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  Contents > Previous page > Article detail print Order
o Issue N# 3 - 2012 o

HEAD AND NECK

Retropharyngeal abscess in adults


Authors : Benmansour N, Benali A, Poirrier AL, Cherkaoui A, Oudidi A, Elalami MN. (Fes)

Ref. : Rev Laryngol Otol Rhinol. 2012;133,3:137-139.

Article published in english
Downloadable PDF document english



Summary : Objectives: Retropharyngeal abscess in adults can be life-threatening. The otolaryngologist is on the front line in making the diagnosis and treatment of this disease. The aim of this study is to review the clinical features, the diagnostic tools and the management of retropharyngeal abscesses in adults. Patients and methods: Retrospective study of retropharyngeal abscesses in adults admitted in the ENT department from 2005 to 2010. Results: In total 4 patients were included in this study: mean age of 53 years (range 45 to 62 years), sex ration F/M= 3. Cultures obtained from the abscesses identified group A ß-hemolytic streptococci susceptible to amoxicilline-clavulanate in three cases. The treatment consisted in surgical drainage of the collection and intravenous antibiotics. Conclusions: Retro­pharyngeal abscesses in adults are critical infections requiring prompt dia­gn­o­sis and treatment. Computed tomography scan was the crucial tool for the diagnosis, notably to differentiate cellulitis from abscesses. The management includes intravenous broad-spectrum antibiotics associated, if neces­sa­ry, with surgical drai­nage in cases of persistent abscess. The outcome is usually good.

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