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  • Management of paediatric retropharyngeal infections: non-surgical versus surgical

    Author(s)
    J. Courtney, Mark
    Mahadevan, Murali
    Miteff, Alex
    Griffith University Author(s)
    Courtney, Mark
    Year published
    2007
    Metadata
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    Abstract
    Background: Paediatric retropharyngeal infections are a serious infection associated with morbidity. The relative role of medical versus surgical treatment for these infections is debated. The aims of this study were to analyse the management of retropharyngeal infections with respect to radiological assessment and treatment. Methods: Medical records from January 1999 to June 2005 were reviewed and analysed. Results: Twenty-four children with retropharyngeal infections were included in the study. Computed tomography had a 75% accuracy of correctly identifying an abscess and 36% of the retropharyngeal abscesses ...
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    Background: Paediatric retropharyngeal infections are a serious infection associated with morbidity. The relative role of medical versus surgical treatment for these infections is debated. The aims of this study were to analyse the management of retropharyngeal infections with respect to radiological assessment and treatment. Methods: Medical records from January 1999 to June 2005 were reviewed and analysed. Results: Twenty-four children with retropharyngeal infections were included in the study. Computed tomography had a 75% accuracy of correctly identifying an abscess and 36% of the retropharyngeal abscesses resolved with medical treatment alone, with no difference in duration of hospital stay or morbidity. Conclusion: Medical treatment of retropharyngeal abscesses has been successful in selected cases. We can recommend this as a viable alternative to surgery and would suggest a 48-h inpatient i.v. antibiotic trial in selected children before considering surgery.
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    Journal Title
    ANZ Journal of Surgery
    Volume
    77
    Issue
    11
    DOI
    https://doi.org/10.1111/j.1445-2197.2007.04295.x
    Subject
    Medical and Health Sciences not elsewhere classified
    Clinical Sciences
    Publication URI
    http://hdl.handle.net/10072/38884
    Collection
    • Journal articles

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