Minimally invasive transoral image-guided drainage of a retropharyngeal abscess with mediastinal extension

Christina Stevens, Patricia Ladd, Saied Ghadersohi, Sarah A. Gitomer*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Retropharyngeal abscess (RPA) in children is a serious deep neck space infection that rarely is complicated by extension into the mediastinum. RPA with mediastinal abscess requires prompt surgical management, generally via external or transoral approach. We present the case of a 3-year-old boy with RPA with mediastinal extension who was managed with a unique multidisciplinary surgical approach with otolaryngology and interventional radiology. A transoral approach was utilized to pass a transnasal drain with image guidance into the mediastinal fluid collection. This report reviews the presentation and surgical management of RPA with mediastinal extension and describes a unique minimally invasive approach to drainage.

Original languageEnglish (US)
Article number110288
JournalInternational journal of pediatric otorhinolaryngology
Volume138
DOIs
StatePublished - Nov 2020

Keywords

  • Deep neck space infection
  • Mediastinal abscess
  • Retropharyngeal abscess

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Otorhinolaryngology

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