Ohori Junichiro, Miyashita Keiichi, Harada Mizue, Nagano Hiromi, Makise Takao, Umakoshi Mizuo, Iuchi Hiroyuki, Jimura Tomohiro, Kawabata Masaki, Kurono Yuichi
Department of Otorhinolaryngology Head and Neck Surgery, Kagoshima University Graduate School of Medical and Dental Sciences, 8-35-1 Sakuragaoka, Kagoshima City 890-8520, Kagoshima, Japan.
Department of Otorhinolaryngology Head and Neck Surgery, Kagoshima University Graduate School of Medical and Dental Sciences, 8-35-1 Sakuragaoka, Kagoshima City 890-8520, Kagoshima, Japan.
Auris Nasus Larynx. 2020 Dec;47(6):1023-1026. doi: 10.1016/j.anl.2020.06.008. Epub 2020 Jul 18.
To investigate the incidence of acute epiglottitis (AE) and the clinical features of patients with AE complicated by peritonsillar abscess (PTA), considering that PTA, especially inferior-type PTA, is often a comorbidity of AE.
We retrospectively reviewed the medical records of patients who were diagnosed as having AE by otolaryngologists and referred to our hospital between January 2009 and December 2017. All the patients underwent laryngeal endoscopy and contrast-enhanced computed tomography (CT) for examination of the severity of AE and its complications by other infections, including PTA. The clinical characteristics of patients with PTA were compared with those of patients without PTA.
A total of 139 patients were enrolled, of whom 21 (15%) were found to have PTA. Among the 21 patients, only one had a superior-type PTA and the others had an inferior-type PTA. The patients with complicated AE by an inferior Cap-type PTA frequently showed unilateral arytenoid swelling.
PTA is a comorbidity of AE, and unilateral arytenoid swelling is considered to suggest the presence of inferior-type PTA.
鉴于扁桃体周围脓肿（PTA），尤其是低位型PTA常为急性会厌炎（AE）的合并症，本研究旨在调查AE的发病率及AE合并PTA患者的临床特征。
我们回顾性分析了2009年1月至2017年12月间被耳鼻喉科医生诊断为AE并转诊至我院的患者的病历。所有患者均接受了喉镜检查和增强计算机断层扫描（CT），以检查AE的严重程度及其由包括PTA在内的其他感染引起的并发症。将PTA患者的临床特征与无PTA患者的临床特征进行比较。
共纳入139例患者，其中21例（15%）被发现患有PTA。在这21例患者中，只有1例为高位型PTA，其余为低位型PTA。低位型PTA合并AE的患者常表现为单侧杓状软骨肿胀。
PTA是AE的合并症，单侧杓状软骨肿胀被认为提示存在低位型PTA。
