Morales-Angulo C, Bezós Capelastegui J T, García Mantilla J, Carrera Herrero F, Pía Roiz M
FEA de ORL, Hospital Sierrallana, Torrelavega.
An Otorrinolaringol Ibero Am. 2001;28(6):613-20.
To review the clinical, microbiological and therapeutic characteristics of all head and neck abscess seen in a Community Hospital.
Medical records of all patients admitted to Sierrallana Hospital (Torrelavega, Cantabria) from January 1995 till June 1998, because of head and neck abscess were reviewed.
Fyfty-seven head and neck abscess of 54 patients were considered. Age of patients ranged from 14 to 78-year-old. Periamygdaline region was the most frequent location, where as tonsillar and dental infections were the origins of the abscess in the large majority of cases. Most of the abscess cultures yield mixed flora. Intravenous penicillin was used in 77.3 percent of patients and surgical drainage was required in almost 80 percent of cases. Treatment response was good with no serious complications in any case.
Head and neck abscess are a relative common cause of hospital admissions. Among them periamygdaline abscess are frequently found. The treatment is surgical drainage with local or general anesthesia (depending of location) and simultaneous i.v. course of antibiotic (Penicillin G sodium salt) efficacious in the great number of patients. Serious complications are very rare.
回顾一家社区医院中所有头颈部脓肿的临床、微生物学及治疗特征。
回顾了1995年1月至1998年6月期间因头颈部脓肿入住西雷拉纳医院（托雷拉韦加，坎塔布里亚）的所有患者的病历。
共纳入54例患者的57个头颈部脓肿。患者年龄在14岁至78岁之间。扁桃体周围区域是最常见的发病部位，在大多数病例中，扁桃体和牙齿感染是脓肿的起源。大多数脓肿培养物产生混合菌群。77.3%的患者使用了静脉青霉素，近80%的病例需要手术引流。治疗反应良好，无一例出现严重并发症。
头颈部脓肿是住院的相对常见原因。其中扁桃体周围脓肿较为常见。治疗方法是采用局部或全身麻醉进行手术引流（取决于脓肿位置），同时静脉注射抗生素（青霉素G钠盐），对大多数患者有效。严重并发症非常罕见。
