Image-guided surgical drainage of medial parapharyngeal abscesses in children: a novel adjuvant to a difficult approach.
Surgical drainage of localized infections in deep neck spaces in children is often completed without a high degree of technical difficulty. However, abscess drainage within the superior parapharyngeal space medial to the great vessels is particularly challenging for otolaryngologists. Drawbacks to both the intraoral and external approaches to this area have led us to develop a new adjunctive technique that utilizes intraoperative image-guided technology to augment the intraoral approach. Here we present a case series of 12 children in whom this technique was successfully used.
Cable
Benjamin B
BB
Department of Otolaryngology, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA.
Brenner
Pryor
P
Bauman
Nancy M
NM
Mair
Eric A
EA
D000038:Abscess / Q000382:microbiology / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D004322:Drainage / Q000379:methods*; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D010608:Pharyngeal Diseases / Q000382:microbiology / Q000601:surgery*; D010614:Pharynx / Q000000981:diagnostic imaging* / Q000382:microbiology / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome