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Minimally Invasive Approach for Massive Deep Neck Space Abscess

Extensive deep neck space abscesses including combined retropharyngeal and parapharyngeal abscess (RPA and PPA) with impending airway compromise in children is a rare and life threatening situation. This needs emergency care not only to drain abscess but also to secure the airway. The diagnosis is based on clinical and radiological pictures. Prompt diagnosis and early management is vital. Management involves securing the airway and adequate treatment for the abscess. The role of surgical drainage in deep neck abscesses is questionable. Studies mention both conservative as well as surgical options with both providing almost similar resolution of features. We describe large etropharyngeal abscess with extension into B/L parapharyngeal space and anterior mediastinum, which was managed with minimal invasive approach. Extensive search of peer reviewed English language literature did not reveal such a case of massive abscess drained by minimally invasive technique.

Author(s): Uma Patnaik