A SEVERE CASE OF PARAPHARYNGEAL ABSCESS TREATED AS A SPASTIC TORTICOLLIS TEZAK SLU^AJ PARAFARINGEALNOG APSCESA TRETIRANOG KAO SPASTI^NI TORTIKOLIS

Parapharyngeal abscess is the second most common deep neck infection. It is usually a secondary infection develops from oropharyngeal infection. Parapharyngeal abscess complications are numerous and potentially lethal. The diagnosis makes clinically and radiologically with CT scan. The cause is poly bacterial infection. The treatment must be aggressive with antibiotics and surgery. It starts with the combined intra venous broadspectrum antibiotics. Surgically drainage of abscess should be done through external or internal incision with repeated procedures after 24h and 48h. The correction of antibiotic treatment is necessary according to swab results of evacuated pus. Control CT scan should be done one month after finished medical treatment.