Fagan J J, James M F
Department of Otolaryngology, Groote Schuur Hospital, Observatory, Cape Town, South Africa.
Anaesthesia. 1995 Sep;50(9):783-5. doi: 10.1111/j.1365-2044.1995.tb06140.x.
A prospective study of 50 adult quinsy tonsillectomy anaesthetics was performed. There were no significant anaesthetic or surgical complications and the mean intra-operative blood loss was 176 ml. The Mallampati score did not correlate with the Cormack and Lehane glottic view and there were no difficult intubations. Pre-operative trismus resolved completely during induction in 77.4% of cases. We concluded that the Mallampati grading system is not applicable in quinsies and in cases with palatopharyngeal arch distortion, that trismus in quinsies is due to muscle spasm and resolves completely during induction in most cases and that pre-anaesthetic drainage of the abscess together with rehydration and antibiotics are important contributing factors to safe anaesthesia for quinsy.
对50例成人扁桃体周围脓肿扁桃体切除术麻醉进行了前瞻性研究。未发生明显的麻醉或手术并发症，术中平均失血量为176毫升。Mallampati评分与Cormack和Lehane喉镜视野分级无关，且未发生困难插管。77.4%的病例术前牙关紧闭在诱导过程中完全缓解。我们得出结论，Mallampati分级系统不适用于扁桃体周围脓肿及腭咽弓变形的病例，扁桃体周围脓肿所致牙关紧闭是由肌肉痉挛引起，多数病例在诱导过程中可完全缓解，麻醉前脓肿引流、补液及使用抗生素是扁桃体周围脓肿安全麻醉的重要因素。
