Understanding Pharyngeal Suppuration and Abscesses

Pharyngeal suppuration and abscesses, such as peritonsillar abscess (Quinsy), parapharyngeal abscess, and retropharyngeal abscess, can present with symptoms like pain, fever, trismus, and neck swelling. Complications may include laryngeal edema and mediastinitis. Treatment involves systemic antibiotics and, in some cases, incision of the abscess. Recognizing the signs and symptoms of these conditions is crucial for timely management and prevention of serious complications.

• Pharyngeal suppuration
• Abscesses
• Peritonsillar abscess
• Parapharyngeal abscess
• Retropharyngeal abscess

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Uploaded on Jul 22, 2024 | 1 Views

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1. PHARYNGEAL SUPPURATION By WAM MD

2. 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

3. 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.

4. 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.