Intraoperative hypotension associated with massive deep space neck abscesses in a 9-month old: A case report. (April 2016)

• Record Type: Journal Article
• Authors: Plum, Ann; Sobin, Lindsay; Tatum, Sherard
• Is Part Of: International journal of pediatric otorhinolaryngology. Volume 83(2016:Apr.)
• Page Start: 215
• Page End: 217
• Publication Date: 2016-04
• Subjects: Abscess -- Parapharyngeal -- Retropharyngeal; Otolaryngology -- Periodicals; Pediatrics -- Periodicals; Otolaryngology -- Periodicals; Pediatrics -- Periodicals; Oto-rhino-laryngologie -- Périodiques; Pédiatrie -- Périodiques; 618.9209751
• DOI: 10.1016/j.ijporl.2016.02.016
• Languages: English
• ISSNs: 0165-5876

Abstract

Abstract: The neck is divided into multiple compartments by cervical fasciae. The deep space compartments, which all have a potential for becoming infected, are interconnected, providing a mechanism for the spread of infections. Thus, infections of the deep spaces can lead to devastating consequences, especially when there is extension to the mediastinum. Here we report a case of intraoperative hypotension in a 9-month-old child with extensive bilateral parapharyngeal and retropharyngeal abscesses with mediastinal extension with a focus on when hemodynamic monitoring should be considered.