Pharyngeal Suppuration and Associated Abscesses Overview
Learn about pharyngeal suppuration along with peritonsillar abscess (Quinsy), parapharyngeal abscess, and retropharyngeal abscess. Understand the clinical presentation, complications, and treatment options for these conditions.
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Presentation Transcript
PHARYNGEAL SUPPURATION By WAM MD
PeritonsillarAbscess (Quinsy) Abscess between tonsilar capsule and lat.pharyngeal wall. -Follows attack of AT, is unilateral, above tonsil near soft palate, 1stcellulitis then frank pus. -CP: pain, fever, trismus, dysphagia. -complications: laryngeal oedema, Paraph.abscess
Parapharyngeal Abscess. -Spread from tonsils, lower wisdom tooth. -CP: pain, trismus, fever, neck swelling, pharyngeal wall and tonsils pushed medially. -Complications: laryngeal oedema, IJV thrombophlebitis, mediastinitis. -Treatment: systemic antibiotics. Incision of abscess through neck.
Retropharyngeal Abscess 1. Acute: limited to one side of midline, due to suppuration of retropharyngeal LNs. CP: often in infants, difficulty in breathing and suckling, torticollis, nasal obstruction, oedema of larynx. ttt: Incision of abscess. 2. Chronic: caused by TB infection of cervical vertebrae, abscess lies centrally behind prevertebral fascia. Seen in older children, adolescents, slight dysphagia. ttt: incision of abscess through neck+ antituberculous drugs.
