Pediatric Deep Neck Space Infections: A Medical and Surgical Perspective

Sindhu Mohandas; Stacie Gregory; Robert H. Chun; Anna R. Huppler

doi:10.1055/s-0038-1661010

Journal of Pediatric Infectious Diseases, Table of Contents

J Pediatr Infect Dis 2019; 14(02): 043-051
DOI: 10.1055/s-0038-1661010

Review Article

Georg Thieme Verlag KG Stuttgart · New York

Pediatric Deep Neck Space Infections: A Medical and Surgical Perspective

Sindhu Mohandas

¹Division of Pediatric Infectious Diseases, Children's Hospital at Montefiore, Albert Einstein College of Medicine, Bronx, New York, United States

,

Stacie Gregory

²Department of Otolaryngology, Medical College of Wisconsin, Milwaukee, Wisconsin, United States

,

Robert H. Chun

²Department of Otolaryngology, Medical College of Wisconsin, Milwaukee, Wisconsin, United States

,

Anna R. Huppler

³Division of Infectious Disease, Department of Pediatrics, Medical College of Wisconsin, Children's Hospital and Health System, Children's Research Institute, Milwaukee, Wisconsin, United States

› Author Affiliations

Abstract

Pediatric deep neck space infections (DNSI) are common in children. If unrecognized, DNSIs can rapidly progress with the potential for developing serious complications. Children fair better than their adult counterparts in the face of complications such as mediastinitis, but early recognition and aggressive management is key to prevent mortality and limit morbidity. Knowledge of the anatomy related to the deep neck spaces helps in anticipating and managing the potential complications. In this article, we review the clinical presentation, complications, and management in pediatric DNSI from the point of view of the pediatric infectious disease physician and the otolaryngologist. We discuss the best management based on current available evidence and the experience of the authors.

Keywords

deep neck space - neck abscess - retropharyngeal - parapharyngeal - peritonsillar - mediastinitis.

Full Text

References

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