Pediatric retropharyngeal lymphadenitis: Differentiation from retropharyngeal abscess and treatment implications

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• 作者：Sarah E. Shefelbine ; Anthony A. Mancuso ; Byron J. Gajewski ; Hiroya Ojiri ; Scott Stringer ; Jack D. Sedwick
• 刊名：Otolaryngology - Head and Neck Surgery
• 出版年：2007
• 期刊代码：304_01945998
• 类别：med
• 出版时间：February 2007
• 卷：136
• 期：2
• 页码：182-188
• 文件大小：726 K

摘要

class="h4">Objectives

Our objectives were to review the retropharyngeal anatomy, define retropharyngeal adenitis and abscess, and determine if CT may guide the clinician in treatment planning for pediatric retropharyngeal infections.

class="h4">Study design and setting

A retrospective chart review and CT scan review of 30 children with retropharyngeal infections.

class="h4">Results

All patients had retropharyngeal adenitis. Average volume of the low-attenuation focus in the medical treatment group was 1.2 cm³. Average volume in the surgical group was 4 cm³. Surgery patients with no purulent findings were then grouped with the medical treatment group; the average volume of the low-attenuation focus in this group was 2.2 cm³. Average volume in the group in which purulence was identified was 4.4 cm³.

class="h4">Conclusion

CT can identify patients with retropharyngeal infections who have a high likelihood of being successfully treated with antibiotics alone.

class="h4">Significance

CT imaging may assist in avoiding unnecessary surgical exploration.