{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T21:13:17Z","timestamp":1788988397147,"version":"build-2803163510"},"reference-count":11,"publisher":"Cambridge University Press (CUP)","issue":"2","license":[{"start":{"date-parts":[[2019,3,21]],"date-time":"2019-03-21T00:00:00Z","timestamp":1553126400000},"content-version":"unspecified","delay-in-days":48,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2019,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215119000021_sec_a1\"><jats:title>Background<\/jats:title><jats:p>Parapharyngeal abscess and mediastinitis are rare but very severe post-operative complications following an elective tonsillectomy. Parapharyngeal abscess as a complication to tonsilectomy is very seldom described in the literature and no cases in the paediatric population have been described.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215119000021_sec_a2\"><jats:title>Case report<\/jats:title><jats:p>This paper presents, to our knowledge, the first case of life-threatening parapharyngeal abscess and mediastinitis following elective adenotonsillectomy in an otherwise healthy, fully vaccinated 10-year-old girl.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215119000021_sec_a3\" sec-type=\"conclusion\"><jats:title>Conclusion<\/jats:title><jats:p>Diagnosing parapharyngeal abscess and mediastinitis can be challenging, but should be suspected and ruled out in cases of post-operative odynophagia, fever, and\/or neck swelling and thoracic pain. Diagnosis is made based on magnetic resonance imaging and computed tomography findings. Prompt broad-spectrum intravenous antibiotic treatment and surgical drainage should be initiated. Other severe complications such as meningitis should also be considered.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215119000021","type":"journal-article","created":{"date-parts":[[2019,3,21]],"date-time":"2019-03-21T14:16:55Z","timestamp":1553177815000},"page":"161-163","source":"Crossref","is-referenced-by-count":5,"title":["Life-threating complication of parapharyngeal abscess and mediastinitis in a 10-year-old otherwise healthy girl following elective tonsillectomy \u2013 first reported paediatric case"],"prefix":"10.1017","volume":"133","author":[{"given":"C C","family":"Holm-Hansen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E","family":"Thisted","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Kaltoft","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2019,3,21]]},"reference":[{"key":"S0022215119000021_ref1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otc.2014.06.011"},{"key":"S0022215119000021_ref6","doi-asserted-by":"publisher","DOI":"10.1086\/644616"},{"key":"S0022215119000021_ref7","first-page":"197","article-title":"Subcutaneous emphysema and mediastinitis: unusual complications of tonsillectomy","volume":"1","author":"Gillot","year":"2005","journal-title":"B-ENT"},{"key":"S0022215119000021_ref3","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215107000217"},{"key":"S0022215119000021_ref5","doi-asserted-by":"crossref","first-page":"578","DOI":"10.1017\/S002221510013796X","article-title":"Parapharyngeal abscess: a rare complication of elective tonsillectomy","volume":"111","author":"McEwan","year":"2007","journal-title":"J Laryngol Otol"},{"key":"S0022215119000021_ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2012.10.016"},{"key":"S0022215119000021_ref8","doi-asserted-by":"publisher","DOI":"10.1016\/S0385-8146(03)00047-6"},{"key":"S0022215119000021_ref9","first-page":"CD001874","article-title":"Perioperative local anaesthesia for reducing pain following tonsillectomy","author":"Hollis","year":"2000","journal-title":"Cochrane Database Syst Rev"},{"key":"S0022215119000021_ref10","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100133092"},{"key":"S0022215119000021_ref11","doi-asserted-by":"publisher","DOI":"10.1177\/014556131709600622"},{"key":"S0022215119000021_ref4","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2007.04.019"}],"container-title":["The Journal of Laryngology &amp; Otology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0022215119000021","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,11,22]],"date-time":"2019-11-22T01:14:23Z","timestamp":1574385263000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0022215119000021\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,2]]},"references-count":11,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2019,2]]}},"alternative-id":["S0022215119000021"],"URL":"https:\/\/doi.org\/10.1017\/s0022215119000021","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"value":"0022-2151","type":"print"},{"value":"1748-5460","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,2]]}}}