Adult parapharyngeal and retropharyngeal abscesses:clinical features and their implications for treatment strategy

• Published in: Lin chuang er bi yan hou ke za zhi Vol. 32; no. 17; p. 1304
• Main Authors: Hong, Y Y, Lin, G B, Lin, C, Ye, S N
• Format: Journal Article
• Language: Chinese
• Published: China 01.09.2018
• Subjects: retropharyngeal abscess; risk factors; Logistic analysis; parapharyngeal abscess
• ISSN: 1001-1781
• DOI: 10.13201/j.issn.1001-1781.2018.17.004

To identify the clinical risk factors related to the increased likelihood of surgical drainage and medical therapy failure in parapharyngeal and retropharyngeal abscess. The charts of 93 consecutive patients from January 2006 to April 2017 with parapharyngeal and retropharyngeal abscess were reviewed retrospectively. Logistic regression analysis was used to study the clinical risk factors. A total of 97 adult patients, there were 34 cases in the immediate surgical drainage group and 32 cases in the delayed surgical drainage group and 31 cases treated with medical therapy alone. The rate of operation therapy was 68%,and the success rate of the medical therapy alone was 32%. All patients had successful resolution of their abscesses by medical therapy and(or) surgical drainage. The average length of stay(17.26d) in the surgical drainage group was longer than the medical therapy group(10.26 d), and the difference was statistically significant( <0.001).The maximum dimension of abscess＞2.37cm is not only the risk f