Coughlin Andrew M, Baugh Reginald F, Pine Harold S
Department of Surgery, 8303 Dodge St., Omaha, NE 68114, USA.
Ear Nose Throat J. 2014 Sep;93(9):E7-8. doi: 10.1177/014556131409300902.
Lingual tonsil abscess is a rare disorder previously reported only once in the English literature. Because of their similar structure to that of the palatine tonsils, the lingual tonsils have the propensity to develop infection in the same way. The progression of infection, however, is different in that the lingual tonsils lack a capsule, thus preventing the formation of a peritonsillar abscess. Therefore, the only place for infection to spread is either into the tongue or into the parapharyngeal space. Here we present our experience with the latter, and we provide radiographic evidence of the disease. Lingual tonsil abscess, although rare, is an important potential cause of airway obstruction and must be considered in the case of a sore throat with a normal oropharyngeal exam.
舌扁桃体脓肿是一种罕见的疾病，此前在英文文献中仅被报道过一次。由于舌扁桃体的结构与腭扁桃体相似，它们有以相同方式发生感染的倾向。然而，感染的进展有所不同，因为舌扁桃体没有包膜，从而阻止了扁桃体周围脓肿的形成。因此，感染扩散的唯一途径要么是进入舌头，要么是进入咽旁间隙。在此，我们介绍我们在后者方面的经验，并提供该疾病的影像学证据。舌扁桃体脓肿虽然罕见，但却是气道阻塞的一个重要潜在原因，在口咽检查正常的咽痛病例中必须予以考虑。
