Parapharyngeal space infection: Difference between revisions
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==Background== | ==Background== | ||
*The parapharyngeal space is one of three potential spaces that can cause deep neck space infections | *The parapharyngeal space is one of three potential spaces that can cause deep neck space infections | ||
#retrophanygeal space | *#retrophanygeal space | ||
#submandibular space | *#submandibular space | ||
#parapharyngeal space | *#parapharyngeal space | ||
*Infections arise from foci in the mandibular teeth, tonsils, parotid gland, deep cervical lymph nodes, middle ear, or sinuses. | *Infections arise from foci in the mandibular teeth, tonsils, parotid gland, deep cervical lymph nodes, middle ear, or sinuses. | ||
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==Clinical Features== | ==Clinical Features== | ||
*[[Sore throat]] | |||
*Sore | |||
*Trismus | *Trismus | ||
*Swelling below angle of mandible | *Swelling below angle of mandible | ||
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*Poor handling of oral secretions | *Poor handling of oral secretions | ||
*Asymetric pharyngeal swelling | *Asymetric pharyngeal swelling | ||
* | *[[Fever]]s/chills | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
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==Diagnosis== | ==Diagnosis== | ||
*CT neck soft tissues with IV contrast | *CT neck soft tissues with IV contrast | ||
*MRI neck | *MRI neck | ||
==Management== | ==Management== | ||
*ABC's | *ABC's | ||
*ENT Consult for potential surgical drainage | *ENT Consult for potential surgical drainage | ||
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==Disposition== | ==Disposition== | ||
*Admit to ICU | *Admit to ICU | ||
==See Also== | ==See Also== | ||
*[[Retropharyngeal abscess]] | |||
*[[ | |||
*[[Ludwig's Angina]] | *[[Ludwig's Angina]] | ||
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==References== | ==References== | ||
<references/> | <references/> | ||
[[Category:ENT]] | |||
Revision as of 23:02, 26 November 2015
Background
- The parapharyngeal space is one of three potential spaces that can cause deep neck space infections
- retrophanygeal space
- submandibular space
- parapharyngeal space
- Infections arise from foci in the mandibular teeth, tonsils, parotid gland, deep cervical lymph nodes, middle ear, or sinuses.
- Polymicrobial
Clinical Features
- Sore throat
- Trismus
- Swelling below angle of mandible
- Lymphadenopathy
- Poor handling of oral secretions
- Asymetric pharyngeal swelling
- Fevers/chills
Differential Diagnosis
- Pharyngitis
- Ludwig's Angina
- Parotitis
- Tonsillitis
- Lemierre's syndrome
Diagnosis
- CT neck soft tissues with IV contrast
- MRI neck
Management
- ABC's
- ENT Consult for potential surgical drainage
- Antibiotics (amp-sulbactam, clindamycin, penicillin plus metronidazole)
- Analgesia
Disposition
- Admit to ICU