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RETROPHARYNGEAL ABSCESS

Types :

- Acute
-Chronic
Acute Retropharyngeal Abscess
- it is infection and suppuration of retropharyngeal LN due to
staphylococci or streptococci organisms
- ass. with infection of tonsils, nasopharynx or oropharynx
- common in infants and children

Clinical Features :
presents as lateral (paramedian, eccentric) smooth, tender swelling
in pharynx with dysphagia, dyspnoea, cough, toxic features and
neck rigidity
Diagnosis is obvious in proper clinical examination

Treatment :
IV antibiotics
Chronic Retropharyngeal Abscess
- Due to result of extension of Tb of cervical spine
- abscess is in the midline behind the paravertebral fascia
- destruction of the body of vertebra due to Tb

Clinical Features :

-it is a midline swelling in posterior pharyngeal wall , smooth and non


tender.
-features of Tb of cervical spine will be observed
- neurological manifestation
Investigation :
- x-ray, chest x-ray, ESR, MRI of cervical spine

Treatment :
1) Antitubercular drugs
2) drainage of the abscess through neck approach
( never intraoral approach)
3) decompression of vertebra and stabilisation
Subhyoid Bursitis
(Retrohyoid Bursa/Boyer's Bursa)
- Subhyoid bursa is space between
posterior surface of the body of hyoid
bone and thyrohyoid membrane.
- it lessens friction between these two
structures during swallowing
- constant friction, inflammatory fluid
collects in bursa leading to bursitis.
Features :

smooth, soft, cystic, fluctuant, nontransilluminating


swelling
moves upwards with deglutition but not while
protruding the tounge out
contains turbid fluid , if get infected swelling become
tender or form an abscess

Treatment :
- Excision under GA