Abstract
We report a parapharyngeal abscess in an adult patient that was drained transorally by performing ipsilateral tonsillectomy and aspirating the pus through the tonsillar bed. This approach is unusual as most previous studies report the aspiration of such abscesses through the lateral pharyngeal mucosa. In addition, the majority of these studies are limited to pediatric cases. Our approach was effective and resulted in a rapid resolution of the symptoms. The management and different approaches to parapharyngeal abscess are discussed, and the literature is reviewed.
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References
El-Sayed Y, Al Dousary S (1996) Deep neck abscesses. J Otolaryngol 25:227–233
Gidley PW, Ghorayeb BY, Stiernberg CM (1997) Contemporary management of deep neck space infections. Otolaryngol Head Neck Surg 116:16–22
Levitt GW (1971) The surgical treatment of deep neck infections. Laryngoscope 81:403–411
Scott BA, Stiernberg CM (1993) Deep neck space infections. In: Bailey BJ (ed) Head and neck surgery and otolaryngology, 1st edn. Lippincott Raven, Philadelphia, pp 738–753
Choi SS, Vezina LG, Grundfast KM (1997) Relative incidence and alternative approaches for surgical drainage of different types of deep neck abscesses in children. Arch Otolaryngol Head Neck Surg 123:1271–1275
Johnson JT (1997) Deep neck abscesses. In: Myers EN (eds) Operative otolaryngology head and neck surgery. WB Saunders, Philadelphia, pp 667–675
Mcewan JA, Dhingra J, Rowe-Jones J, Bleach NR (1997) Parapharyngeal abscess: a rare complication of elective tonsillectomy. J Laryngol Otol 111:578–579
Maran GD, Mackenzie IJ, Murray JAM (1984) The parapharyngeal space. J Laryngol Otol 98:371–380
De Marie S, Tjon A Tham RT, Van Der Mey AG, Meerdink G, van Furth R, Van der MeerJW (1989) Clinical infections and non-surgical treatment of parapharyngeal space infections complicating throat infections. Rev Infect Dis 11:975–982
Cable BB, Brenner P, Bauman NM, Mair EA (2004) Image-guided surgical drainage of medial parapharyngeal abscesses in children: a novel adjuvant to a difficult approach. Ann Otol Rhinol Laryngol 113:115–120
Nagy M, Pizzuto M, Backstrom J, Brodsky L (1997) Deep neck infections in children: a new approach to diagnosis and treatment. Laryngoscope 107:1627–1634
Ferrer Baixauli F, Garcia Callejo FJ, Morant Ventura A, Suarez Vicent E, Marco Algarra J (2001) Parapharyngeal abscess secondary to peritonsillar abscess in childhood. Acta Otorrinolaringol Esp 52:723–726
Amar YG, Manoukian JJ. Intraoral drainage (2004) Recommended as the initial approach for the treatment of parapharyngeal abscesses. Otolaryngology Head Neck Surg 130:676–680
Alaani A, Griffith H, Minhas SS, Olliff J, Drake AB (2004) Parapharyngeal abscess: diagnosis, complications and management in adults. Eur Arch Otorhinolaryngol (in press)
Matt BH, Lusk RP (1987) Delineation of a deep neck abscess with magnetic resonance imaging. Ann Otol Rhinol Laryngol 96:615–617
Acknowledgements
We are grateful to Mr. F. Rapado, SpR, in ENT for translating one of the Spanish articles.
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Badran, K., Karkos, P.D., Acharya, M. et al. Transtonsillar drainage of parapharyngeal abscess. Eur Arch Otorhinolaryngol 263, 49–52 (2006). https://doi.org/10.1007/s00405-005-0955-9
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DOI: https://doi.org/10.1007/s00405-005-0955-9