Vascular Complications of Parapharyngeal Abscesses - Otolaryngology and Rhinology

A Dutch newspaper  article reports serious complications, presumably due to internal carotid  artery  perforation, following poking a parapharyngeal  abscess  in a 15-year-old boy. The patient  cannot  walk  and  speak  anymore  and  stays  in  a  rehabilitation  Centre. His parents are going in court with the hospital denying responsibility. An impressive picture concerning the impact on daily life of the patient and his family is presented. Diagnosis, treatment, management and vascular complications are briefly reviewed in general, showing multiple decision moments in this process. Open communication is a prerequisite in these matters. Backdoor reports and politics do not prevent calamities in the near future.

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