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Retropharyngeal Abscess Presenting With Sleep Apnea Syndrome.

Research paper by Hasan Emre HE Koçak, Mehmet Nurettin MN Kiral, Harun H Acipayam, Mustafa Suphi MS Elbistanli, Fatma Tülin FT Kayhan

Indexed on: 23 Mar '17Published on: 23 Mar '17Published in: The Journal of craniofacial surgery



Abstract

Retropharyngeal abscess (RPA) is the second most common deep neck space infection after peritonsiller abscess in pediatric population. Major signs and symptoms on physical examination include fever, hypersalivation, odynophagia, reduced oral intake, sore throat, swelling on the neck, torticollis, limitation in neck mobility, and voice changes. In this paper, the authors present a case of RPA with unusual and interesting presenting symptoms in a 10-month-old infant that exhibit new-onset and worsening snoring and sleep apnea. The purposes of this manuscript are to present the authors' experience with this patient, to emphasize the diagnosis, clinical course, and management of RPA in infants, also to signify the importance of including RPA in the differential diagnosis of patients with sleep apnea syndrome.