The value of conservative management in pediatric deep neck space infections
Objective: To evaluate the role of medical treatment in pediatric deep neck space infection management. Study design: retrospective study. Material & Methods: Pediatric patients with imagiologic evidence of parapharyngeal or retropharyngeal infection admitted to our institution between J...
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| Format: | Article |
| Language: | English |
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Portuguese Society of Otolaryngology and Head and Neck Surgery
2020-03-01
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| Series: | Revista Portuguesa Otorrinolaringologia e Cirurgia de Cabeça e Pescoço |
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| Online Access: | https://journalsporl.com/index.php/sporl/article/view/2270 |
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| _version_ | 1849683920224780288 |
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| author | Joana Silva José Penêda Joana Ferreira Sandra Gerós Sandra Alves Artur Condé |
| author_facet | Joana Silva José Penêda Joana Ferreira Sandra Gerós Sandra Alves Artur Condé |
| author_sort | Joana Silva |
| collection | DOAJ |
| description |
Objective: To evaluate the role of medical treatment in pediatric deep neck space infection management.
Study design: retrospective study.
Material & Methods: Pediatric patients with imagiologic evidence of parapharyngeal or retropharyngeal infection admitted to our institution between January 2007 and December 2017 were included. Statistical analysis was conducted in IBM SPSS version 24.
Results and Conclusions: A total of 33 patients were included. Median age was 4 years (1-15) and 16 (48%) were male. Seventeen (52%) patients had surgical treatment and sixteen (48%) were managed with antibiotics alone.
We observed no differences between the two groups regarding age, antibiotic regimen and steroids use.
The conservative group had smaller abscesses (16.4 vs 24.1 mm, p=0.04), and shorter inpatient admission (9 days vs 11 days, p=0.06). There were no recurrences in both groups.
Conservative treatment was effective in selected patients with smaller abscesses. Further studies with larger samples would be important.
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| format | Article |
| id | doaj-art-12ddacb520af40e68919fe35e9cf173f |
| institution | DOAJ |
| issn | 2184-6499 |
| language | English |
| publishDate | 2020-03-01 |
| publisher | Portuguese Society of Otolaryngology and Head and Neck Surgery |
| record_format | Article |
| series | Revista Portuguesa Otorrinolaringologia e Cirurgia de Cabeça e Pescoço |
| spelling | doaj-art-12ddacb520af40e68919fe35e9cf173f2025-08-20T03:23:38ZengPortuguese Society of Otolaryngology and Head and Neck SurgeryRevista Portuguesa Otorrinolaringologia e Cirurgia de Cabeça e Pescoço2184-64992020-03-0157310.34631/sporl.766The value of conservative management in pediatric deep neck space infectionsJoana Silva0José Penêda1Joana Ferreira2Sandra Gerós3Sandra Alves4Artur Condé5Centro Hospitalar Vila Nova de Gaia/EspinhoCentro Hospitalar Vila Nova de Gaia/EspinhoCentro Hospitalar Vila Nova de Gaia/EspinhoCentro Hospitalar Vila Nova de Gaia/EspinhoCentro Hospitalar Vila Nova de Gaia/EspinhoCentro Hospitalar Vila Nova de Gaia/Espinho Objective: To evaluate the role of medical treatment in pediatric deep neck space infection management. Study design: retrospective study. Material & Methods: Pediatric patients with imagiologic evidence of parapharyngeal or retropharyngeal infection admitted to our institution between January 2007 and December 2017 were included. Statistical analysis was conducted in IBM SPSS version 24. Results and Conclusions: A total of 33 patients were included. Median age was 4 years (1-15) and 16 (48%) were male. Seventeen (52%) patients had surgical treatment and sixteen (48%) were managed with antibiotics alone. We observed no differences between the two groups regarding age, antibiotic regimen and steroids use. The conservative group had smaller abscesses (16.4 vs 24.1 mm, p=0.04), and shorter inpatient admission (9 days vs 11 days, p=0.06). There were no recurrences in both groups. Conservative treatment was effective in selected patients with smaller abscesses. Further studies with larger samples would be important. https://journalsporl.com/index.php/sporl/article/view/2270retropharyngeal abscessneckabscessfascia |
| spellingShingle | Joana Silva José Penêda Joana Ferreira Sandra Gerós Sandra Alves Artur Condé The value of conservative management in pediatric deep neck space infections Revista Portuguesa Otorrinolaringologia e Cirurgia de Cabeça e Pescoço retropharyngeal abscess neck abscess fascia |
| title | The value of conservative management in pediatric deep neck space infections |
| title_full | The value of conservative management in pediatric deep neck space infections |
| title_fullStr | The value of conservative management in pediatric deep neck space infections |
| title_full_unstemmed | The value of conservative management in pediatric deep neck space infections |
| title_short | The value of conservative management in pediatric deep neck space infections |
| title_sort | value of conservative management in pediatric deep neck space infections |
| topic | retropharyngeal abscess neck abscess fascia |
| url | https://journalsporl.com/index.php/sporl/article/view/2270 |
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