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Deep neck abscess

Kazuhiro Hirasawa, Kiyoaki Tsukahara, Ray Motohashi, Minoru Endo, Hiroki Sato, Yuri Ueda, Kazuhiro Nakamura
CONCLUSION: When the parapharyngeal space is infected, concurrent involvement of other spaces is likely, and involvement of multiple deep neck spaces is a key risk factor for abscess formation. OBJECTIVES: Deep neck infection is treated with antibiotics when abscesses have not yet been formed. However, in some cases, abscesses will form later and surgical drainage is warranted. This study retrospectively examined which cases were less likely to achieve cure, to clarify the limitations of conservative treatment for deep neck cellulitis...
August 31, 2016: Acta Oto-laryngologica
Satoshi Koyama, Kazunori Fujiwara, Tsuyoshi Morisaki, Takahiro Fukuhara, Katsuyuki Kawamoto, Hiroya Kitano, Hiromi Takeuchi
Piriform sinus fistula (PSF) is a rare branchial anomaly that causes repetitive acute suppurative thyroiditis or deep neck abscess. The definitive treatment of PSF is open neck surgery. However, such surgery has a cosmetic problem and a high risk of recurrence. Furthermore, identifying the fistula is difficult due to previous repetitive infections. We report a case of esophageal submucosal abscess caused by PSF treated with endoscopic mucosal incision. The patient underwent transoral video laryngoscopic surgery (TOVS), and endoscopy as well as fluoroscopy revealed complete closure of PSF without any complication...
August 25, 2016: ORL; Journal for Oto-rhino-laryngology and its related Specialties
D Yap, A S Harris, J Clarke
INTRODUCTION Sore throat and tonsillitis place a significant burden on the National Health Service. National guideline criteria for gauging the severity of sore throat and tonsillitis have reduced the number of tonsillectomies performed, which is thought to have increased the rate of tonsil-related infections. METHODS Data was extracted from the prospective Patient Episode Database of Wales and analysed to determine the annual number of tonsillectomies for recurrent tonsillitis, adjusted for population changes...
August 11, 2016: Annals of the Royal College of Surgeons of England
Yusuke Takanashi, Takamitsu Hayakawa, Hiroshi Neyatani, Kazuhito Funai
Descending necrotizing mediastinitis (DNM) is a potentially lethal disease that originates from a deep neck infection (DNI); it is often associated with an immunocompromised state. Hyperimmunoglobulin E syndrome (HIES) is an extremely rare complex immune deficiency characterized by recurrent abscesses of staphylococcal etiology. A rare case of a 34-year-old woman wherein HIES putatively promoted the development of DNI into DNM is described. She presented with cervical purulent lymphadenitis and retropharyngeal abscess...
July 2016: Respirology Case Reports
Davide Di Santo, Leone Giordano, Giacomo Bertazzoni, Andrea Galli, Michele Tulli, Mario Bussi
Infected aneurysms or pseudoaneurysms of the extracranial carotid artery are extremely rare, but they can lead to lethal complications. In some cases, infected pseudoaneurysms can be masked by the excessive inflammation of surrounding tissues. Here we describe the case of a 69-year-old woman with several comorbidities, who presented with a rapidly enlarging left neck bulge. CT was suggestive of an abscess involving the left common carotid artery. Colour Doppler ultrasound did not document intralesional flow...
June 23, 2016: Auris, Nasus, Larynx
Thiago Pires Brito, Igor Moreira Hazboun, Fernando Laffitte Fernandes, Lucas Ricci Bento, Carlos Eduardo Monteiro Zappelini, Carlos Takahiro Chone, Agrício Nubiato Crespo
INTRODUCTION: Although the incidence of Deep Cervical Abscess (DCA) has decreased mainly for the availability of antibiotics, this infection still occurs with considerable frequency and can be associated with high morbidity and mortality. OBJECTIVE: This study aimed to present our clinical-surgical experience with deep neck abscesses. METHODS: A retrospective study analyzed 101 patients diagnosed with deep neck abscesses caused by multiple etiologies, assisted at the Department of Otolaryngology, Head and Neck Surgery from a Brazilian Hospital of Medical School, during 6 years...
May 5, 2016: Brazilian Journal of Otorhinolaryngology
Marc A Childress, Blair A Becker
Cervical radiculopathy describes pain in one or both of the upper extremities, often in the setting of neck pain, secondary to compression or irritation of nerve roots in the cervical spine. It can be accompanied by motor, sensory, or reflex deficits and is most prevalent in persons 50 to 54 years of age. Cervical radiculopathy most often stems from degenerative disease in the cervical spine. The most common examination findings are painful neck movements and muscle spasm. Diminished deep tendon reflexes, particularly of the triceps, are the most common neurologic finding...
May 1, 2016: American Family Physician
John D Cramer, Matthew R Purkey, Stephanie Shintani Smith, James W Schroeder
OBJECTIVES/HYPOTHESIS: The conventional treatment for deep neck abscesses in adults is antibiotic therapy with surgical drainage, whereas in children there is debate about the role of surgical drainage versus conservative therapy. It is presently unclear if delayed surgical drainage negatively affects outcomes. STUDY DESIGN: We performed a multicenter, prospective, risk-adjusted cohort study of adult and pediatric patients with deep neck abscess who received incision and drainage within 7 days of admission in the American College of Surgeons National Surgical Quality Improvement Program from 2005 to 2013 (adults) and from 2012 to 2013 (pediatrics)...
August 2016: Laryngoscope
Marijan Kovacić, Ivan Kovacić, Boris Dželalija
Descending necrotizing mediastinitis secondary to a nontraumatic retropharyngeal abscess is very rare. This form of mediastinitis in the era of potent antibiotics often ends up with lethal outcome. It usually occurs in immunocompromised patients and requires intensive multidisciplinary treatment approach. We report a case of nontraumatic retropharyngeal abscess complicated by descending necrotizing mediastinitis in a 70-year-old man with insulin dependent diabetes mellitus. The patient was admitted to our hospital after clinical and radiological diagnosis of retropharyngeal abscess...
December 2015: Acta Clinica Croatica
Ann Plum, Lindsay Sobin, Sherard Tatum
The neck is divided into multiple compartments by cervical fasciae. The deep space compartments, which all have a potential for becoming infected, are interconnected, providing a mechanism for the spread of infections. Thus, infections of the deep spaces can lead to devastating consequences, especially when there is extension to the mediastinum. Here we report a case of intraoperative hypotension in a 9-month-old child with extensive bilateral parapharyngeal and retropharyngeal abscesses with mediastinal extension with a focus on when hemodynamic monitoring should be considered...
April 2016: International Journal of Pediatric Otorhinolaryngology
Luis Humberto Govea-Camacho, Andrea Astudillo-Carrera, José Manuel Hermosillo-Sandoval, Sergio Rodríguez-Reynoso, Alejandro González-Ojeda, Clotilde Fuentes-Orozco
BACKGROUND: The presence of deep neck abscesses is potentially serious; they can lead to death in a short period of time. The vacuum-assisted closure (V.A.C.) therapy has been used in many areas of surgery for complex wound healing. This treatment modality has recently been considered in the field of head and neck surgery. OBJECTIVE: Evaluate the efficacy of healing therapy using V.A.C. therapy in deep neck abscesses. MATERIAL AND METHODS: Open-label trial...
July 2016: Cirugia y Cirujanos
Gaurav Kataria, Aditi Saxena, Sanjeev Bhagat, Baldev Singh, Manpreet Kaur, Gurpreet Kaur
INTRODUCTION: Deep neck space infections (DNSI) are serious diseases that involve several spaces in the neck. The common primary sources of DNSI are dental infections, tonsillar and salivary gland infections, malignancies, and foreign bodies. With widespread use of antibiotics, the prevalence of DNSI has been reduced. Common complications of DNSI include airway obstruction, jugular vein thrombosis, and sepsis. Treatment principally comprises airway management, antibiotic therapy, and surgical intervention...
July 2015: Iranian Journal of Otorhinolaryngology
Anjum N Bandarkar, Adebunmi O Adeyiga, M Taylor Fordham, Diego Preciado, Brian K Reilly
Peritonsillar infections are one of the most common deep neck space infections, particularly in adolescents. Inaccurate diagnosis can lead to delay in management and potentially life-threatening complications. Contrast-enhanced computed tomography (CT) scan of the neck traditionally has been used to diagnose suspected peritonsillar abscess. With growing concern over radiation exposure, there has been increasing utilization of ultrasound (US) using intraoral and transcutaneous approaches. We chose the transcutaneous US technique due to its ease of performance in children...
June 2016: Pediatric Radiology
Jack Diep, David Kam, Keith A Kuenzler, Jill F Arthur
Retropharyngeal abscesses are deep neck space infections that can lead to life-threatening airway emergencies and other catastrophic complications. Retropharyngeal abscesses demand prompt diagnosis and early establishment of a definitive airway when there is airway compromise. This can be difficult in an uncooperative patient. We present the case of a 12-year-old girl with mediastinitis and tracheal compression and anterior displacement from a large retropharyngeal and posterior mediastinal abscess secondary to traumatic esophageal perforation, who received successful awake nasal fiberoptic intubation...
February 1, 2016: A & A Case Reports
Agnieszka Kurzyna, Elżbieta Gościk, Artur Goździewski, Bożena Skotnicka, Elżbieta Hassmann-Poznańska
UNLABELLED: The aim of the study was to analyze the presenting signs and symptoms, diagnostic procedures, clinical course, pathogenic organisms and management of neck abscesses in children. MATERIALS AND METHODS: This retrospective medical records review comprised of 51 pediatric cases referred because of neck abscess from 2001 to 2014. Medical records of the patients were reviewed for demographic data, clinical presentation, treatment before referral, localization of the abscess, imaging evaluation, medical and surgical treatment, bacteriological data and complications...
2015: Otolaryngologia Polska. the Polish Otolaryngology
Chung-Ming Huang, Fang-Liang Huang, Ya-Li Chien, Po-Yen Chen
BACKGROUND/PURPOSE: Deep neck infections (DNIs) often have a rapid onset and can progress to life-threatening complications. There are only a few reports on pediatric DNIs' clinical manifestations, diagnostic clues, and etiology in Taiwan. METHODS: A retrospective chart review of patients (aged ≤ 18 years) diagnosed with DNI from January 2005 to December 2014 was performed. DNIs were classified into retropharyngeal, parapharyngeal, peritonsillar, submandibular, and multispace abscesses...
September 9, 2015: Journal of Microbiology, Immunology, and Infection, Wei Mian Yu Gan Ran za Zhi
Michinobu Ohno, Yutaka Kanamori, Kotaro Tomonaga, Tatsuya Yamashita, Misato Migita, Toshiko Takezoe, Toshihiko Watanabe, Yasushi Fuchimoto, Kentaro Matsuoka
OBJECTIVES: A fourth branchial pouch remnant is well known as a pyriform sinus fistula. However, there has been no report of a fistula composed of the complete remnant of the fourth branchial apparatus. We experienced patients with a congenital lower neck cutaneous fistula which was thought to be the skin-side remnant of the fourth branchial cleft. MATERIALS AND METHODS: Seven children were referred to our hospital from 2009 to 2015 for the treatment of a cutaneous fistula situated near the sternoclavicular joint...
December 2015: International Journal of Pediatric Otorhinolaryngology
Hyung Yoon Kim, Sang-Chol Lee, Sung-Ji Park, Jin-Oh Choi, Sung-A Chang, Sung Mok Kim, Yeon Hyeon Choe, Jae K Oh, Seung Woo Park
Transesophageal echocardiography (TEE) is considered relatively safe but semi-invasive. The hypopharyngeal and esophageal injury is infrequent complication of TEE but could be serious, even life-threatening. We present a case of a 74-year-old man who experienced a deep neck infection secondary to hypopharyngeal injury following TEE. The diagnosis was made because of the subcutaneous emphysema developed 3 hours after TEE. In spite of antibiotics therapy with prolonged fasting, a right parapharyngeal and retropharyngeal abscess was developed 5 days later...
September 2015: Journal of Cardiovascular Ultrasound
Eelam Adil, Yael Tarshish, David Roberson, Jisun Jang, Greg Licameli, Margaret Kenna
OBJECTIVE: There is little consensus about the best management of pediatric deep neck space infections (DNSIs) and limited information about the national disease burden. The purpose of this study is to examine the health care burden, management, and complications of DNSIs from a national perspective. STUDY DESIGN: Retrospective administrative data set review. SETTING: National pediatric admission database. SUBJECTS AND METHODS: Pediatric patients diagnosed with a parapharyngeal space and/or retropharyngeal abscess were identified from the 2009 KIDS' Inpatient Database...
December 2015: Otolaryngology—Head and Neck Surgery
Q Lisan, H Tran, B Verillaud, P Herman
INTRODUCTION: Retropharyngeal abscess is a well-known entity in children, but can also occur in adults. The two main vascular complications are vascular compression and pseudoaneurysm, while infectious arteritis of the internal carotid artery is exceptional. CASE REPORT: The authors describe a case of a retropharyngeal abscess in an adult woman complicated by infectious arteritis of the internal carotid artery. This rare complication was treated by endovascular occlusion of the internal carotid artery and incision and drainage of the abscess in combination with antibiotic and anticoagulant therapy...
February 2016: European Annals of Otorhinolaryngology, Head and Neck Diseases
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