Parapharyngeal abscess secondary to lymphovenous malformation

2019 ◽  
Vol 133 (03) ◽  
pp. 256-259
Author(s):  
S Khosla ◽  
N Caton ◽  
T-T Zhang ◽  
C R Davies-Husband
Keyword(s):  
Low Flow ◽  
Airway Compromise ◽  
Parapharyngeal Abscess ◽  
Emergency Presentation ◽  
Life Threatening

AbstractBackgroundDeep neck space abscesses are an uncommon but life-threatening emergency presentation to the ENT surgeon because of potential acute airway compromise.ObjectiveThis paper presents a novel case of a palatine tonsillar, low-flow, lymphovenous malformation pre-disposing to multifocal deep neck space collections and resultant acute airway compromise.

Un’opprimente tumefazione laterocervicale... da far mancare il respiro

2021 ◽  
Vol 40 (1) ◽  
pp. 15-18
Author(s):  
Chiara Mellino ◽  
Pietro Gasperini ◽  
Maria Luisa Conte ◽  
Valeria Dell’Omo ◽  
Francesca Libertucci ◽  
...  
Keyword(s):  
Early Childhood ◽  
Lymphatic System ◽  
Clinical Presentation ◽  
Hormone Level ◽  
Male Infant ◽  
Low Flow ◽  
Lymphatic Malformations ◽  
Live Births ◽  
Adjacent Structures ◽  
Life Threatening

Lymphatic malformations are low-flow vascular anomalies of the lymphatic system that occur in one out of 2-4,000 live births. They may be classified as macrocystic (diameter > 1 cm), microcystic (diameter < 1 cm) or mixed. Lymphatic malformations that are not prenatally diagnosed are typically diagnosed at birth or in early childhood. The clinical presentation can be quite variable, ranging from a focal area with minimal swelling to large involvement with compromise of adjacent structures. Up to 75% of lymphatic malformations are found in the cervicofacial region and their presence in the aerodigestive tract can lead to life-threatening airway obstruction. Lesions can grow slowly or rapidly and suddenly due to infection, trauma, bleeding or hormone level changes. The paper describes the case of a 9-month-old male infant with cervical macrocystic lymphangioma appeared during a febrile airway infection and misdiagnosed with bacterial lymphadenitis.

Acute tonsillitis and its complications: an overview

2015 ◽  
Vol 101 (1) ◽  
pp. 69-73 ◽  
Author(s):  
A Bartlett ◽  
S Bola ◽  
R Williams
Keyword(s):  
Hospital Admission ◽  
Antimicrobial Treatment ◽  
Basic Knowledge ◽  
Acute Tonsillitis ◽  
Parapharyngeal Abscess ◽  
Adequate Hydration ◽  
Life Threatening ◽  
Supportive Management ◽  
Nose And Throat ◽  
Formation Specific

AbstractAcute tonsillitis may be defined as inflammation of the tonsils, predominantly due to infection. It is part of the spectrum of pharyngitis, which ranges from localised tonsillar infection to generalised infection of the pharynx and commonly affects young healthy adults. Simple sore throats secondary to viral or bacterial pharyngitis are very common and generally do not require hospital admission or antimicrobial treatment. Supportive management in the form of analgesia and adequate hydration is often sufficient. However, there is potential for life-threatening complications to develop, highlighting the need for basic knowledge in the management of these conditions.This article aims to provide an overview of acute tonsillitis and its complications, including peritonsillar and parapharyngeal abscess formation. Specific attention will be given to the pathogenesis, diagnosis, investigation and management of each condition, in particular advising on emergency pre-shore treatment and indications for referral to an Ear, Nose and Throat Department. We will also summarise important guidelines and evidence from the literature to support these management decisions.

Life-threating complication of parapharyngeal abscess and mediastinitis in a 10-year-old otherwise healthy girl following elective tonsillectomy – first reported paediatric case

2019 ◽  
Vol 133 (2) ◽  
pp. 161-163 ◽  
Author(s):  
C C Holm-Hansen ◽  
E Thisted ◽  
M Kaltoft
Keyword(s):  
Paediatric Population ◽  
Neck Swelling ◽  
Resonance Imaging ◽  
Thoracic Pain ◽  
Intravenous Antibiotic ◽  
Parapharyngeal Abscess ◽  
First Case ◽  
Operative Complications ◽  
Paediatric Case ◽  
Life Threatening

AbstractBackgroundParapharyngeal abscess and mediastinitis are rare but very severe post-operative complications following an elective tonsillectomy. Parapharyngeal abscess as a complication to tonsilectomy is very seldom described in the literature and no cases in the paediatric population have been described.Case reportThis paper presents, to our knowledge, the first case of life-threatening parapharyngeal abscess and mediastinitis following elective adenotonsillectomy in an otherwise healthy, fully vaccinated 10-year-old girl.ConclusionDiagnosing parapharyngeal abscess and mediastinitis can be challenging, but should be suspected and ruled out in cases of post-operative odynophagia, fever, and/or neck swelling and thoracic pain. Diagnosis is made based on magnetic resonance imaging and computed tomography findings. Prompt broad-spectrum intravenous antibiotic treatment and surgical drainage should be initiated. Other severe complications such as meningitis should also be considered.

scholarly journals Blastomycosis of the Vocal folds with Life-Threatening upper Airway Obstruction: A Case Report

2002 ◽  
Vol 81 (12) ◽  
pp. 852-855 ◽  
Author(s):  
Celso T. Ebeo ◽  
Kenneth Olive ◽  
Ryland P. Byrd ◽  
Girish Mirle ◽  
Thomas M. Roy ◽  
...  
Keyword(s):  
Lower Respiratory Tract ◽  
Pulmonary Infection ◽  
Upper Airway ◽  
Vocal Folds ◽  
The United States ◽  
Inappropriate Therapy ◽  
Airway Compromise ◽  
Inflammatory Phase ◽  
Life Threatening ◽  
Laryngeal Involvement

Blastomycosis is a chronic fungal disease that primarily affects the lower respiratory tract. The acute inflammatory phase of the primary pulmonary infection is characterized by a lymphohematogenous spread to extrapulmonary sites, especially the skin. The presence of disseminated infection with Blastomyces dermatitidis in the larynx is unusual. In areas of the United States where this fungus is endemic, failure to consider laryngeal involvement might lead to inappropriate therapy and thus worsening inflammation and airway compromise.

Arytenoidopexy for bilateral vocal fold paralysis in young children

1996 ◽  
Vol 110 (11) ◽  
pp. 1027-1030 ◽  
Author(s):  
Jean-Michel Triglia ◽  
Jean-François Belus ◽  
Richard Nicollas
Keyword(s):  
Retrospective Study ◽  
Surgical Treatment ◽  
Young Children ◽  
Vocal Fold ◽  
Good Health ◽  
Vocal Fold Paralysis ◽  
Airway Compromise ◽  
Bilateral Vocal Fold Paralysis ◽  
Life Threatening

AbstractThe purpose of this retrospective study was to describe and evaluate the results of arytenoidopexy performed by the external laterocervical approach in 15 consecutive children presenting bilateral vocal fold paralysis causing life-threatening airway compromise. Mean age at the time of surgery was 20 months and mean follow-up was 42 months. At the end of follow-up all patients were in good health and did not need special care for breathing. No abduction movement has been observed on the opposite vocal fold since arytenoidopexy. One failure subsequently required arytenoidectomy. The findings of this study suggest that arytenoidopexy is an effective surgical treatment for life-threatening bilateral vocal fold paralysis in young children.

Acute Spinal Cord Injury in the Cat: Causes, Treatment and Prognosis

2011 ◽  
Vol 13 (11) ◽  
pp. 850-862 ◽  
Author(s):  
Salih Eminaga ◽  
Viktor Palus ◽  
Giunio Bruto Cherubini
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Neurological Examination ◽  
Specific Treatment ◽  
Neurological Deficits ◽  
Emergency Setting ◽  
Emergency Presentation ◽  
Cord Injury ◽  
Life Threatening ◽  
Adult Cats

Practical relevance Acute spinal conditions are a common emergency presentation in general veterinary practice and have the potential to cause devastating spinal cord injury (SCI) and consequent severe neurological deficits. SCI can be divided into two subgroups: exogenous SCI (vertebral fracture and/or luxation/subluxation) and endogenous SCI (intervertebral disc extrusion and ischaemic myelopathy). Clinical challenges The majority of cats with SCI have concurrent injuries. The clinician must perform a thorough physical examination and prioritise and then stabilise the life-threatening problems before focusing on the neurological examination. The possibility of multiple sites of SCI and spinal shock can make interpretation of the neurological examination challenging. While plain radiographs or myelography are usually diagnostic, they do not give direct information about the integrity of the spinal cord parenchyma or the severity of any damage. If facilities or experienced staff capable of performing the necessary surgery are not available, or advanced imaging is indicated, referral to a specialist veterinary institution should be considered. Audience This review is aimed at clinicians dealing with feline SCI in the emergency setting or at first-opinion level, and discusses causes, initial management, specific treatment and prognosis. Patient group While any cat may potentially be affected by SCI, there is a tendency for exogenous SCI to be more common in younger individuals and, in the authors' experience, pure-breed cats are very rarely presented. Endogenous SCI can be seen in any breed and is typically a condition of adult cats.

scholarly journals Role of sclerotherapy in management of low flow vascular malformations

2021 ◽  
Vol 8 (4) ◽  
pp. 1234
Author(s):  
Manpreet Kaur ◽  
Parul Sachdeva ◽  
Rajan Syal ◽  
Savijot Singh
Keyword(s):  
Head And Neck ◽  
Vascular Malformations ◽  
Neck Region ◽  
Low Flow ◽  
Vascular Lesions ◽  
Surgical Removal ◽  
Complete Regression ◽  
Head And Neck Region ◽  
Life Threatening

Background: Low flow vascular malformations are most common in the head and neck region. Only symptomatic malformations require treatment. Sclerotherapy followed by surgery was considered the gold standard treatment but in the head and neck region, it may produce cosmetic and physiological defects. In the present study, multiple injections of sclerotherapy with 3% sodium tetradecyl sulphate was used for the treatment of low flow vascular malformations.Methods: Twenty cases of low flow vascular malformations of the oral cavity who presented in the outpatient department of ESIC Model Hospital, Ludhiana from 2014-2016 were selected for the study. Only significantly sized (>4 cm) and easily accessible lesions were included. Staged sequential sclerotherapy with 3% STS under strict fluoroscopy control was used as the sole treatment.Results: A total of 20 patients were taken of which, 25% required three sessions, 65% five to six sessions each and 10% required eight sessions each. All patients showed good results with complete regression and no mucosal ulceration.Conclusions: Staged sequential sclerotherapy with 3% STS should be the treatment of choice in low flow vascular lesions involving mucosal and cutaneous structures of head and neck region especially anterior two-thirds of tongue, palate, gingiva, buccal mucosa and lips. Surgical removal may affect critical neurovascular structures and cause cosmetic deformity. So the removal is advisable in life-threatening conditions, lesions requiring general anaesthesia and single sitting removal.

Tonsillitis to mediastinitis

2006 ◽  
Vol 120 (11) ◽  
pp. 963-966 ◽  
Author(s):  
J Collin ◽  
N Beasley
Keyword(s):  
Mortality Rate ◽  
Early Detection ◽  
Parapharyngeal Space ◽  
Pleural Effusions ◽  
Parapharyngeal Abscess ◽  
Aggressive Management ◽  
Early Use ◽  
Life Threatening ◽  
Significant Mortality

Parapharyngeal abscess secondary to quinsy is a well understood complication; however, its incidence has significantly declined following early use of effective antibiotics. Tracking of infection from the parapharyngeal space through the anatomical planes to cause mediastinitis has a significant mortality rate and requires early detection and aggressive management. A case of quinsy leading to mediastinitis, pericarditis and pleural effusions is presented. It highlights the potentially life-threatening complications of a commonly encountered ENT problem.

Massive Retropharyngeal Hematoma with Airway Obstruction after Minor Injury

2017 ◽  
Vol 14 (02/03) ◽  
pp. 095-097
Author(s):  
Shivender Sobti ◽  
Sarvpreet Grewal ◽  
Paul John ◽  
Ashwani Grover
Keyword(s):  
Airway Obstruction ◽  
Airway Compromise ◽  
Minor Injury ◽  
Life Threatening ◽  
Retropharyngeal Hematoma

AbstractRetropharyngeal hematoma can cause life-threatening airway compromise. We present a case of massive retropharyngeal hematoma following minor injury. The patient required immediate tracheostomy followed by evacuation of hematoma and cervical stabilization.

Traumatic Retropharyngeal Abscess of Insidious Onset -a case report and literature review (Preprint)

2018 ◽  
Author(s):  
Shuaib Kayode Aremu
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Retropharyngeal Abscess ◽  
Airway Compromise ◽  
Neck Trauma ◽  
Anterior Neck ◽  
Insidious Onset ◽  
Life Threatening

UNSTRUCTURED Retropharyngeal abscess is an abscess of the deep spaces in the neck which if not treated urgently can be life-threatening as a result of airway compromise. It is important to detect and treat very early. It may arise in pediatrics from direct neck trauma which is not very common and fishbone impaction. Direct anterior neck trauma resulting in insidious retropharyngeal abscess has not been widely reported.

Sign in / Sign up

Export Citation Format

Share Document