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Cureus 2020 May 23;12(5):e8256. Epub 2020 May 23.

General Medicine, Government Medical College and Hospital, Chandigarh, IND.

Retropharyngeal abscess (RPA) is a life-threatening emergency due to its potential to cause airway compression. It is rare in the elderly and occurs mostly in immunocompromised patients, or as a complication of instrumentation. We are reporting the case of a 70-year-old male who presented with sudden onset breathing difficulty with a history of dysphagia for three months. Read More

Clin Imaging 2020 May 28;67:62-67. Epub 2020 May 28.

Department of Radiodiagnosis, Christian Medical College, Ida Scudder Road, Vellore 632004, Tamil Nadu, India.

Purpose: Skull base osteomyelitis (SBO) is difficult to diagnose due to a wide array of clinical presentations. It can be life threatening if not treated promptly. The objective of this study is to identify the various neck spaces involved in skull base osteomyelitis, correlate them with the possible source of infection and identify the related complications. Read More

Acta Otorrinolaringol Esp 2020 May 30. Epub 2020 May 30.

Servicio de Otorrinolaringología, Hospital Universitario Marqués de Valdecilla, IDIVAL, Universidad de Cantabria, Santander, España.

Introduction: Retropharyngeal abscess is a serious condition. Its rare occurrence, thus sharing symptoms with other processes, make it a diagnostic challenge for the clinician. Therefore, it is critical to make an early diagnosis to prevent delaying treatment and avoid complications. Read More

Cureus 2020 Apr 22;12(4):e7787. Epub 2020 Apr 22.

Infectious Disease, State University of New York (SUNY) Upstate Medical University, Syracuse, USA.

Lemierre's syndrome is a rare but life-threatening condition characterized by an oropharyngeal infection typically secondary to Fusobacterium necrophorum resulting in septic thrombophlebitis of the internal jugular vein. Streptococcus intermedius is a particularly rare cause of Lemierre's syndrome with only a few cases reported in the literature. Here we describe a rare case of Lemierre's syndrome, caused by Streptococcus intermedius, likely secondary to an odontogenic infection, found to have a cervical epidural abscess with concomitant large retropharyngeal and prevertebral abscesses on presentation, in whom the clinical course was further complicated by an extensive cerebral venous sinus thrombosis. Read More

Eur Arch Otorhinolaryngol 2020 May 24. Epub 2020 May 24.

Department of Otorhinolaryngology, Head and Neck Surgery "Otto Körner", Rostock University Medical Center, Doberaner Strasse 137-139, 18057, Rostock, Germany.

Introduction: Retropharyngeal calcific tendinitis (RCT) is a self-limiting aseptic inflammation of the tendon of the longus colli muscle, which can be clinically and radiologically misdiagnosed as abscess formation. This is a particular challenge for ENT specialists. However, articles about RCT are highly underrepresented in ENT journals and existing articles in ENT journals almost exclusively report overtreatment. Read More

Int J Pediatr Otorhinolaryngol 2020 May 15;135:110115. Epub 2020 May 15.

Division of Pediatric Otolaryngology-Head and Neck Surgery, Ann and Robert H. Lurie Children's Hospital, Chicago, IL, USA; Department of Otolaryngology-Head and Neck Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.

Introduction: Peritonsillar (PT), parapharyngeal (PP), and retropharyngeal (RP) abscesses are common pediatric deep neck space infections (DNSI). Despite established literature on DNSI microbiology, obtaining intraoperative cultures remains commonplace. The objective was to evaluate the resource utilization of intraoperative cultures when draining PT, PP, and RP abscesses. Read More

SAGE Open Med Case Rep 2020 2;8:2050313X20915415. Epub 2020 Apr 2.

Department of Otolaryngology-Head & Neck Surgery, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, Okayama, Japan.

Perforation of the larynx is very rare but may result in severe airway complications that include pneumothorax, pneumonia, mediastinitis, and retropharyngeal abscess. If conservative treatment fails, aggressive treatments including reconstructive surgery with pedicle flap are considered. Negative pressure wound therapy has been used for large skin defects, necrotizing fasciitis, pharyngocutaneous fistula, stoma dehiscence, osteoradionecrosis of the mandible, chyle fistula, flap failure, and lymphangioma in the field of head and neck surgery. Read More

Pediatr Emerg Care 2020 Feb 24. Epub 2020 Feb 24.

Department for Woman and Child Health-Pediatric Emergency Department, University of Padua, Padua.

Background: Retropharyngeal and parapharyngeal abscesses (RPAs, PPAs) usually affect young children. Surgical drainage and/or antibiotic therapy are treatment of choice, but no specific guidelines exist. In order to reduce the risk of severe complications, appropriate diagnosis and therapy are necessary. Read More

Case Rep Orthop 2020 11;2020:3795035. Epub 2020 Feb 11.

Department of Orthopedic Surgery, Sapporo Medical University School of Medicine, Sapporo, Japan.

A 50-year-old man presented to the clinic with severe neck pain, fever, and difficulty breathing and was subsequently admitted to the local orthopedics department with possible retropharyngeal abscess and pyogenic spondylitis. Antibiotic therapy was initiated; however, due to poor oxygenation, he was referred and transferred to our department and admitted. Magnetic resonance imaging showed signal changes at the left C1/2 lateral atlantoaxial joint, posterior pharynx, longus colli muscle, carotid space, and medial deep cervical region, predominantly on the left side. Read More

World J Otorhinolaryngol Head Neck Surg 2019 Dec 18;5(4):207-214. Epub 2019 Oct 18.

Department of Otorhinolaryngology-Head and Neck Surgery, Hospital De Braga, Portugal.

Objective: Deep neck infections (DNI) are responsible for significant morbidity in children and healthcare expenditures. Few studies exist specifically addressing the clinical and epidemiologic characterization and management of DNI's in the pediatric population. Our goal was to analyse the demographic characteristics, clinical presentation, diagnostic and therapeutic approaches of peritonsillar and DNI in pediatric patients. Read More

Int J Pediatr Otorhinolaryngol 2020 Jan 23;132:109904. Epub 2020 Jan 23.

Department of Otolaryngology. Hospital Universitario Central de Asturias, Oviedo, Spain; Instituto de Investigación Sanitaria del Principado de Asturia, IUOPA, Oviedo, Spain.

Varicella infection is one of the most common and contagious infection in children and could course with severe complications. We report the case of a 4-year-old patient derived to our hospital for suspicion of suppurative complication in the context of a varicella infection. A computerized tomographic scanning was performed, showing a large retropharyngeal abscess with mediastinitis. Read More

Arch Argent Pediatr 2020 02;118(1):e81-e84

Servicio de Cirugía. Hospital General de Niños "Dr. Pedro de Elizalde", Ciudad Autónoma de Buenos Aires, Argentina.

Pyriform sinus fistulas are rare anomalies of the branchial arches. The most common form of presentation in children and adolescents is acute suppurative thyroiditis and/or recurrent lateral cervical abscesses. However, fistulas can manifest atypically. Read More

BMC Pediatr 2020 Jan 20;20(1):22. Epub 2020 Jan 20.

Department of Pathology, Division of Forensic Pathology, Faculty of Medicine and Health Sciences, Stellenbosch University and Tygerberg Hospital, Tygerberg, South Africa.

Background: Tonsillitis, with associated tonsillar hypertrophy, is a common disease of childhood, yet it is rarely associated with sudden death due to airway obstruction. Lethal complications involving the inflamed tonsils include haemorrhage, retropharyngeal abscess and disseminated sepsis.

Case Presentation: We report on a case of sudden and unexpected death in an 8-year-old female who was diagnosed with and treated for tonsillitis. Read More

Clin Case Rep 2019 Dec 6;7(12):2443-2448. Epub 2019 Nov 6.

Department of Pediatrics Fukuoka Tokushukai Hospital Kasuga Japan.

The profile of antimicrobial resistance (ie, antibiogram) may be disparate between children and adults. An infant developed severe deep neck infection with a multidrug-resistant microbe. The microbe was more drug-resistant in children than in adults, in our hospital. Read More

Cureus 2019 Nov 21;11(11):e6215. Epub 2019 Nov 21.

Radiology, University Medical Centre Maribor, Maribor, SVN.

As the use of contrast-enhanced ultrasound (CEUS) is still relatively novel but quickly expanding, we would like to present a series of clinical cases where CEUS was used in diagnostics of pediatric patients. The presented cases include kidney trauma, non-Hodgkin's lymphoma with secondary liver deposits, renal cortical cysts, retropharyngeal abscess, necrotizing pancreatitis, and vesicoureteral reflux. The wide range of the presented cases demonstrates CEUS' multipurpose use, which, together with its other useful attributes, especially its favorable safety profile, makes it an excellent diagnostic tool. Read More

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2019 Dec;54(12):919-923

Department of Otorhinolaryngology Head and Neck Surgery, the First People's Hospital of Foshan, Foshan 528000, China.

To explore the clinical manifestation and treatment strategy for descending necrotizing mediastinitis (DNM). A total of 27 cases diagnosed as DNM from January 2010 to August 2018 in the First People's Hospital of Foshan were reviewed. There were 16 males and 11 females, age ranged from 16 to 84 years. Read More

Int Med Case Rep J 2019 29;12:367-371. Epub 2019 Nov 29.

Department of Radiodiagnosis, College of Medical Sciences, Chitwan, Nepal.

Introduction: Lemierre syndrome is a serious condition that associates oropharyngeal infection and thrombosis of the internal jugular vein (IJV) with subsequent distant septic emboli, most frequently in the lungs.

Case Presentation: A 70-year-old female with retropharyngeal abscess developed features of Lemierre syndrome. The condition was managed with serial aspiration of the abscess and prolonged usage of intravenous antibiotics. Read More

World J Clin Cases 2019 Nov;7(22):3838-3843

Division of Pulmonary and Critical Care Medicine, Wenzhou Medical University Affiliated Taizhou Hospital, Linhai 317000, Zhejiang Province, China.

Background: Adult retropharyngeal abscess (RPA) is extremely rare, and most cases reported in the literature were related to tuberculous infection. We present a case of RPA with acute airway obstruction as the main manifestation in a 66-year-old woman that was considered to be non-tubercular suppurative inflammation in the retropharyngeal space.

Case Summary: A 66-year-old woman complaining of chills and fever was admitted to our hospital. Read More

Indian J Otolaryngol Head Neck Surg 2019 Nov 20;71(Suppl 3):1796-1799. Epub 2017 Jul 20.

Department of Otorhinolaryngology, Head & Neck Surgery, All India Institute of Medical Sciences, 4065, ENT Office, 4th Floor, Teaching Block, New Delhi, India.

The increase awareness and advent of anti-tuberculosis therapy led to decline in tuberculosis. Now a resurgence of tuberculosis is with immunosuppression and with resistant strains. The detection rate of extrapulmonary is increased with the advent of newer modalities of detection, imaging, and better testing. Read More

Ann Otol Rhinol Laryngol 2020 Apr 24;129(4):376-379. Epub 2019 Nov 24.

Department of Otolaryngology, Le Bonheur Children's Hospital, University of Tennessee Health Science Center, Memphis, TN, USA.

Objectives: Assess the outcome of Intravenous (IV) dexamethasone in the treatment of pediatric deep neck space infections (DNSI) in combination with IV antibiotics.

Methods: Retrospective chart review of pediatric patients admitted for a DNSI from March 2014 to June 2016. Patient characteristics including demographics, abscess type, antibiotic, dexamethasone, surgery, culture, and length of stay (LOS) were obtained. Read More

Indian J Otolaryngol Head Neck Surg 2019 Oct 30;71(Suppl 1):771-775. Epub 2018 Nov 30.

Pondicherry Institute of Medical Sciences, Puducherry, India.

Longus colli calcific tendinitis is a rare condition which mimics the alarming condition, retropharyngeal abscess. Clinically, the patient presents which acute cervical pain, dysphagia and fever. Since this condition is little known to otorhinolaryngologists, it is usually misdiagnosed as a retropharyngeal abscess which is more common. Read More

Med J Aust 2019 12 18;211(11):510. Epub 2019 Nov 18.

Gold Coast University Hospital, Gold Coast, QLD.

Pediatr Rev 2019 Nov;40(11):596-598

St Christopher's Hospital for Children, Philadelphia, PA.

Neurocirugia (Astur) 2019 Oct 13. Epub 2019 Oct 13.

Servicio de Neurocirugía, Hospital Universitario Donostia, San Sebastián, Guipúzcoa, España.

Grisel syndrome (GS) is a non-traumatic atlanto-axial subluxation produced after an inflammatory, infectious or postsurgical process of the upper neck region. It is a characteristic, although currently uncommon complication of acute bacterial pharyngitis in the pediatric age. Presentation in adults is even more infrequent and requires specific management. Read More

Clin Exp Otorhinolaryngol 2020 Feb 11;13(1):77-82. Epub 2019 Oct 11.

Department of Pediatrics, College of Medicine, The Catholic University of Korea, Seoul, Korea.

Objectives: Deep neck infections (DNIs) can cause life-threatening complications, and prompt diagnosis and management are necessary. Kawasaki disease (KD) may be accompanied by deep neck inflammation; making it difficult to distinguish from DNIs. This study was performed to evaluate clinical features and outcomes of children with parapharyngeal and retropharyngeal inflammation. Read More

J Radiol Case Rep 2019 Feb 28;13(2):1-8. Epub 2019 Feb 28.

Diagnostic and Interventional Radiology, UT Health Science Center McGovern Medical School, Houston, TX, USA.

Retropharyngeal abscess is potentially associated with high morbidity and mortality as a result of its direct anatomical connection with the mediastinum. Therefore, knowledge of the relevant anatomy is essential for recognizing the presence and extent of disease in a timely manner. In this case report, we aim to review the pertinent anatomy and patterns of spread of infection from a full blown deep neck space infection to result in mediastinitis and empyema. Read More

Eur J Case Rep Intern Med 2019 2;6(8):001126. Epub 2019 Aug 2.

University Hospital Basel, Department of Emergency Medicine, Basel, Switzerland.

A 48-year-old man presented to our emergency department with neck pain without sensorimotor deficit and with a sore throat without signs of infection. Magnetic resonance imaging was performed because the patient had not responded to regular treatment and a blood test had showed inflammation. The images revealed cervical prevertebral fluid collection and calcification, compatible with acute calcific tendinitis of the longus colli muscle. Read More

Spine J 2020 02 7;20(2):261-265. Epub 2019 Sep 7.

Department of Orthopaedic Surgery, William Beaumont Hospital, 3601 W 13 Mile Rd, Royal Oak, MI 48073, USA.

Background Context: Anterior cervical discectomy and fusion (ACDF) is considered the gold standard surgical intervention for cervical myelopathy and radiculopathy. Obtaining a solid fusion is an important goal of ACDF, and doing so has correlated with favorable clinical outcomes. A common complication after surgery is postoperative dysphagia. Read More

Int J Environ Res Public Health 2019 09 5;16(18). Epub 2019 Sep 5.

Department of Medical and Surgical Sciences, University of Parma, 43126 Parma, Italy.

Kawasaki disease (KD) is a childhood acute febrile vasculitis of unknown aetiology. The diagnosis is based on clinical criteria, including unilateral cervical lymphadenopathy, which is the only presenting symptom associated with fever in 12% of cases. A prompt differential diagnosis distinguishing KD from infective lymphadenitis is therefore necessary to avoid incorrect and delayed diagnosis and the risk of cardiovascular sequelae. Read More

J Pediatr 2019 12 30;215:118-122. Epub 2019 Aug 30.

Department of Pediatrics, University of Mississippi Medical Center, Jackson, MS.

Objectives: To describe the rate and risk factors of deep neck space involvement of Kawasaki disease.

Study Design: We performed a retrospective analysis using the Kids' Inpatient Database from 2006, 2009, 2012, and 2016. Kawasaki disease and deep neck space involvement cases were identified using International Classification of Diseases codes among children aged <12 years. Read More

Int J Pediatr Otorhinolaryngol 2019 Nov 31;126:109613. Epub 2019 Jul 31.

Department of Otolaryngology - Head and Neck Surgery, Stanford University School of Medicine, Stanford, CA, USA. Electronic address:

Objective: To evaluate the clinical presentation and management strategies for neonatal retropharyngeal abscess (RPA).

Methods: Retrospective chart review was performed, and literature reviewed.

Results: We report two cases of neonatal RPA, with one complicated by cervical osteomyelitis, and the other presenting with apparent life-threatening events (ALTEs). Read More

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2019 07;54(7):546-547

Department of Otorhinolarygology Head and Neck Surgery, Tianjin Children's Hospital, Tianjin 300074, China.

Ear Nose Throat J 2019 Jul 9:145561319859308. Epub 2019 Jul 9.

1 Department of Diagnostic and Interventional Radiology, Leeds General Infirmary, Leeds, United Kingdom.

Carotid artery pseudoaneurysm is a rare but serious complication of a retropharyngeal abscess in children. We report the first case of treating an unruptured mycotic pseudoaneurysm of the extracranial internal carotid artery (ICA) in a pediatric patient with vascular plugs. A 3-year-old patient presented with airway compromise and signs of neck sepsis. Read More

Arch Pediatr 2019 Jul 4;26(5):298-300. Epub 2019 Jul 4.

Departement of Pediatric Emergency, Hôpital Necker-Enfants Malades, Assistance publique-hôpitaux de Paris, 149, rue de Sèvres, 75743 Paris cedex 15, France; Faculté de Médecine, Paris Descartes, 15, rue de l'École de Médecine, 75006 Paris, France.

Neck abscesses after a cervical trauma rarely occur, especially in children. Cervical abscesses are more generally complications of otolaryngological infections. Progression to severe complication or death may be rapid. Read More

Medicine (Baltimore) 2019 Jul;98(27):e16280

Department of Family Medicine, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, New Taipei City, Taiwan.

Rationale: Tuberculous retropharyngeal abscess is rare, but it can be fatal if not treated appropriately. It usually occurs secondary to tuberculosis of the cervical spine. Moreover, tuberculous abscess involving the chest wall is relatively rare in skeletal tuberculosis. Read More

J Med Case Rep 2019 Jul 5;13(1):205. Epub 2019 Jul 5.

Zan Mitrev Clinic, Skopje, Republic of Macedonia.

Background: We describe a combinatorial intensive care approach and discuss the critical factors that allowed us to successfully manage a life-threatening case of acute anaerobic septic shock triggered by descending necrotizing mediastinitis.

Case Presentation: We admitted a 38-year-old critically ill Kosovar Albanian man to our intensive care unit because of clinical manifestations of severe sepsis. His condition had worsened in the previous 2 weeks following unsuccessful antibiotic therapy for tonsillitis complicated by retropharyngeal abscesses. Read More

Acta Neurochir (Wien) 2019 09 29;161(9):1877-1886. Epub 2019 Jun 29.

Department of Neurosurgery, Klinikum rechts der Isar, Technical University Munich, Ismaninger Straße 22, 81675, Munich, Germany.

Background: The combination of cervical spondylodiscitis and esophageal fistula is rare but life-threatening. Due to both the rarity of these conditions' coincidence and the complexity and heterogeneity of individual cases, there is no optimal treatment or management approach. The aims of this study are to obtain an overview of patients' outcomes and to discuss treatment options. Read More

Int J Pediatr Otorhinolaryngol 2019 Oct 26;125:56-58. Epub 2019 Jun 26.

ENT and Facial Plastic Surgery, Children's Minnesota, Minneapolis, MN, USA; University of Minnesota, Department of Otolaryngology, Minneapolis, MN, USA.

Introduction: Pediatric deep neck space infections (DNSI) may cause internal jugular vein and/or carotid artery narrowing. Radiologists and otolaryngologists are often queried by emergency room providers and pediatricians with regards to the clinical significance when this radiographic finding is noted. There are often questions raised about need for further imaging, anticoagulation and overall management strategy. Read More

Eur Arch Otorhinolaryngol 2019 Sep 12;276(9):2519-2530. Epub 2019 Jun 12.

Private Practice, Bad Honnef, Germany.

Purpose: To evaluate trends in hospital admissions in Germany for acute infections of the upper airway and deep neck in the context of the number of tonsil-related surgical procedures between 2005 and 2017.

Methods: A retrospective longitudinal population-based cohort study was performed including all unplanned admissions for acute pharyngitis/tonsillitis, abscess formation of the peritonsillar or retropharyngeal/parapharyngeal space. Elective procedures included tonsillectomy (with or without adenoidectomy), secondary tonsillectomy, and tonsillotomy. Read More

Ann Vasc Surg 2019 Oct 13;60:479.e1-479.e4. Epub 2019 Jun 13.

Department of Vascular Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA.

Septic thrombophlebitis is a rare diagnosis in this era of widespread antibiotic usage. The clinical diagnosis requires astute clinical suspicion and evaluation. We describe an asplenic 63-year-old woman who presented to the emergency department with a 24-hour history of a tender, swollen, right neck and upper chest wall. Read More

Niger J Clin Pract 2019 Jun;22(6):869-871

Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Gaziosmanpasa University, Tokat, Turkey.

Odontogenic infections are one of the most common dental problems, which affect 80%-90% of the population. Untreated odontogenic infections can cause life-threatening complications such as necrotizing fasciitis, descending necrotizing mediastinitis, internal jugular vein thrombosis, cavernous sinus thrombosis, carotid artery pseudoaneurysm or rupture, and systemic inflammatory response syndrome. This report aims to present a mediastinitis case, in a 22-year-old healthy male patient, which originated from an odontogenic infection. Read More

Medicine (Baltimore) 2019 May;98(22):e15817

Department of Pediatric Respiratory Medicine, The First Hospital of Jilin University, Changchun, Jilin Province, China.

Rationale: Kawasaki disease affects multiple organ systems. Its typical symptoms include fever, rash, oropharyngeal mucosal erythema, bilateral non-exudative conjunctivitis, cervical lymphadenopathy, extremity changes, and membranous desquamation of the fingers and toes. In severe cases, cardiovascular, respiratory, musculoskeletal, gastrointestinal, neurological, and genitourinary complications may occur. Read More

Ir Med J 2019 03 14;112(3):900. Epub 2019 Mar 14.

Department of Emergency Medicine, University Hospital Galway, Ireland

Aim Retropharyngeal abscesses (RPA) are deep neck space infections that can pose an immediate life-threatening emergency, such as airway obstruction. [1] Methods We describe an atypical presentation of RPA in a three year old girl who attended with a history of post-traumatic Neck pain. Results MB presented to the Emergency department with neck pain and reduced range of motion following a kick to the neck by a sibling. Read More

Turk Arch Otorhinolaryngol 2019 Mar 28;57(1):50-53. Epub 2019 Feb 28.

Department of Pathology, University College of Medical Sciences and Guru Teg Bhadur Hospital, Delhi, India.

Retropharyngeal (RP) abscess is rarely encountered in adults. Still rare is an abscess of tubercular etiology especially without involvement of the underlying cervical spine. We present a case of an immunocompetent woman with a tubercular RP abscess diagnosed on contrast-enhanced cervical computed tomography and confirmed on cytology. Read More

J Prim Health Care 2018 12;10(4):343-347

Department of Radiology, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.

The patient was an 88-year-old man referred to a physical therapist by his primary care physician for a 1-week history of severe neck pain of insidious onset. Based upon the history and physical examination, the physical therapist concluded that the patient's neck pain was mechanical in nature. Initial physical therapist intervention included cervical taping, cervical collar use and instruction in home exercise. Read More

J Spine Surg 2019 Mar;5(1):142-154

Department of Orthopaedic Surgery, Virginia Commonwealth University Health, Richmond, VA, USA.

Anterior cervical spine surgery (ACSS) is a common procedure, but not without its own risks and complications. Complications that can cause airway compromise occur infrequently, but can rapidly lead to respiratory arrest, leading to severe morbidity or death. Knowing emergent post-operative airway management including surgical airway placement is critical. Read More

J Trop Pediatr 2019 12;65(6):642-645

Pediatric Pulmonology, Hamburg University, Hamburg, Germany.

Retropharyngeal tuberculous abscess (RPTBA) is a rare manifestation of tuberculosis (TB) even in high TB burden areas. It rarely manifests as a cause of upper airway obstruction and obstructive sleep apnea (OSA) in children with few case reports in the literature. We report a 22 months old toddler who presented with upper airway obstruction and OSA and was diagnosed with RPTBA. Read More

Am J Otolaryngol 2019 Jul - Aug;40(4):598-600. Epub 2019 Apr 2.

Cleveland Clinic, Head and Neck Institute, Cleveland, OH, USA. Electronic address:

Background: Cervical chylous fistulae are rare complications usually occurring from iatrogenic injury to the thoracic duct. There have been no reported cases of spontaneous chyle leaks in surgical naïve necks.

Methods: Case report. Read More

J Laryngol Otol 2019 Apr 29;133(4):324-328. Epub 2019 Mar 29.

Department of Otolaryngology,Royal Gwent Hospital,Newport,Wales,UK.

Background: The incidence of deep neck space abscesses, which can result in significant morbidity and mortality, is rising. The aetiology is thought to be dental. However, this study suggests a reduction in tonsillectomies may be associated with the rise. Read More

J Laryngol Otol 2019 Feb;133(2):161-163

Department of Oto-rhino-laryngology - Head and Neck Surgery,Copenhagen University Hospital,Denmark.

Background: Parapharyngeal abscess and mediastinitis are rare but very severe post-operative complications following an elective tonsillectomy. Parapharyngeal abscess as a complication to tonsilectomy is very seldom described in the literature and no cases in the paediatric population have been described.Case reportThis paper presents, to our knowledge, the first case of life-threatening parapharyngeal abscess and mediastinitis following elective adenotonsillectomy in an otherwise healthy, fully vaccinated 10-year-old girl. Read More