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Ultrasound-guided transoral drainage of a paediatric parapharyngeal abscess

Published online by Cambridge University Press:  12 November 2014

A Delides*
Affiliation:
Otolaryngology, Head and Neck Surgery Department, Athens Medical Centre, Marousi, Greece 2nd Otolaryngology Department, Attikon University Hospital, Athens, Greece
E Manoli
Affiliation:
Department of Paediatric Radiology, Athens Medical Centre, Marousi, Greece
M Papadopoulos
Affiliation:
Department of Paediatrics and Paediatric Pulmonology, Athens Medical Centre, Marousi, Greece
T Nikolopoulos
Affiliation:
2nd Otolaryngology Department, Attikon University Hospital, Athens, Greece
*
Address for correspondence: Dr A Delides, 25 Agion Saranta St, Papagou, Athens 15669, Greece Fax: +302106633026 E-mail: [email protected]

Abstract

Objective:

To report and discuss the surgical use of ultrasonography for draining a parapharyngeal space infection in a child.

Case report:

The use of image-guided surgery for draining a parapharyngeal abscess has been previously reported, with computed tomography for an intra-oral approach and ultrasound for an external approach. We present the first case report of a four-year-old child with a retropharyngeal abscess and a deep parapharyngeal abscess in whom neck ultrasound was used to assist intra-oral drainage.

Conclusion:

Neck ultrasound may be used in paediatric patients to visualise access to the parapharyngeal space through the intra-oral route for abscess drainage.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 2014 

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References

1Kalmovich, LM, Gavriel, H, Eviatar, E, Kessler, A. Accuracy of ultrasonography versus computed tomography scan in detecting parapharyngeal abscess in children. Pediatr Emerg Care 2012;28:780–2Google Scholar
2Johnston, D, Schmidt, R, Barth, P. Parapharyngeal and retropharyngeal infections in children: argument for a trial of medical therapy and intraoral drainage for medical treatment failures. Int J Pediatr Otorhinolaryngol 2009;73:761–5Google Scholar
3Amar, YG, Manoukian, JJ. Intraoral drainage: recommended as the initial approach for the treatment of parapharyngeal abscesses. Otolaryngol Head Neck Surg 2004;130:676–80Google Scholar
4Cable, BB, Brenner, P, Bauman, NM, Mair, EA. Image-guided surgical drainage of medial parapharyngeal abscesses in children: a novel adjuvant to a difficult approach. Ann Otol Rhinol Laryngol 2004;113:115–20Google Scholar
5Duque, CS, Guerra, L, Roy, S. Use of intraoperative ultrasound for localizing difficult parapharyngeal space abscesses in children. Int J Pediatr Otorhinolaryngol 2007;71:375–8Google Scholar
6Andrews, GA, Kwon, M, Clayman, G, Edeiken, B, Kupferman, ME. Technical refinement of ultrasound-guided transoral resection of parapharyngeal/retropharyngeal thyroid carcinoma metastases. Head Neck 2011;33:166–70Google Scholar