gms | German Medical Science

79. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

30.04. - 04.05.2008, Bonn

Surgical Management of the Retropharyngeal Abscess

Meeting Abstract

  • corresponding author P. Schuler - Department of Otorhinolaryngology, University Hospital Duesseldorf, Duesseldorf, Germany
  • J. Greve - Department of Otorhinolaryngology, University Hospital Duesseldorf, Duesseldorf, Germany
  • M. Cohnen - Department of Radiology, University Hospital Duesseldorf, Duesseldorf, Germany
  • J. Chereath - Department of Otorhinolaryngology, University Hospital Duesseldorf, Duesseldorf, Germany
  • C. Koll - Department of Otorhinolaryngology, University Hospital Duesseldorf, Duesseldorf, Germany
  • K. Scheckenbach - Department of Otorhinolaryngology, University Hospital Duesseldorf, Duesseldorf, Germany
  • J. Schipper - Department of Otorhinolaryngology, University Hospital Duesseldorf, Duesseldorf, Germany
  • T.K. Hoffmann - Department of Otorhinolaryngology, University Hospital Duesseldorf, Duesseldorf, Germany

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. 79th Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. Bonn, 30.04.-04.05.2008. Düsseldorf, Köln: German Medical Science; 2008. Doc08hno30

Die elektronische Version dieses Artikels ist vollständig und ist verfügbar unter: http://www.egms.de/de/meetings/hno2008/08hno30.shtml

Veröffentlicht: 8. Juli 2008

© 2008 Schuler et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielf&aauml;ltigt, verbreitet und &oauml;ffentlich zug&aauml;nglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

The retropharyngeal space (RPS) is located between the ventral musculus constrictor and the posterior prevertebral fascia. In the lateral extension it is bordered by the great cervical vessels and vertically it reaches from the cranial basis to C7/Th2.

Nine patients with RPA were treated in a 28 months time period in a tertiary care teaching hospital. Main outcome measure was the clinical resolution of the abscess. Besides fever and a reduced general condition, all patients presented with restricted cervical mobility. All patients obtained CT and/or MRI-scan on admission. The mean abscess volume was 7.8 cm³. Surgical intervention was performed in all cases, among those five patients underwent a transoral approach, two were treated by a transcervical and two by a combined cervical / transoral operation. We experienced one recurrence and in one case surgical tracheotomy was unavoidable during the course of disease.

Growth of streptococcal species was verified in four of the examined abscesses. Abscessing lymphadenitis, infection of a cervical cyst and previous GLOA-treatment were identified as causative factors.

Retropharyngeal abscesses are potentially life threatening, requiring appropriate otorhinolaryngologic as well as radiologic diagnostics, medical and surgical intervention by a transoral and/or transcervical approach in a multidisciplinary setting.