Retrospective review of 33 cases of paediatric retropharyngeal and parapharyngeal infections and a proposed algorithm for managing future cases.

IF 0.8 4区医学 Q3 OTORHINOLARYNGOLOGY

Journal of Laryngology and Otology Pub Date : 2025-07-14 DOI:10.1017/S0022215125102703

Michael Fitzsimons, Seamus Boyle, Michael Colreavy, Siobhan Hoare, Stephen Kieran, Eimear Phelan, Patrick Sheehan, Natalija Snovak, Colleen Heffernan

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引用次数: 0

Abstract

Objective: Retropharyngeal and parapharyngeal infections can be managed surgically or conservatively. A trial of medical treatment before considering computed tomography (CT) imaging may be appropriate.

Methods: This is a retrospective review of patients with retropharyngeal and parapharyngeal infections between October 2022 and April 2023. Descriptive and statistical analysis compared surgically and conservatively managed patients.

Results: There were 33 patients (median age 58 months). CT imaging was acquired for 30 of 33 patients (90.9 per cent) and 25 had a CT scan within 24 hours of presentation. Fourteen patients (42.4 per cent) were managed surgically. The mean duration of antibiotics for surgically and conservatively managed patients was not significantly different (19.9 vs 21.4 days, p = 0.73). Larger lesions were observed on the CT scans of surgically treated patients (22.8 vs 15.6 mm, p = 0.01).

Conclusion: Management of paediatric retropharyngeal and parapharyngeal infections can be surgical or conservative. We propose a management algorithm that allows an initial trial of intravenous antibiotics before CT imaging for selected patients.

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33例小儿咽后和咽旁感染的回顾性分析及一种处理未来病例的建议算法。

目的：咽后和咽旁感染可通过手术或保守治疗。在考虑计算机断层扫描（CT）成像之前进行医学治疗试验可能是合适的。方法：回顾性分析2022年10月至2023年4月期间咽后和咽旁感染的患者。描述性和统计分析比较手术和保守治疗的患者。结果：33例患者，中位年龄58个月。33例患者中有30例（90.9%）获得了CT成像，25例在发病后24小时内进行了CT扫描。14例患者（42.4%）采用手术治疗。手术和保守治疗患者的平均抗生素持续时间无显著差异（19.9天vs 21.4天，p = 0.73）。手术治疗患者CT扫描显示病灶较大（22.8 vs 15.6 mm, p = 0.01）。结论：小儿咽后、咽旁感染可采用手术或保守治疗。我们提出了一种管理算法，允许对选定的患者在CT成像之前进行静脉注射抗生素的初步试验。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Laryngology and Otology 医学-耳鼻喉科学

CiteScore

3.20

自引率

11.80%

发文量

593

审稿时长

3-6 weeks

期刊介绍： The Journal of Laryngology & Otology (JLO) is a leading, monthly journal containing original scientific articles and clinical records in otology, rhinology, laryngology and related specialties. Founded in 1887, JLO is absorbing reading for ENT specialists and trainees. The journal has an international outlook with contributions from around the world, relevant to all specialists in this area regardless of the country in which they practise. JLO contains main articles (original, review and historical), case reports and short reports as well as radiology, pathology or oncology in focus, a selection of abstracts, book reviews, letters to the editor, general notes and calendar, operative surgery techniques, and occasional supplements. It is fully illustrated and has become a definitive reference source in this fast-moving subject area. Published monthly an annual subscription is excellent value for money. Included in the subscription is access to the JLO interactive web site with searchable abstract database of the journal archive back to 1887.