Emerging findings for the assessment and treatment of pediatric deep neck abscesses.
Document Type
Article
Publication Date
12-2023
Identifier
DOI: 10.1097/MOO.0000000000000937
Abstract
PURPOSE OF REVIEW: The purpose of this review is to summarize new literature regarding the description, diagnosis, and treatment of pediatric deep neck abscesses.
RECENT FINDINGS: Providers should include multi-inflammatory syndrome in children (MIS-C) in a differential diagnosis in children suspected of having a retropharyngeal abscess. MRI may guide the proper management of children with deep neck abscesses by more accurately detecting free fluid compared to computed tomography imaging. Factors that may predict the need for surgical management include elevations in white blood cell counts and abscess size more than 3 cm. However, future investigation is necessary to establish consistent guidelines. Medical management is effective in many children, with a new study indicating success using a combination of cefotaxime and rifampicin.
SUMMARY: Anatomical and age-related risk factors predispose children to the development of deep neck abscesses. Findings from recent studies may aid providers in making an accurate diagnosis and providing proper medical or surgical management of children with these infections.
Journal Title
Current opinion in otolaryngology & head and neck surgery
Volume
31
Issue
6
First Page
407
Last Page
411
MeSH Keywords
Child; Humans; Retrospective Studies; Neck; Retropharyngeal Abscess; Drainage; Age Factors
Keywords
Retrospective Studies; Neck; Retropharyngeal Abscess; Drainage; Age Factors
Recommended Citation
Hankey PB, Tracy M, Arganbright JM. Emerging findings for the assessment and treatment of pediatric deep neck abscesses. Curr Opin Otolaryngol Head Neck Surg. 2023;31(6):407-411. doi:10.1097/MOO.0000000000000937
COinS
