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August 1988

Peritonsillar and Deep Neck Abscesses in Children

Author Affiliations

New Haven, Conn

Arch Otolaryngol Head Neck Surg. 1988;114(8):833. doi:10.1001/archotol.1988.01860200015002

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At the Eastern Section meeting of the Triological Society in New York City, Brian Dodds and Anthony Maniglia, Case Western Reserve University, Cleveland, reported on a retrospective study (from 1972 to 1987) of deep neck infections in pediatric patients. There were 93 abscesses in 87 patients aged 2 months to 18 years: peritonsillar abscess (42), submental abscess (20), superficial neck abscess (19), retropharyngeal abscess (9), and parapharyngeal space abscess (3). In the 42 patients with peritonsillar abscess, the mean age was 13 years and streptococcus was the most common bacterial pathogen; 20% of patients underwent quinsy tonsillectomy and 80% incision and drainage. In the 39 patients with submental and superficial neck abscesses, the mean age was 5 years, Staphylococcus aureus was the most common organism isolated, and needle aspiration with administration of penicillin was the most commonly used treatment. In the nine patients with retropharyngeal abscesses, streptococcus was the most

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