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Minimally invasive transoral catheter-assisted drainage of a danger-space infection.

Abstract
We report the case of a 3-year-old boy who was brought to the emergency department for evaluation of a prolonged upper respiratory infection and diminished neck movement. Computed tomography identified a unilocular abscess extending from the level of C2 inferiorly to the diaphragm at the level of the T9 vertebral body. We successfully treated this transcervical, transthoracic infection surgically via a transoral approach to the retropharyngeal abscess combined with catheter drainage and irrigation of the abscess cavity at a depth of 13 cm. At 25 months of follow-up, the patient exhibited no evidence of recurrent disease or postsurgical complications. In this article, we describe our minimally invasive technique for managing unusual deep-space neck infections in children.
AuthorsRobert T Adelson, Alan D Murray
JournalEar, nose, & throat journal (Ear Nose Throat J) Vol. 84 Issue 12 Pg. 785-6 (Dec 2005) ISSN: 0145-5613 [Print] United States
PMID16408558 (Publication Type: Case Reports, Journal Article)
Topics
  • Catheterization
  • Child, Preschool
  • Drainage (methods)
  • Humans
  • Male
  • Retropharyngeal Abscess (therapy)
  • Streptococcal Infections (therapy)
  • Streptococcus pyogenes

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