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Needle Aspiration of Neck Abscesses In Children

Department of Otolaryngology, State University of New York, Department of Pediatrics, State University of New York at Buffalo School of Medicine and Biomedical Sciences, and The Children's Hospital of Buffalo

William Belles, M.D.

Department of Otolaryngology, State University of New York

Alan Brody, M.D.

Department of Radiology, State University of New York

Roly Squire, F.R.C.S.

Department of Otolaryngology, State University of New York

John Stanievich, M.D.

Department of Otolaryngology, State University of New York

Mark Volk, D.M.D.

Department of Otolaryngology, State University of New York

Needle aspiration of neck abscesses with CT-scan guidance was studied in 17 children with 18 abscesses from 1986 to 1991. Clinical and radiologic findings were analyzed according to treatment outcome. A majority of abscesses (55.6%) resolved after treatment with one to two attempts at needle aspiration and parenteral antibiotics. Unilocular abscesses were more likely than multilocular abscesses to resolve with needle aspiration. In general, abscesses in younger children who presented with smaller neck masses on physical examination and smaller abscess cavities on CT scan resolved with needle aspiration. The data support the use of needle aspiration as an effective initial treatment for pediatric neck abscesses. CT scan was found beneficial in documenting the abscesses and in guiding treatment. A treatment protocol is suggested for the use of needle aspiration in the management of neck abscesses in children.

Clinical Pediatrics, Vol. 31, No. 2, 71-76 (1992)
DOI: 10.1177/000992289203100202


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