Parapharyngeal abscess: diagnosis, complications and management in adults. European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery. [Eur Arch Otorhinolaryngol] Journal article

Title	Parapharyngeal abscess: diagnosis, complications and management in adults.
Author(s)	Alaani A, Griffiths H, Minhas SS, Olliff J, Lee AB
Institution	Department of ENT, Queen Elizabeth Hospital, Edgbaston, Birmingham, B15 2TH, UK. alaani1@hotmail.com
Source	Eur Arch Otorhinolaryngol 2005 Apr; 262(4):345-50.
MeSH	Adult Aged Anti-Bacterial Agents Drainage Female Gram-Negative Bacterial Infections Gram-Positive Bacterial Infections Humans Male Middle Aged Peritonsillar Abscess Pharyngitis
Abstract	Parapharyngeal abscess may cause life-threatening complications. Peritonsillar abscess and tonsillitis may result in parapharyngeal abscess. Since the introduction of antibiotics, the incidence of parapharyngeal abscess secondary to tonsillitis and peritonsillar abscess has decreased dramatically. We present five cases of parapharyngeal abscess resulting from tonsillitis and peritonsillar infection extending to the parapharyngeal space in adult patients. Two were complicated by mediastinitis despite early treatment by wide spectrum antibiotics. We believe that early diagnosis and aggressive antibiotic treatment with early surgical drainage in cases associated with pus collection are the key points in preventing serious and fatal complications. We emphasize the diagnostic role of computerized tomography (CT) scan and the importance of early and proper drainage of these abscesses.
Language	eng
Pub Type(s)	Case Reports Journal Article
PubMed ID	15235797

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