Unilateral arytenoid swelling in acute epiglottitis suggests the presence of peritonsillar abscess
| Autor: | Tomohiro Jimura, Hiromi Nagano, Hiroyuki Iuchi, Takao Makise, Mizuo Umakoshi, Keiichi Miyashita, Masaki Kawabata, Mizue Harada, Junichiro Ohori, Yuichi Kurono |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male endocrine system medicine.medical_specialty Computed tomography Epiglottitis urologic and male genital diseases 03 medical and health sciences 0302 clinical medicine otorhinolaryngologic diseases medicine Humans Peritonsillar Abscess 030223 otorhinolaryngology Retrospective Studies Acute epiglottitis medicine.diagnostic_test business.industry Incidence (epidemiology) Medical record Endoscopy General Medicine medicine.disease Comorbidity Surgery body regions surgical procedures operative Otorhinolaryngology 030220 oncology & carcinogenesis Acute Disease Female business Tomography X-Ray Computed Arytenoid Cartilage |
| Zdroj: | Auris, nasus, larynx. 47(6) |
| ISSN: | 1879-1476 |
| Popis: | Objective To investigate the incidence of acute epiglottitis (AE) and the clinical features of patients with AE complicated by peritonsillar abscess (PTA), considering that PTA, especially inferior-type PTA, is often a comorbidity of AE. Methods We retrospectively reviewed the medical records of patients who were diagnosed as having AE by otolaryngologists and referred to our hospital between January 2009 and December 2017. All the patients underwent laryngeal endoscopy and contrast-enhanced computed tomography (CT) for examination of the severity of AE and its complications by other infections, including PTA. The clinical characteristics of patients with PTA were compared with those of patients without PTA. Results A total of 139 patients were enrolled, of whom 21 (15%) were found to have PTA. Among the 21 patients, only one had a superior-type PTA and the others had an inferior-type PTA. The patients with complicated AE by an inferior Cap-type PTA frequently showed unilateral arytenoid swelling. Conclusion PTA is a comorbidity of AE, and unilateral arytenoid swelling is considered to suggest the presence of inferior-type PTA. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect