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  • Management of pediatric lateral neck infections: Does the adage ‘‘. . . never let the sun go down on undrained pus . . . ’’ hold true?

    Author(s)
    J. Courtney, Mark
    Miteff, Alex
    Mahadevan, Murali
    Griffith University Author(s)
    Courtney, Mark
    Year published
    2007
    Metadata
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    Abstract
    Objectives: Pediatric neck infections are frequently treated by Otolaryngologists, Head and Neck surgeons. The relative role of medical versus surgical treatment of pediatric neck infections is debated. The aims of this study are to analyze the management of pediatric neck infections with respect to clinical assessment, radiological assessment and treatment. Methods: Medical records from January 1999 to June 2005 were reviewed and analyzed. Results: Two hundred and five children with lateral neck infections were included in the study. The clinical diagnosis correlated with the radiology finding in 73.6% with a ...
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    Objectives: Pediatric neck infections are frequently treated by Otolaryngologists, Head and Neck surgeons. The relative role of medical versus surgical treatment of pediatric neck infections is debated. The aims of this study are to analyze the management of pediatric neck infections with respect to clinical assessment, radiological assessment and treatment. Methods: Medical records from January 1999 to June 2005 were reviewed and analyzed. Results: Two hundred and five children with lateral neck infections were included in the study. The clinical diagnosis correlated with the radiology finding in 73.6% with a sensitivity of 28% and a specificity of 92% for lateral neck abscess recognition. The ultrasound finding correlated with the surgical finding in 65.2% with a sensitivity of 70% and a specificity of 33%. When an ultrasound scan was used it changed the intended treatment plan in 10.5% of children. Conclusions: Accurate clinical assessment of lateral neck infections is poor, generally under estimating suppuration. However, when an abscess is diagnosed clinically this correlates highly with the surgical finding. Radiological assessment has inaccuracy in identifying suppuration and this should be borne in mind when being used as a diagnostic tool for neck infections.
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    Journal Title
    International Journal of Pediatric Otorhinolaryngology
    Volume
    71
    Issue
    1
    DOI
    https://doi.org/10.1016/j.ijporl.2006.09.009
    Subject
    Medical and Health Sciences not elsewhere classified
    Clinical Sciences
    Paediatrics and Reproductive Medicine
    Publication URI
    http://hdl.handle.net/10072/38883
    Collection
    • Journal articles

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