You have gained maximum
CME credits this year.
Your CME credits will reset next year. You can still continue to watch our videos.
Retropharyngeal and parapharyngeal abscess are common in the pediatric population. When medial to the great vessels, a transoral approach to incision and drainage avoids the potential morbidity of external incisions and dissection through the parapharyngeal space.
DOI: http://dx.doi.org/10.17797/cbobe92kzw
Transoral Incision and Drainage of Retropharyngeal/Parapharyngeal space Abscess
Abscess located medial to great vessels in the parapharyngeal space or accessible transorally for the retropharyngeal space
Inability to access oral cavity adequately for drainage purposes
hemostat
Needle tip electrocautery
Tonsil tray & mouth gag
Setup is same as for tonsillectomy; in this video, Crowe-Davis mouth retractor was utilized, oral RAE tube for intubation
CT scan or MRI with contrast to confirm abscess formation
Be aware that the great vessels will lie just laterally in the parapharyngeal space along with lower cranial nerves
Bleeding, need for re-drainage of the abscess
Bleeding, need for re-drainage of the abscess
N/A
Be the first to review this video.
Reviews require sign-in. Sign in to write one.
Have a question about this case? Send a note to Dr. Soham Roy — they'll reply by email.
This is approved for 0.5 AMA PRA Category 1 Credit™ via CineMed (ACCME / ACPE / ANCC). The two viewing modes are different — pick what fits your time.
"*" indicates required fields