Emerging findings for the assessment and treatment of pediatric deep neck abscesses.

IF 1.9 4区医学 Q2 OTORHINOLARYNGOLOGY

Current Opinion in Otolaryngology & Head and Neck Surgery Pub Date : 2023-12-01 Epub Date: 2023-10-09 DOI:10.1097/MOO.0000000000000937

Paul Bryan Hankey, Meghan Tracy, Jill M Arganbright

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引用次数: 0

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.

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儿科深颈部脓肿评估和治疗的新发现。

综述的目的：本综述的目的是总结关于儿童深颈脓肿的描述、诊断和治疗的新文献。最近的发现：提供者应将儿童多炎症综合征（MIS-C）纳入疑似咽后脓肿儿童的鉴别诊断中。与计算机断层扫描成像相比，MRI可以通过更准确地检测游离液体来指导儿童深颈脓肿的正确治疗。可能预测需要手术治疗的因素包括白细胞计数升高和脓肿大小超过3 cm。然而，为了建立一致的指导方针，未来的调查是必要的。医疗管理对许多儿童是有效的，一项新的研究表明，使用头孢噻肟和利福平的组合是成功的。摘要：解剖学和年龄相关的危险因素使儿童易患颈深脓肿。最近的研究结果可能有助于提供者对这些感染的儿童做出准确的诊断，并提供适当的医疗或外科治疗。

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

Current Opinion in Otolaryngology & Head and Neck Surgery OTORHINOLARYNGOLOGY-

CiteScore

2.90

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Current Opinion in Otolaryngology & Head and Neck Surgery is a bimonthly publication offering a unique and wide ranging perspective on the key developments in the field. Each issue features hand-picked review articles from our team of expert editors. With eleven disciplines published across the year – including maxillofacial surgery, head and neck oncology and speech therapy and rehabilitation – every issue also contains annotated references detailing the merits of the most important papers.