Department of Ear, Nose and Throat Surgery, Heartlands Hospital, University Hospitals Birmingham, Birmingham, UK.
J Laryngol Otol. 2021 Feb;135(2):176-178. doi: 10.1017/S0022215121000050. Epub 2021 Feb 18.
Peritonsillar abscess, or quinsy, is one of the most common emergency presentations to ENT departments, and is the most common deep tissue infection of the head and neck. In the UK, junior members of the ENT team are regularly required to independently assess, diagnose and treat patients with peritonsillar aspiration or incision and drainage.
Inexperienced practitioners can stumble at several obstacles: poor access due to trismus; poor lighting; difficulty in learning the therapeutic procedure; and difficulty in accurately documenting findings and treatment.
To counter these and other difficulties, the authors describe the routine use of video endoscopy as a training tool and therapeutic adjunct in the management of quinsy.
扁桃体周脓肿,又称“脓毒性咽峡炎”,是耳鼻喉科最常见的急症之一,也是头颈部最常见的深部组织感染。在英国,耳鼻喉科初级医生通常需要独立评估、诊断和治疗接受扁桃体抽吸或切开排脓的患者。
经验不足的医生可能会在几个方面遇到困难:由于牙关紧闭导致的操作空间受限;照明不佳;学习治疗程序有困难;难以准确记录检查结果和治疗情况。
为了解决这些以及其他困难,作者描述了常规使用视频内镜作为脓毒性咽峡炎管理中的一种培训工具和治疗辅助手段。