Diagnosis and Tactics of Treatment of Bilateral Peritonsilar Abscess
Abstract
In this article presents a clinical case of bilateral peritonsillar abscess on patient 43 years old. Peritonsillar abscess (PTA) is a serious complication after exacerbation of chronic tonsillitis. It is a cluster of purulent content in peritonsillar tissue. It is dangerous to spread tonsilogenic infection to the area of peritonsillar space and even to the neck tissue. The spread of infection in PTA also occurs in lymphogenic and hematogenic ways, can cause the development of deep neck phlegmon, mediastenitis, tonsilogenic sepsis, which are a direct threat to the patient's life. The prognosis and effectiveness of treatment of such patients depends on timely hospitalization in the ENT hospital, surgical treatment - opening of the peritonsillar abscess and its drainage, as well as targeted complex drug therapy. Modern diagnosis and surgical treatment led to recovery in the usual terms for this pathology
References
Gryazina N. V. Optimization of the organization of emergency otorhinolaryngological care for adults in a multidisciplinary hospital in a large industrial city: abstract. dis. ... cand. honey. sciences. - SPb., 2007 .-- 24 p.
Diseases of the nose, pharynx, larynx and ear Yu.M. Ovchinnikov, V.P. Gamov 2003 pp. 194 - 198.
Palchun V. T., Kunelskaya N. L., Kislova N. M. Urgent diseases of the larynx and pharynx // Tomsk State University Journal. otorhinolaryngology. - 1999. - No. 1. - S. 35–38.
Pat. 2372076 Russian Federation, IPC A61K 31/00, A61B 8/00. A method for the treatment of paratonsillar abscess complicated by cervical lymphadenitis / Fernando D. R. Applicant and patentee - Fernando D. R. - No. 2007143493/14., Decl. 11/23/2007, publ. 11/10/2009, bull. No. 31. - 7 p.
The incidence rate and the quality of the outpatient ENT care for patients with pathology of the ear and upper respiratory tract in the city of Moscow / A. I. Kryukov [et al.] // Ros. otorhinolaryngology. Adj. - 2008. - No. 1. - P. 117–120.
Seltsovsky A. P. Program report at the “I Moscow Assembly“ Capital Health ””. - M., 2002. - S. 1-3.
YARTSEV A.I. (2014) PERITONSILLAR ABSCESS: INCIDENCE, CURRENT MANAGEMENT PRACTICES, AND A PROPOSAL FOR TREATMENT GUIDELINES - С. 15-21.
Machała W, Śmiechowicz K, Gaszyński T. Sepsis caused by descending mediastinitis as peritonsillar abscess complication. Case report. Otolaryngol Pol. 2006; 60: 211-215. Web site. http://www.ncbi.nlm.nih.gov/pubmed/16903340. Accessed June 23, 2016.
Mal'ceva G., Uhanova M., Tyrnova E. (2015) Klinicheskoe znachenie opredeleniya revmatoidnogo faktora,S-reaktivnogo belka, antistreptolizina-O u bol'nyh s hronicheskim tonzillitom [Clinical significance of determination of rheumatoid factor, C-reactive protein.