Hostname: page-component-78c5997874-g7gxr Total loading time: 0 Render date: 2024-11-02T19:50:04.439Z Has data issue: false hasContentIssue false
  • English
  • Français

Ultrasound-guided transoral drainage of a paediatric parapharyngeal abscess

Published online by Cambridge University Press:  12 November 2014

A Delides ,
E Manoli ,
M Papadopoulos  and
T Nikolopoulos
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]
Get access Rights & Permissions [Opens in a new window]

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.

Keywords

UltrasonographyNeckRetropharyngeal AbscessAbscessImage-Guided Surgery
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 128 , Issue 12 , December 2014 , pp. 1120 - 1122
Copyright
Copyright © JLO (1984) Limited 2014 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

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