The usefulness of abscess tonsillectomy followed by intraoral drainage for parapharyngeal abscess concomitant with peritonsillar abscess in the elderly |
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| Institution: | 1. Specialist Trainee in Intensive Care Medicine, Manchester University Hospital NHS Foundation Trust, Southmoor Road, Wythenshawe M23 9LT, UK;2. Consultant in Anaesthesia and Intensive Care Medicine, Wythenshawe Hospital, Manchester University Hospital NHS Foundation Trust, Southmoor Road, Wythenshawe M23 9LT, UK;3. Honorary Senior Lecturer, Manchester Academic Critical Care, Division of Infection, Immunity and Respiratory Medicine, School of Biological Sciences, Faculty of Biology, Medicine and Health, the University of Manchster, Manchester Academic Health Centre, Oxford Road, Manchester M13 9PL, UK;4. Senior Clinical Lecturer in Anaesthesia, Lancaster Medical School, Faculty of Health and Medicine, Lancaster University Lancaster, UK |
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| Abstract: | Parapharyngeal abscess (PPA) may cause life-threatening complications and peritonsillar abscess (PTA) and tonsillitis frequently precede PPA. The optimal management of PPA caused by PTA has been the subject of debate with respect to the surgical approach. We present three cases of PPA concomitant with PTA in elderly patients. In two cases, the abscesses in parapharyngeal space were drained by abscess tonsillectomy followed by intraoral incision of the tonsillar bed. On the other hand, the third case did not undergo abscess tonsillectomy because of his refusal of surgery and needed extraoral drainage after the aggravation of PPA. Based on the experience of those three cases, it was suggested that abscess tonsillectomy followed by intraoral incision of the tonsillar bed might be a useful surgical approach for the drainage of PPA concomitant with PTA, especially in elderly patients. |
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| Keywords: | Parapharyngeal abscess Peritonsillar abscess Abscess tonsillectomy Intraoral drainage |
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