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Bezold's abscess

Field	Value
name	Bezold's abscess

Bezold's abscess is an abscess deep to the sternocleidomastoid muscle where pus from mastoiditis erodes through the cortex of the mastoid part of the temporal bone, medial to the attachment of sternocleidomastoid, extends into the infratemporal fossa, and deep to the investing layer of the deep cervical fascia. It is a rare complication of acute otitis media.

Symptoms

Symptoms may include:

Severe pain in perimastoid region
Difficulty in swallowing (dysphagia)
Sore throat
Difficulty in breathing (dyspnoea)
Nuchal rigidity
Fever

Diagnosis

CT scan of mastoid and swelling of the neck.

Differential diagnosis should include:

Acute upper jugular lymphadenitis
Abscess or mass in Lower part of parotid
Infected branchial cyst
Parapharyngeal abscess
Jugular vein thrombosis

Treatment

Cortical mastoidectomy for mastoiditis. Exploration of fistulous opening into the soft tissues of neck. Drainage of the neck abscess from a separate incision and insertion of a drain. Administration of intravenous antibiotics guided by the culture and sensitivity of the pus.

Eponym

It is named after Friedrich Bezold (German otologist, 1842–1908).

References

(November 2001). "Bezold's abscess in children: case report and review of the literature". Int. J. Pediatr. Otorhinolaryngol..
von Bezold, F.. (1885). "Ein neuer Weg für die Ausbreitung einer eitrigen Entzündung aus den Räumen des Mittelohrs auf die Nachbarschaft und die in diesem Fall einzuschlagende Therapie". Deutsche Medizinische Wochenschrift.

Info: Wikipedia Source

This article was imported from Wikipedia and is available under the Creative Commons Attribution-ShareAlike 4.0 License. Content has been adapted to SurfDoc format. Original contributors can be found on the article history page.

diseases-of-middle-ear-and-mastoid

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