DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20213825

Medical and surgical outcome of retropharyngeal abscess and its prognosis

Ashwag M. Alwagdani, Saga K. Alwabel, Batool H. Alyami, Abdullah A. Rajkhan, Abdulaziz A. Alshehri, Mohammed S. Aloufi, Hamza A. Alandijani, Bassam R. Alsaeedi, Roqia M. Alshaikh, Abrar A. Aldhammen, Rashed A. Alnemer

Abstract


Although retropharyngeal abscess is not a common condition, it can impact the quality of life of the affected patients, and can even be life-threatening. Asphyxia, upper respiratory tract obstruction, and respiratory distress might then develop secondary to this abscess which continues to grow even larger increasing the seriousness of the complications. Surgical incisions and long-course medical and antibiotic therapies have been described in the literature for the management of retropharyngeal abscess. In this study, the literature review discusses the surgical and medical treatment of retropharyngeal abscesses and the predicted prognosis of the disease after treatment based on evidence obtained from studies in the literature. Early presentation and management are important in achieving better outcomes and enhancing the prognosis. Therefore, patients should be aware enough of the symptoms that might suggest the presence of a retropharyngeal abscess. Using intravenous antibiotics can achieve favorable outcomes. However, some adverse events might be associated and the treatment might not be completed as a result of reduced patient compliance. Surgical management is also efficacious and can be done by different approaches as discussed earlier. Nevertheless, it can also be associated with some complications. Therefore, providing optimal care for these patients should be considered in all scenarios to enhance the prognosis.


Keywords


Retropharyngeal, Infection, Abscess, Management, Prognosis

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References


Jain A, Singh I, Meher R, Raj A, Rajpurohit P, Prasad P. Deep neck space abscesses in children below 5 years of age and their complications. Int J Pediatr Otorhinolaryngol. 2018;109:40-3.

Angajala V, Hur K, Jacobson L, Hochstim C. Geographic health disparities in the Los Angeles pediatric neck abscess population. Int J Pediatr Otorhinolaryngol. 2018;113:134-9.

Quinn NA, Olson JA, Meier JD. Pediatric lateral neck infections - Computed tomography vs ultrasound on initial evaluation. Int J Pediatr Otorhinolaryngol. 2018;109:149-53.

Ghozy S, Tran L, Naveed S. Association of breastfeeding status with risk of autism spectrum disorder: A systematic review, dose-response analysis and meta-analysis. Asian J Psychiatr. 2020;48:101916.

Mahmoud AR, Dahy A, Dibas M, Abbas AS, Ghozy S, El-Qushayri AE. Association between sarcoidosis and cardiovascular comorbidity: A systematic review and meta-analysis. Heart Lung. 2020;49(5):512-7.

Ghozy S, Nam NH, Radwan I. Therapeutic efficacy of hepatitis B virus vaccine in treatment of chronic HBV infections: A systematic review and meta-analysis. Rev Med Virol. 2020;30(3):e2089.

Hashan MR, Ghozy S, El-Qushayri AE, Pial RH, Hossain MA, Al Kibria GM. Association of dengue disease severity and blood group: A systematic review and meta-analysis. Rev Med Virol. 2021;31(1):1-9.

Adoviča A, Veidere L, Ronis M, Sumeraga G. Deep neck infections: review of 263 cases. Otolaryngologia polska. 2017;71(5):37-42.

Lorrot M, Haas H, Hentgen V. Antibiotherapy of severe ENT infections in children: peripharyngeal abscesses. Archives de pediatrie. 2013;20(3):1-4.

Behari S, Nayak SR, Bhargava V, Banerji D, Chhabra DK, Jain VK. Craniocervical tuberculosis: protocol of surgical management. Neurosurgery. 2003;52(1):72-80.

Shefelbine SE, Mancuso AA, Gajewski BJ, Ojiri H, Stringer S, Sedwick JD. Pediatric retropharyngeal lymphadenitis: differentiation from retropharyngeal abscess and treatment implications. Otolaryngol-Head Neck Surg. 2007;136(2):182-8.

Craig FW, Schunk JE. Retropharyngeal abscess in children: clinical presentation, utility of imaging, and current management. Pediatrics. 2003;111(6 Pt 1):1394-8.

de Marie S, Tjon ATRT, van der Mey AG, Meerdink G, van Furth R, van der Meer JW. Clinical infections and nonsurgical treatment of parapharyngeal space infections complicating throat infection. Rev Infect Dis. 1989;11(6):975-82.

Page NC, Bauer EM, Lieu JE. Clinical features and treatment of retropharyngeal abscess in children. Otolaryngol-Head Neck Surg. 2008;138(3):300-6.

Kirse DJ, Roberson DW. Surgical management of retropharyngeal space infections in children. The Laryngoscope. 2001;111(8):1413-22.

Ridder GJ, Technau-Ihling K, Sander A, Boedeker CC. Spectrum and management of deep neck space infections: an 8-year experience of 234 cases. Otolaryngol-Head Neck Surg. 2005;133(5):709-14.

Plaza Mayor G, Martínez-San Millán J, Martínez-Vidal A. Is conservative treatment of deep neck space infections appropriate? Head Neck. 2001;23(2):126-33.

Sichel JY, Dano I, Hocwald E, Biron A, Eliashar R. Nonsurgical management of parapharyngeal space infections: a prospective study. The Laryngoscope. 2002;112(5):906-10.

Nagy M, Pizzuto M, Backstrom J, Brodsky L. Deep neck infections in children: a new approach to diagnosis and treatment. The Laryngoscope. 1997;107(12):1627-34.

Gianoli GJ, Espinola TE, Guarisco JL, Miller RH. Retropharyngeal space infection: changing trends. Otolaryngol-Head Neck Surg. 1991;105(1):92-100.

Morrison JE, Pashley NR. Retropharyngeal abscesses in children: a 10-year review. Pediatr Emerg Care. 1988;4(1):9-11.

Thompson JW, Cohen SR, Reddix P. Retropharyngeal abscess in children: a retrospective and historical analysis. The Laryngoscope. 1988;98(6):589-92.

Broughton RA. Nonsurgical management of deep neck infections in children. Pediatr Infect Dis J. 1992;11(1):14-8.

Goldenberg D, Golz A, Joachims HZ. Retropharyngeal abscess: a clinical review. J Laryngol Otol. 1997;111(6):546-50.

Thieu H, Bach Dat B, Nam NH. Antibiotic resistance of Helicobacter pylori infection in a children's hospital in Vietnam: prevalence and associated factors. Minerva medica. 2020;111(5):498-501.

Choi SS, Vezina LG, Grundfast KM. Relative incidence and alternative approaches for surgical drainage of different types of deep neck abscesses in children. Arch Otolaryngol. 1997;123(12):1271-5.

Faruqui S, Palacios E, Friedlander P, Melgar M, Alvernia J, Parry PV. Nontraumatic retropharyngeal abscess complicated by cervical osteomyelitis and epidural abscess in post-Katrina New Orleans: four cases. Ear Nose Throat J. 2009;88(7):14.

Zółciński L, Scheller-Suchańska E, Izydorczyk G. Rare complications during the treatment of retropharyngeal abscess. Wiadomosci lekarskie (Warsaw, Poland: 1960). 1989;42(8):545-6.

Paonessa DF, Goldstein JC. Anatomy and Physiology of Head and Neck Infections (with Emphasis on the Fascia of the Face and Neck). Otolaryngol Clin North Am. 1976;9(3):561-80.

Cable 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(2):115-20.

Schuler PJ, Cohnen M, Greve J. Surgical management of retropharyngeal abscesses. Acta oto-laryngologica. 2009;129(11):1274-9.

Soldatsky YL, Denisova OA, Bulynko SA. The specific features of the past medical history and etiology of pharyngeal abscess in the children. Vestnik otorinolaringologii. 2017;82(5):12-4.

Bochner RE, Gangar M, Belamarich PF. A Clinical Approach to Tonsillitis, Tonsillar Hypertrophy, and Peritonsillar and Retropharyngeal Abscesses. Pediatr Rev. 2017;38(2):81-92.

Caccamese JF, Coletti DP. Deep neck infections: clinical considerations in aggressive disease. Oral Maxillofac Surg Clin North Am. 2008;20(3):367-80.

Côrte FC, Firmino-Machado J, Moura CP, Spratley J, Santos M. Acute pediatric neck infections: Outcomes in a seven-year series. Int J Pediatr Otorhinolaryngol. 2017;99:128-34.