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Parapharyngeal abscess secondary to lymphovenous malformation

  • S Khosla (a1), N Caton (a1), T-T Zhang (a2) and C R Davies-Husband (a1)

Abstract

Background

Deep neck space abscesses are an uncommon but life-threatening emergency presentation to the ENT surgeon because of potential acute airway compromise.

Objective

This paper presents a novel case of a palatine tonsillar, low-flow, lymphovenous malformation pre-disposing to multifocal deep neck space collections and resultant acute airway compromise.

Copyright

Corresponding author

Author for correspondence: Mr Shivun Khosla, Department of Otorhinolaryngology, Royal Sussex County Hospital, Brighton and Sussex University Hospitals Trust, Brighton BN2 5BE, UK E-mail: Shivun.khosla@nhs.net Fax: +(0)1273 602 730

Footnotes

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Mr S Khosla takes responsibility for the integrity of the content of the paper

Footnotes

References

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1Osborn, TM, Assael, LA, Bell, RB. Deep neck space infection: principles of surgical management. Oral Maxillofac Surg Clin North Am 2008;20:353–65
2Mardekian, S, Karp, JK. Lymphangioma of the palatine tonsil. Arch Pathol Lab Med 2013;137:1837–42
3Harsha, WJ, Crawford, JV, Sorensen, DM. An unusual case of adult airway obstruction from a lymphovenous malformation. Ear Nose Throat J 2008;87:402–4
4Nusbaum, AO, Som, PM, Rothschild, MA, Shugar, JM. Recurrence of a deep neck space infection: a clinical indication of an underlying congenital lesion. Arch Otolaryngol Head Neck Surg 1999;125:1379–82
5Hyo, Y, Fukushima, H, Harada, T. Neck swelling from a retropharyngeal abscess caused by penicillin-resistant Streptococcus pneumoniae: a case report. BMC Res Notes 2014;7:291
6Balatsouras, DG, Fassolis, A, Koukoutsis, G, Ganelis, P, Kaberos, A. Primary lymphangioma of the tonsil: a case report. Case Rep Med 2011;2011:183182
7Mra, Z, Emami, AJ, Simpson, GT 2nd. Parapharyngeal lymphangioma mimicking peritonsillar abscess. Ear Nose Throat J 1996;75:790–2
8Neri, I, Montanari, F, Baraldi, C, Ricci, L, Patrizi, A. Erysipelas as a superinfection of an oral lymphangioma. J Pediatr 2014;165:205205.e1
9Zadvinskis, DP, Benson, MT, Kerr, HH, Mancuso, AA, Cacciarelli, AA, Madrazo, BL et al. Congenital malformations of the cervicothoracic lymphatic system: embryology and pathogenesis. Radiographics 1992;12:1175–89

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