes every effort to ensure the accuracy and authenticity of material printed in J Ayub Med Coll Abbottabad. However, conclusions and statements expressed are views of the authors and do not reflect the opinion/policy of J Ayub Med Coll Abbottabad or the Editorial Board.
USERS are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles, or use them for any other lawful purpose, without asking prior permission from the publisher or the author. This is in accordance with the BOAI definition of open access.
AUTHORS retain the rights of free downloading/unlimited e-print of full text and sharing/disseminating the article without any restriction, by any means including twitter, scholarly collaboration networks such as ResearchGate, Academia.eu, and social media sites such as Twitter, LinkedIn, Google Scholar and any other professional or academic networking site.