The usefulness of abscess tonsillectomy followed by intraoral drainage for parapharyngeal abscess concomitant with peritonsillar abscess in the elderly
| Autor: | Hiroyuki Iuchi, Hirohisa Matsuzaki, Mizuo Umakoshi, Junichiro Ohori, Hiromi Nagano, Yuichi Kurono |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
business.industry medicine.medical_treatment Tonsillitis General Medicine respiratory system Parapharyngeal abscess medicine.disease Optimal management Tonsillectomy Surgery 03 medical and health sciences 0302 clinical medicine stomatognathic system Otorhinolaryngology 030220 oncology & carcinogenesis Concomitant otorhinolaryngologic diseases Parapharyngeal space Medicine Peritonsillar Abscess 030223 otorhinolaryngology business Abscess |
| Zdroj: | Auris Nasus Larynx. 47:697-701 |
| ISSN: | 0385-8146 |
| DOI: | 10.1016/j.anl.2019.06.003 |
| Popis: | Parapharyngeal abscess (PPA) may cause life-threatening complications and peritonsillar abscess (PTA) and tonsillitis frequently precede PPA. The optimal management of PPA caused by PTA has been the subject of debate with respect to the surgical approach. We present three cases of PPA concomitant with PTA in elderly patients. In two cases, the abscesses in parapharyngeal space were drained by abscess tonsillectomy followed by intraoral incision of the tonsillar bed. On the other hand, the third case did not undergo abscess tonsillectomy because of his refusal of surgery and needed extraoral drainage after the aggravation of PPA. Based on the experience of those three cases, it was suggested that abscess tonsillectomy followed by intraoral incision of the tonsillar bed might be a useful surgical approach for the drainage of PPA concomitant with PTA, especially in elderly patients. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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