Nielsen T R, Clement F, Andreassen U K
Department of Otolaryngology, Hillerød Sygehus, Denmark.
J Laryngol Otol. 1996 Feb;110(2):175-6. doi: 10.1017/s0022215100133092.
We report a case of mediastinitis, in an otherwise healthy 25-year-old man, resulting from a peritonsillar abscess with extension through the parapharyngeal and retropharyngeal spaces. In our case the patient was primarily treated with needle aspiration, a method described in many publications as a safe alternative to incision and drainage. We emphasize that for peritonsillar abscesses a tonsillectomy or wide incision and drainage, instead of needle aspiration, might prevent the extension of the condition, thus preventing serious complications.
我们报告一例纵隔炎病例，患者为一名25岁身体健康的男性，病因是扁桃体周围脓肿蔓延至咽旁间隙和咽后间隙。在我们的病例中，患者最初接受了针吸治疗，许多出版物都将这种方法描述为切开引流的一种安全替代方法。我们强调，对于扁桃体周围脓肿，扁桃体切除术或广泛切开引流，而非针吸治疗，可能会防止病情蔓延，从而预防严重并发症。
