Blair Alex B, Booth Robert, Baugh Reginald
Department of Surgery, University of Toledo, College of Medicine, Toledo, OH, USA.
Department of Pathology, University of Toledo College of Medicine, Toledo, OH, USA.
Am J Otolaryngol. 2015 Jul-Aug;36(4):517-20. doi: 10.1016/j.amjoto.2015.03.002. Epub 2015 Mar 7.
We review existing models of the pathogenesis of peritonsillar abscess (PTA) and intra-tonsillar abscess (ITA) and present a novel pathophysiologic model based upon observed histopathology in 2 ITAs and 10 PTAs and acute tonsillitis cases. ITA is rare, and prevailing models are only able to account for a minority of cases. The tonsillar lymphatic ultrastucture and the rapid nature of intratonsillar lymphatic transit, offer the framework for a unifying model of the development and progression of tonsillitis, PTA and ITA.
我们回顾了扁桃体周脓肿(PTA)和扁桃体内脓肿(ITA)发病机制的现有模型,并基于对2例ITA、10例PTA及急性扁桃体炎病例的组织病理学观察,提出了一种新的病理生理模型。ITA较为罕见,现有模型仅能解释少数病例。扁桃体淋巴超微结构及扁桃体内淋巴转运的快速特性,为扁桃体炎、PTA和ITA发生发展的统一模型提供了框架。