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Parapharyngeal abscesses.

D S Sethi1, R E Stanley

  • 1Department of Otolaryngology, Singapore General Hospital.

The Journal of Laryngology and Otology
|December 1, 1991
PubMed
Summary
This summary is machine-generated.

Early open surgical drainage is crucial for treating deep neck infections, specifically parapharyngeal abscesses. This intervention, combined with antibiotics and airway management, leads to rapid recovery and low morbidity in patients with these serious infections.

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Area of Science:

  • Otolaryngology
  • Head and Neck Surgery
  • Infectious Diseases

Background:

  • Deep neck infections, particularly parapharyngeal abscesses, pose significant clinical challenges.
  • Understanding the etiology and management of these infections is critical for patient outcomes.

Purpose of the Study:

  • To review the management and outcomes of patients with parapharyngeal space abscesses.
  • To evaluate the effectiveness of early open surgical drainage as a primary treatment modality.

Main Methods:

  • Retrospective review of 55 patients with deep neck infections, focusing on nine with parapharyngeal abscesses.
  • Analysis of patient demographics, etiology, comorbidities, treatment protocols, and outcomes.
  • All patients received high-dose intravenous antibiotics, airway control, and underwent open surgical drainage within 24 hours of admission.

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Main Results:

  • The etiology of parapharyngeal abscesses was odontogenic in two and unknown in seven patients.
  • Four patients had diabetes mellitus, and one had non-Hodgkin's Lymphoma.
  • Klebsiella sp. was the dominant organism cultured in four patients.
  • Morbidity was low, with seven patients experiencing no postoperative complications and a mean hospital stay of 12.9 days.
  • Two deaths occurred during the study period.

Conclusions:

  • Early open surgical drainage is the most appropriate and effective method for treating parapharyngeal space infections.
  • This approach minimizes life-threatening complications and facilitates rapid patient recovery.
  • Aggressive antibiotic therapy, airway management, and prompt surgical intervention are key to successful outcomes.