Stage J, Bonding P
Clin Otolaryngol Allied Sci. 1987 Feb;12(1):1-5. doi: 10.1111/j.1365-2273.1987.tb00155.x.
In 2.3% of 217 patients with peritonsillar abscess, the clinical picture was atypical, with inflammatory swelling of the pharyngeal wall below and behind the tonsil, oedema of the epiglottis and a diffuse swelling on the side of the neck. The typical signs of peritonsillar abscess, i.e. trismus, a medially displaced tonsil and displacement of the uvula toward the opposite side, were either completely lacking or less pronounced than usual. The abscesses were all located in the peritonsillar space at the lower pole or behind the tonsil. To ensure rapid, uncomplicated recovery in such cases with parapharyngeal involvement, it is essential that abscess tonsillectomy under antibiotic cover with penicillin is not postponed.
在217例扁桃体周围脓肿患者中，2.3%的患者临床表现不典型，表现为扁桃体下方和后方的咽壁炎性肿胀、会厌水肿以及颈部一侧弥漫性肿胀。扁桃体周围脓肿的典型体征，即牙关紧闭、扁桃体向内移位以及悬雍垂向对侧移位，要么完全没有，要么比平时不明显。脓肿均位于扁桃体下极或后方的扁桃体周围间隙。为确保此类伴有咽旁受累的病例能迅速、顺利康复，在青霉素抗生素覆盖下进行脓肿扁桃体切除术切勿推迟，这至关重要。
