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  • 期刊

Peritonsillar and Parapharyngeal Abscess in a Child

幼兒扁桃腺周圍和咽喉旁膿瘍

摘要


咽喉後(retropharyngeal)、咽喉旁(parapharyngeal)、扁桃腺周圍(peri-tonsillar)以及頷下(submandibular)膿瘍是在小孩最常見的深頸部感染。此種感染大部份是由於口咽部及牙齒的續發性感染造成的。發燒、頸部疼痛和腫大是最常見的症狀。這些感染多是多病原(polymicrobial)或是混合性感染。電腦斷層掃描可用來證實深層頸部膿瘍的存在。手術切開引流和抗生素治療是治療上的基礎。以細針抽吸和引流膿瘍是手術方式外的另一選擇。在某些病人,僅內科葯物方式即可治療深頸部感染。

並列摘要


Retropharyngeal, Peritonsillar, parapharyngeal, submandibular abscesses are the most common deep cervical space infections in children.. Most develop secondary to an oropharyngeal or dental infection. Fever, neck pain and swelling were the most frequent symptoms. These infections are often polymicrobial or mixed. The CT scan is used to confirm the presence of deep neck abscesses. Incision and drainage with antibiotherapy are the cornerstones of management. Needle aspiration or drainage of these abscesses may provide an alternative to open procedures. In selected cases medical therapy alone can resolve some deep neck abscesses.

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