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[Deep neck space abscesses in children: 15 years of experience in a children's ENT referral unit]

Felix Ruiz de la Cuesta1, Ernesto Cortes Castell2, Maria Emilia Garcia Ruiz3

  • 1Servicio de Otorrinolaringología, Hospital General Universitario de Alicante, Alicante, España.

Anales De Pediatria
|November 6, 2018
PubMed

Insights

Deep neck space abscesses require prompt management. Early surgical intervention, such as tonsillectomy or cervicotomy for larger abscesses, reduces complications and prevents recurrence.

Area of Science:

  • Otolaryngology
  • Pediatric Surgery
  • Infectious Diseases

Background:

  • Deep neck space abscesses in infants are serious conditions with potential complications.
  • Effective diagnosis and treatment are crucial for favorable outcomes.

Purpose of the Study:

  • To review diagnostic and therapeutic management of deep neck space abscesses in infants.
  • To compare findings with existing literature.

Main Methods:

  • Retrospective study of 72 infant cases over 15 years (2002-2016).
  • Analysis of demographic, clinical, diagnostic, and therapeutic characteristics.
  • Inclusion of imaging data (CT, ultrasound) and treatment outcomes.

Main Results:

  • Incidence of deep neck space abscesses increased in recent years.
  • Most common locations: peritonsillar (30.6%), lymph nodes (18.1%), parapharyngeal (16.7%), retropharyngeal (16.7%).
  • Fever (70.8%) and odynophagia (55.56%) were primary symptoms; surgery was performed in 88.9% of cases.

Conclusions:

  • Early surgical intervention (tonsillectomy/cervicotomy) for abscesses >2cm or deep-seated lesions reduces complications and recurrence.
  • Conservative management resulted in a 12.5% recurrence rate.
Abstract

Keywords:
AbscesosAbscessesCervicalesDeepInfantileInfantilesNeckParafaríngeosParapharyngealParotidParotídeosPeri-tonsillarPeriamigdalino adenopatíasProfundosRetrofaríngeosRetropharyngealSubmandibularSubmandibularesSwollen lymph nodes

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