Peritonsillar abscess with parapharyngeal and retropharyngeal involvement: incidence and intraoral approach.

Acta oto-laryngologica. Supplementum Pub Date : 2007-12-01 DOI:10.1080/03655230701597341

Hiroko Monobe, Sayaka Suzuki, Masato Nakashima, Hitoshi Tojima, Kimitaka Kaga

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引用次数: 22

Abstract

Conclusion: This study illustrates common sites of infection seen in peritonsillar abscesses with involvement of the pharyngeal space and retropharyngeal space. Abscesses behind and/or inferior to the tonsil were encountered more frequently than expected. In these cases, the drainage had to be placed in the inferior pole of the tonsil and these types were frequently seen in older patients.

Objectives: The aim of this study was to assess to what extent abscesses spread in patients with peritonsillar abscess and to determine to what extent pus can be drained intraorally.

Patients and methods: The clinical charts of 45 patients with peritonsillar abscess involvement of the parapharyngeal space and/or retropharyngeal space were retrospectively reviewed.

Results: In 45 cases, 21 patients were diagnosed with the superior type, and we could drain the pus intraorally in 90% of the patients. On the other hand, 24 cases were diagnosed with the inferior type and they were drained intraorally in 58% of the cases.

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咽旁及咽后累及的咽周脓肿:发生率及口内入路。

结论:本研究说明了咽部间隙和咽后间隙受累的扁桃体周围脓肿的常见感染部位。扁桃体后面和/或下方的脓肿比预期的更常见。在这些病例中，引流管必须放置在扁桃体的下极，这些类型常见于老年患者。目的:本研究的目的是评估脓肿在腹膜周围脓肿患者中的扩散程度，并确定脓肿可以在多大程度上进行口内引流。患者与方法:回顾性分析45例累及咽旁间隙和/或咽后间隙的腹膜周围脓肿的临床资料。结果:45例患者中，21例诊断为上型，90%的患者可经口内引流脓液。另一方面，24例被诊断为劣质型，其中58%的病例经口内引流。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Acta oto-laryngologica. Supplementum

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