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经扁桃体引流治疗咽旁脓肿

Transtonsillar drainage of parapharyngeal abscess.

作者信息

Badran K, Karkos P D, Acharya M, Daud A

机构信息

Department of Otolaryngology, Whiston Hospital, Liverpool, UK.

出版信息

Eur Arch Otorhinolaryngol. 2006 Jan;263(1):49-52. doi: 10.1007/s00405-005-0955-9. Epub 2005 Jun 23.

DOI:10.1007/s00405-005-0955-9
PMID:15976992
Abstract

We report a parapharyngeal abscess in an adult patient that was drained transorally by performing ipsilateral tonsillectomy and aspirating the pus through the tonsillar bed. This approach is unusual as most previous studies report the aspiration of such abscesses through the lateral pharyngeal mucosa. In addition, the majority of these studies are limited to pediatric cases. Our approach was effective and resulted in a rapid resolution of the symptoms. The management and different approaches to parapharyngeal abscess are discussed, and the literature is reviewed.

摘要

我们报告了一例成年患者的咽旁脓肿,通过同侧扁桃体切除术经口引流,并通过扁桃体床抽吸脓液。这种方法并不常见,因为之前的大多数研究报告是通过咽外侧黏膜抽吸此类脓肿。此外,这些研究大多局限于儿科病例。我们的方法有效,症状迅速得到缓解。本文讨论了咽旁脓肿的管理和不同治疗方法,并对相关文献进行了综述。

相似文献

1
Transtonsillar drainage of parapharyngeal abscess.经扁桃体引流治疗咽旁脓肿
Eur Arch Otorhinolaryngol. 2006 Jan;263(1):49-52. doi: 10.1007/s00405-005-0955-9. Epub 2005 Jun 23.
2
The usefulness of abscess tonsillectomy followed by intraoral drainage for parapharyngeal abscess concomitant with peritonsillar abscess in the elderly.老年患者扁桃体周围脓肿合并咽旁脓肿行脓肿扁桃体切除术及口内引流的效果。
Auris Nasus Larynx. 2020 Aug;47(4):697-701. doi: 10.1016/j.anl.2019.06.003. Epub 2019 Jun 23.
3
Peritonsillar abscess: clinical aspects of microbiology, risk factors, and the association with parapharyngeal abscess.扁桃体周围脓肿:微生物学的临床方面、危险因素以及与咽旁脓肿的关联
Dan Med J. 2017 Mar;64(3).
4
Peritonsillar abscess with rapid progression to complete airway obstruction in a toddler.
Laryngoscope. 2014 Oct;124(10):2418-21. doi: 10.1002/lary.24770. Epub 2014 Jun 10.
5
Immediate tonsillectomy: indications for use as first-line surgical management of peritonsillar abscess (quinsy) and parapharyngeal abscess.即刻扁桃体切除术:作为扁桃体周围脓肿(咽峡炎)和咽旁脓肿一线外科治疗方法的应用指征。
J Laryngol Otol. 2010 Oct;124(10):1085-90. doi: 10.1017/S0022215110000903. Epub 2010 Apr 20.
6
Bilateral peritonsillar abscesses and quinsy tonsillectomy.双侧扁桃体周围脓肿及扁桃体周围脓肿切开引流术
J Natl Med Assoc. 1985 Oct;77(10):807-12.
7
Parapharyngeal abscess is frequently associated with concomitant peritonsillar abscess.咽旁脓肿常与扁桃体周围脓肿并存。
Eur Arch Otorhinolaryngol. 2014 Jun;271(6):1701-7. doi: 10.1007/s00405-013-2667-x. Epub 2013 Aug 28.
8
Peritonsillar abscess. I. Cases treated by incision and drainage: a follow-up investigation.扁桃体周围脓肿。一、切开引流治疗的病例:一项随访调查。
J Laryngol Otol. 1981 Aug;95(8):801-5.
9
Mediastinitis-a rare complication of a peritonsillar abscess.纵隔炎——扁桃体周围脓肿的一种罕见并发症。
J Laryngol Otol. 1996 Feb;110(2):175-6. doi: 10.1017/s0022215100133092.
10
Unusual parapharyngeal extension of peritonsillar abscess to the masticator space: successfully drained by extraoral and intraoral endoscopic approaches.
Ann Otol Rhinol Laryngol. 2014 May;123(5):333-7. doi: 10.1177/0003489414526360. Epub 2014 Mar 28.

本文引用的文献

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Intraoral drainage: recommended as the initial approach for the treatment of parapharyngeal abscesses.
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Image-guided surgical drainage of medial parapharyngeal abscesses in children: a novel adjuvant to a difficult approach.儿童咽旁间隙内侧脓肿的影像引导下手术引流:一种处理困难手术入路的新辅助方法
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Relative incidence and alternative approaches for surgical drainage of different types of deep neck abscesses in children.儿童不同类型深部颈部脓肿手术引流的相对发病率及替代方法
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Parapharyngeal abscess: a rare complication of elective tonsillectomy.
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Contemporary management of deep neck space infections.深部颈部间隙感染的现代管理
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Deep-neck space abscesses.
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The surgical treatment of deep neck infections.颈部深部感染的外科治疗
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