Transcanal incision and drainage of a parapharyngeal abscess in a pediatric patient: A novel technique. Int J Pediatr Otorhinolaryngol 2018 Sep;112:80-81
Date
07/30/2018Pubmed ID
30055745DOI
10.1016/j.ijporl.2018.06.033Scopus ID
2-s2.0-85049336526 (requires institutional sign-in at Scopus site) 3 CitationsAbstract
The disease of parapharyngeal abscess is well known to the otolaryngologist and is commonly managed via transoral, transcervical, or combined incision and drainage. We report a novel approach to an abscess that was drained through the external auditory canal (EAC). An otherwise healthy 2-year-old female presented with a 4-day history of fevers, decreased oral intake, neck stiffness, and voice changes. CT neck with contrast revealed a deep abscess in the left neck extending from the peritonsillar space into the parapharyngeal space in close proximity to the anterior aspect of the EAC. Because the EAC was the closest surface to the abscess collection, we elected to attempt drainage through this route. Successful incision and drainage was performed via transcanal approach. She received intravenous antibiotics and steroids post-operatively and surgical packing was removed. She was discharged home on post-operative day 5 afebrile and tolerating a regular diet and continued to do well at most recent outpatient follow-up.
Author List
Schwartz TR, Colletta MD, McCormick MEAuthor
Michael E. McCormick MD Professor in the Otolaryngology department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AbscessAdrenal Cortex Hormones
Anti-Bacterial Agents
Child, Preschool
Drainage
Ear Canal
Female
Fever
Humans
Pharyngeal Diseases
Tomography, X-Ray Computed
