Medical and surgical treatment of peritonsillar, retropharyngeal, and parapharyngeal abscesses

被引：63

作者：

Herzon F.S. ^{[1
]}

Martin A.D. ^{[1
]}

机构：

[1] University of New Mexico Medical School, Department of Surgery, Albuquerque, NM 87106

来源：

Current Infectious Disease Reports | 2006年 / 8卷 / 3期

关键词：

Needle Aspiration; Conscious Sedation; Surgical Drainage; Minor Salivary Gland; Neck Infection;

D O I：

10.1007/s11908-006-0059-8

中图分类号：

学科分类号：

摘要：

Peritonsillar, retropharyngeal, and parapharyngeal abscesses are the most common deep cervical fascial space infections. Most develop secondary to an oropharyngeal or dental infection. Additional factors such as smoking and periodontal disease may also contribute to the formation of a peritonsillar abscess. The CT scan is used to confirm the presence of deep neck abscesses, but its accuracy has some limitations. Adequate drainage with accompanying antimicrobial therapy and hydration are the cornerstones of management. Catheter or needle drainage of these abscesses may provide an alternative to open procedures and is the drainage method of choice for peritonsillar abscesses. However, in selected cases, medical therapy alone, especially in children, can resolve parapharyngeal and hypopharyngeal abscesses. Ancillary use of steroids reduces morbidity in patients with a peritonsillar abscess and there is a limited but useful place for immediate tonsillectomy in the treatment of this disease. Copyright © 2006 by Current Science Inc.

引用

页码：196 / 202

页数：6

共 45 条

[1]

Herzon F.S., Harris P., Peritonsillar abscess: Incidence, current management practices, and a proposal for treatment guidelines, Laryngoscope, 105, SUPPL. 74, pp. 1-17, (1995)

[2]

Huang T.T., Liu T.C., Chen P.R., Et al., Deep neck infection: Analysis of 185 cases, Head Neck, 26, pp. 854-860, (2004)

[3]

Daya H., Lo S., Papsin B.C., Zachariasova A., Et al., Retropharyngeal and parapharyngeal infections in children: The Toronto experience, Int J Pediatr Otorhinolaryngol, 69, pp. 81-86, (2005)

[4]

Hanna B.C., Mc Mullan R., Gallagher G., Hedderwick S., The epidemiology of peritonsillar abscess disease in Northern Ireland, J Infect, (2005)

[5]

Paonessa D.F., Goldstein J., Anatomy and physiology of head and neck infections (with emphasis on the fascia of the face and neck, Otolaryngol Clin North Am, 9, pp. 561-580, (1976)

[6]

Tan P.T., Chang L.Y., Huang Y.C., Et al., Deep neck infections in children, J Microbiol Immunol Infect, 34, pp. 287-292, (2001)

[7]

Passy V., Pathogenisis of peritonsillar abscess, Laryngoscope, 104, pp. 185-190, (1994)

[8]

Chen Z., Zhou C., Chen J., Investigation of the infectious route of peritonsillar abscess, Zhonghua Er Bi Yan Hou Ke Za Zhi, 32, pp. 245-246, (1997)

[9]

Lehnerdt G., Senska K., Fischer M., Jahnke K., Smoking promotes the formation of peritonsillar abscesses, Laryngorhinootologie, 84, pp. 676-679, (2005)

[10]

Georgalas C., Kanagalingam J., Zainal A., Et al., The association between periodontal disease and peritonsillar infection: A prospective study, Otolaryngol Head Neck Surg, 126, pp. 91-94, (2002)

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