How are peripharyngeal abscesses diagnosed?

Authors

  • Antonio Caravana-García Servicio de OTORRINOLARINGOLOGÍA - Hospital del Servicio Andaluz de Salud “PUNTA de EUROPA”, ALGECIRAS, Cádiz, España
  • Wasim Helhendi-Halawa Servicio de OTORRINOLARINGOLOGÍA - Hospital del Servicio Andaluz de Salud “PUNTA de EUROPA” ALGECIRAS, Cádiz, España
  • Antonio Rodríguez-Fdez-Freire Servicio de OTORRINOLARINGOLOGÍA - Hospital del Servicio Andaluz de Salud “PUNTA de EUROPA” ALGECIRAS, Cádiz, España
  • Rafael Ruiz-Fito Servicio de OTORRINOLARINGOLOGÍA - Hospital del Servicio Andaluz de Salud “PUNTA de EUROPA” ALGECIRAS, Cádiz, España
  • Irene Vázquez-Muñoz Servicio de OTORRINOLARINGOLOGÍA - Hospital del Servicio Andaluz de Salud “PUNTA de EUROPA” ALGECIRAS, Cádiz, España
  • Antonio Sanmartin-Anaya Servicio de OTORRINOLARINGOLOGÍA - Hospital del Servicio Andaluz de Salud “PUNTA de EUROPA” ALGECIRAS, Cádiz, España

DOI:

https://doi.org/10.34631/sporl.132

Keywords:

Peripharyngeal abscess, Peritonsillar abscess, Diagnosis, parapharyngeal abscess, retropharyngeal abscess, parapharyngeal tumours

Abstract

Introduction and objectives: Peripharyngeal abscesses are a frequent reason for visiting the doctor and urgent assistance for General Practitioners, Accident & Emergency and Otolaryngology doctors . Although all the authors claim that the diagnosis is clinical, in many cases the confirmation of this diagnosis must be made by imaging techniques. Therefore, when and what must be requested? This is the goal of our paper.

Material y methods: We undertook a systematic medical papers review of the last twenty years.

Results: The search of medical papers we have performed shows us that clinical presentation as well as the clinical examination and an imaging test like Ultrasound, CT scan or MRI are the usual methods of diagnosis, although we could not find any particular guidelines.

Conclusions: We have not been able to find in this search any diagnostic guidelines for such a frequent medical problem and not lacking in unexpected findings.

References

Makeieff M, Quaranta N et Guerrier B. Tumeurs parapharyngées. Encycl Méd Chir (Editions Scientifiques et Médicales Elservier SAS, Paris), Oto-rhino-laryngologie. 2000; 20-605-C-10,14 p.

Barry B, Kici S, Arneline E et Bensimon JL. Supurations péripharyngées. Encycl Méd Chir (Editions Scientifiques et Médicales Elservier SAS, Paris), Oto-rhino-laryngologie. 2000; 20-520-A-10, 6 p.

Ferron C, Emam N et Beauvillain de Montreuil C. Tumeurs malignes de la paroi postérieure du pharynx. Encycl Méd Chir

(Editions Scientifiques et Médicales Elservier SAS, Paris), Oto-rhinolaryngologie. 2002; 20-601-A-10, 10 p.

Fayoux P, Chevalier D et Dubrulle F. Tumeurs bénignes du pharynx. Encycl Méd Chir (Editions Scientifiques et Médicales Elservier SAS, Paris), Oto-rhino-laryngologie. 1998; 20-586-A-10, 6 p.

García Callejo FJ, Núñez Gómez F, Sala Franco J y Marco Algarra J. Tratamiento de la infección periamigdalina. An Pediatr (Barc). 2006; 65(1):37-43.

Al Yaghchi C, Cruise A, Kapoor K, Singh A and Harcourt J. Out-patient management of patients with a peritonsillar abscess. Clin Otolaryngol. 2008; 33, 32-55.

Viljoen M and Loock JW. Quinsy treated by aspiration: the volume of pus at initial aspiration is an accurate predictor of the need for subsequent re-aspiration. Clin Otolaryngol. 2007; 32, 98-102.

Martín Champagne E, Del Castillo Martín F, Martínez López MM, et al. Abscesos periamigdalino y retrofaríngeo: estudio de 13 años. An Pediatr (Barc). 2006; 65(1):32-6.

Mordekar SR, Bradley PJ, Whitehouse WP and Goddard AJP. Occult carotid pseudoaneurysm following streptococcal throat infection. J. Paediatr. Child Health. 2005; 41,682-684.

Monobe H, Suzuki S, Nakashima M et al. Peritonsillar abscess with parapharyngeal and retropharyngeal involvement: incidence andintraoral approach. Acta Oto-Laryngologica. 2007; 127:91-94

Page C, Biet A, Zaatar R and Strunski V. Parapharyngeal abscess: diagnosis and treatment. Eur Arch Otorhinolaryngol. 2008; 265:681-686.

Ozgur Z, Celik S, Govsa F et al. A study of the course of the internal carotid artery in the parapharyngeal space and its clinical importance. Eur Arch Otorhinolaryngol. 2007; 264:1483–1489.

Gavriel H, Vaiman M, Kessler A et al. Microbiology of peritonsillar abscess as an indication for tonsillectomy. Medicine. 2008; 87(1):33-36.

Khayr W and Taepke J. Management of peritonsillar abscess: Needle aspiration versus incision and drainage versus tonsillectomy. Am J Ther. 2005; 12(4):344-350.

Palomar Asenjo V, Borràs Perera M, Ruiz Giner A y Palomar García V. Infecciones del espacio periamigdalar: manejo ambulatorio. Anales ORL Iber.-Amer. 2006 XXXIII(4),399-407.

Carstairs KL and McCaslin I. An unusual presentation of peritonsillar abscess. Pediatric Emergency Care. 2004; 20(10):68-2.

Teppo H, Revonta M. Diagnosis of peritonsillar abscess in primary care. Int J Pediatr Otorhinolaryngol. 2007; 71(12):1865-72.

Lyon M and Blaivas M. Intraoral ultrasound in the diagnosis and treatment of suspected peritonsillar abscess in the emergency department. Acad Emerg Med. 2005; 12(1):85-8.

Ozbek C, Aygenc E, Tuna EU et al. Use of steroids in the treatment of peritonsillar abscess. Laryngol Otol. 2009; Mar 19:1-3.

Page C, Biet A, Zaatar R and Strunski V. Parapharyngeal abscess: diagnosis and treatment. Eur Arch Otorhinolaryngol. 2008; 265:681-686.

Monobe H, Suzuki S, Nakashima M et al. Peritonsillar abscess with parapharyngeal and retropharyngeal involvement: incidence and intraoral approach. Acta Otolaryngol. 2007; 127:91-94.

Suarez-Fente V, Llorente-Pendas JL, Gómez-Martínez J et al. Tumores primarios del espacio parafaringeo. Nuestra experiencia en 51 pacientes. Acta Otorrinolaringol Esp. 2009; 60(1):19-24.

Mehanna HM, Al-Bahnasawi, White A. National audit of the management of peritonsillar abscess. Postgrad Med J. 2002; 78:545-548.

Rahn R and Hutten-Czapski P. Quinsy(peritonsillar abscess). Can J Rural Med. 2009; 14(1).

Johnson RF, Stewart MG, and Wright C. An evidence-based review of the treatment of peritonsillar abscess. Otolaryngol Head Neck Surg. 2003; 128:332-43.

Gavriel H, Lazarovitch T, Pomortsev A and Eviatar E. Variations in the microbiology of peritonsillar abscess. Eur J Clin Microbiol Infect Dis. 2009; 28:27-31.

Vieira F, Allen SM, Stocks RM and Thompson JW. Deep neck infection. Otolaryngol Clin N Am. 2008; 41:459-483.

Malloy KM, Christenson T, Meyer JS and al. Lack of association of CT findings and surgical drainage in pediatric neck abscesses. International journal of Pediatric Otorhinolaryngology. 2007; 72(2):235-239.

Daramola OO, Flanagan CE, Maisel RH and Odland RM. Diagnosis and treatment of deep neck space abscesses. Otolaryngol Head Neck Surg. 2009; 141:123-130.

Windfuhr JO and Remmert S. Trends and complications in the management of peritonsillar abscess in the childs. HNO. 2005;53(1):46-57.

Kirse, DJ and Roberson DW. Surgical management of retropharyngeal space infections in children. Laryngoscope. 2001; 111:1413-1422.

Johnson RF and Stewart MG. The contemporary approach to diagnosis and management of peritonsillar abscess. Curr Opin Otolaryngol Head Neck Surg. 2005; 13:157-160.

Ramirez-Schrempp D, Dorfman DH, Baker WE and Liteplo AS. Ultrasound soft tissue applications in the pediatric emergency department. Pediatr Emer Care. 2009; 25:44-48.

Nelson TG, Hayat T, Jones H and Weller MD. Use of bacteriologic studies in the management of peritonsillar abscess. Clinical Otoralyngology. 2008; 34:88-89.

Page C, Peltier J, Medard C, Celebi Z et al. Plegmons péritonsillaires. Ann Otolaryngol Chir Cervicofac. 2007; 124:9-15.

Wagner R, Espitalier F, Madoz A et al. Absès retro- et parapharyngés de l’enfant: facteurs prédictifs d’échec du traitement médical. Ann Otolaryngol Chir Cervicofac. 2009; 126:112-119.

Braude DA and Shalit M. A novel approach to enhance visualitation during drainage of peritonsillar abscess. J Emer Med. 2008; 35:297-298.

Brook I. Current management of upper respiratory tract and head and neck infections. Eur Arch Otorhinolaryngol. 2009; 266:315-323.

Huang TT, Lie TCh, Chen PR et al. Deep neck infection: Analysis of 185 cases. Head Neck. 2004; 26:854-860.

Courtney MJ, Mahadevan M and Miteff A. Management of paediatric retropharyngeal infections: Non-surgical versus surgical. ANZ J Surg. 2007; 77:985-987.

Sichel JY, Dano I, Hocwald E et al. Nonsurgical Management of parapharyngeal space infections: A prospective study. Laryngoscope. 2002; 112:906-910.

Thapar A, Tassone P, Bhat N and Pfleiderer A. Parapharyngeal abscess. A life-Threatening complication of Quinsy. Clinical Anatomy. 2008; 21:23-26.

Scott PM, Loftus WK, Kew J et al. Diagnosis of peritonsillar infections: a prospective study of ultrasound, computerized tomography and clinical diagnosis. J Laryngol Otol. 1999; 113:229-232.

Haeggstrom A, Gustafsson O, Engquist S et al. Intraoral ultrasonography in the diagnosis of peritonsillar abscess. Otolaryngol Head Neck Surg. 1993; 108:243-247.

Galioto NJ. Peritonsillar abscess. Am Fam Physician. 2008; 77(2):199-202.

Repanos C, mukherjee P and Alwahab Y. Role of microbiological studies in management of peritonsillar abscess. The Journal of laryngology & Otology. 2009; 123:877-879.

Kilty SJ and Gaboury I. Clinical predictors of Peritonsillar abscess in Adults. Otolaryngol Head Neck Surg. 2008; 37(2):165-168.

García Callejo FJ and Velert Vila MM. Conducta ante el flemón y el absceso periamigdalino en la infancia desde nuestra experiencia. An Esp Pediatr. 1999; 51:251-256.

Chang EH and Hasmilton G. Novel Technique for Peritonsillar Abscess Drainage. Ann Otol Rhinol Laryngol. 2008; 117(99):637-640.

How to Cite

Caravana-García, A., Helhendi-Halawa, W., Rodríguez-Fdez-Freire, A., Ruiz-Fito, R., Vázquez-Muñoz, I., & Sanmartin-Anaya, A. (2012). How are peripharyngeal abscesses diagnosed?. Portuguese Journal of Otorhinolaryngology and Head and Neck Surgery, 50(1), 33–38. https://doi.org/10.34631/sporl.132

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