Diagnosis dan Penatalaksanaan Abses Retrofaring pada Anak

Abstract

Abstrak Pendahuluan: Abses retrofaring adalah terkumpulnya nanah di ruang retrofaring yang merupakan salah satu daerah potensial di leher dalam. Abses retrofaring merupakan kasus yang jarang tetapi dapat menyebabkan kematian terutama pada umur di bawah 5 tahun. Sejak ditemukannya antibiotika, angka kesakitan dan kematian akibat abses menurun drastis. Metode: Dilaporkan satu kasus abses retrofaring dengan riwayat ketulangan pada anak gizi kurang umur 9 tahun. Diagnosis ditegakkan berdasarkan anamnesis, pemeriksaan fisik dan pemeriksaan radiologi. Pada pemeriksaan foto polos jaringan lunak leher, terlihat gambaran pelebaran ruang retrofaring dan air fluid level. Diskusi: Penatalaksanaan meliputi pemberian antibiotika, drainase dan eksplorasi abses serta perbaikan keadaan umum. Kata kunci: abses retrofaring, benda asing, drainase Abstract Introduction: Retropharyngeal abscess is defined as accumulation pus in retropharyngeal space which is a potential area in deep neck space. Retropharyngeal abscess is a rare case but it can cause death especially in children under five years old. Since antibiotics were found, morbidity and mortality of this case was drastically decreased. Methods: A retropharyngeal abscess of child 9 years old with history of swallowed foreign body (fishbone) and lack of nutrition has been reported. Diagnosis was based on anamnesis, physical examination and radiographic finding. In soft tissue cervical radiograph we found, widening of retropharyngeal space with air fluid level. Discussion: Management for abscess is intravenous antibiotics, drainage and exploration abscess and improve general condition has been performed Keywords:Retropharyngeal abscess, foreign body, drainage