retropharyngeal abscess (abscess retrofaringealny) - purulent fusion fiber retropharyngeal space, and lymph nodes.Usually observed at an early age (up to two - three years) in debilitated and malnourished children.The infection spreads through the lymphatic pathways from the middle ear, Eustachian tube, nose, throat and nasal cavity. Often an abscess may occur as a complication of scarlet fever, measles , influenza;and wounds due to foreign bodies (solid foods) mucosa posterior surface of the pharynx.In adults, the development of retropharyngeal abscess is possible with syphilitic or tuberculous spondylitis of the cervical spine
main causes of retropharyngeal abscess:
- Children's infectious diseases: scarlet fever, measles, flu
- Upper respiratory tract infections: pharyngitis, laryngitis
- Removal of the adenoids (adenoidectomy)
- Removal of the tonsils (tonsillectomy)
- Injuries neck and the subsequent development of osteomyelitis
- Foreign bodies throat
- Injury pharyngeal wall
- suppurative otitis media
- Injuriessolid food
- Osteitis rocky bones (Petrozit)
Symptoms and flow
Typically, retropharyngeal abscess is acute (up to twoweeks), but may have a sub-acute (over two weeks), chronic and latent for (months).
Patients complain of a sharp pain when swallowing and choking, with often enough food enters the nose, so that the possible total failure of the meal.With the localization of abscess in the nasopharynx due to nasal breathing disorders appear twang.In the case of the spread of an abscess in the lower parts of the pharynx, the vertical position of the patient, there is inspiratory dyspnea, which is accompanied by wheezing.Total body temperature rises to 39 * - 40 * C.Quite characteristic symptom is a forced position of the head: while it is tilted to the affected side and a little thrown back.In front of the sternocleidomastoid muscle and behind the angle of the mandible can be observed slight swelling.Also, constant symptom retropharyngeal abscess is a painful side and zachelyustnyh upper cervical lymph nodes.
diagnosis is confirmed by conducting pharyngoscope at which detected fluctuating swelling of the posterior pharyngeal wall.In the initial stage of the disease, spherical protrusion posterior pharyngeal wall located on one side, and with the further flow - on the middle line.If in doubt, set the correct diagnosis, conducted diagnostic puncture
Treatment In cases of acute retropharyngeal abscess shows his mandatory hide, followed by the appointment of intramuscular injections of antibiotics and antipyretics reception, sulfa drugs and allergen.
Chronic retropharyngeal abscess neotechnogo nature will not be opened, in order to avoid re-infection.Against the background of antisifiliticheskogo or TB treatment is necessary to conduct repeated puncture with aspiration of pus and the subsequent introduction of the required specific drug solutions.
More articles on the topic:
1. hypertrophy of the tonsils
2. nasal septal hematoma