Baldassari Cristina, Shah Rahul K
Department of Otolaryngology, Eastern Virginia Medical School, Children's Hospital of King's Daughters, 601 Children's Lane, Norfolk, VA 23507, USA.
Infect Disord Drug Targets. 2012 Aug;12(4):277-80. doi: 10.2174/187152612801319258.
Peristonsillar abscess (PTA) is a common deep neck space infection in children. Children with PTA often present with sore throat, dysphagia, peritonsillar bulge, uvular deviation, trismus, and a muffled voice. The diagnosis of PTA can be made based on history and physical examination in the majority of children. Treatment of pediatric PTA necessitates aspiration or surgical drainage and antibiotic therapy. Challenges exist with the diagnosis and management of PTA that are unique to pediatric patients. Examples include difficulty with examination of the oropharynx in an uncooperative child and controversy surrounding bedside needle aspiration verses operative incision and drainage. Early identification of PTA and initiation of appropriate treatment can prevent serious complications.
扁桃体周围脓肿（PTA）是儿童常见的深部颈部间隙感染。患有PTA的儿童通常表现为喉咙痛、吞咽困难、扁桃体周围隆起、悬雍垂偏斜、牙关紧闭和声音低沉。大多数儿童可根据病史和体格检查做出PTA的诊断。小儿PTA的治疗需要穿刺抽吸或手术引流以及抗生素治疗。小儿PTA的诊断和管理存在一些独特的挑战。例如，在不合作的儿童中检查口咽困难，以及关于床边针吸与手术切开引流的争议。早期识别PTA并开始适当治疗可预防严重并发症。
