Tonsillectomy

Overview tonsillectomy (peritonsillar abscess) is around tonsil gap The purulent inflammation. Early as cellulitis, said around tonsil infections and abscess formation in favor, saying tonsillectomy. Cause pathogenesis of the disease often secondary to acute tonsillitis or acute exacerbation of chronic tonsillitis. As the tonsil crypts, especially on the tonsil crypt has been blocked, impeded drainage, deep infection to the development, penetrating tonsil capsule penetrated tonsil arising from the surrounding space. More common pathogens for hemolytic streptococcus or staphylococcus aureus. More common in adults. Clinical manifestations of acute inflammation in tonsil 3 ~ 4 days, still persistent fever or has increased, the temperature rise above 39 ° C, pharyngodynia intensified, especially when swallowing. Often limited to the affected, radiotherapy to the neck and ear, the main features of swallowing pain, dysphagia, saliva outflows, trismus, unclear language, pitch change, weakens the body. Patients in serious condition when first preference ipsilateral and difficult moment. Language may wish mouths were unclear, I can not too much, how the mouth saliva paste volume along the altercation outflows. Visibility diagnosis of congestive pharyngeal mucosa, the affected soft palate congestive significant swelling, abscess common in tonsil and extremely arch between the tongue and palate. Obviously there uplift, and the soft palate obstruct hanging vertical be pushed to the opposite. If tonsil abscess at the very tongue and palate between arch, the arch above the tongue and palate uplift, which tonsil was pushed inward to cover the bottom. If at the tonsil and palatopharyngeus between arch, palatopharyngeus arch upwards, tonsil pushed forward the bottom. Ipsilateral carotid and mandibular lymphadenopathy. According to the signs and symptoms is not difficult to diagnose. According to the patients usually have 4 -5 days, and local Pharyngodynia dramatic uplift Obviously, in the most uplift Department pilot pus aspiration diagnosis can be made. Of the disease to identify with the following diseases : (1) parapharyngeal abscess : parapharyngeal space for the acute suppurative inflammation, swelling in parts of the mandibular side of the external carotid Ministry, accompanied by tenderness, tonsil and on the side of the pharyngeal wall was pushed centerline But tonsil itself without lesions. (2) Wisdom Teeth Periodontit : alveolar occur next insides crown cover swelling, redness may spread to the tongue and palate arch, But tonsil and vertical hanging obstruct generally not affected. (3) acute leukemia : sometimes pharyngeal isthmus was acute inflammation, but the pain, bleeding and partial necrosis, Ministry also gingival bleeding lesions, blood and bone marrow were diagnosed as available. (4) tonsil cancer : more common in adults. Unilateral tonsillar enlargement, the local inflammatory little, the quality of hard, smooth surface or ulcers, or showed a cauliflower-like, Early clinical symptoms not obvious. Yi early cervical lymph node metastasis, local biopsy can be diagnosed. Yet in the treatment of abscess formation, their treatment of acute tonsillitis and the same. Systemic antibiotics, neck physiotherapy, such as mouthwash. Abscess formation should have been OK for 51 days, in the 1% ropivacaine under topical anesthesia, Uplift in a septic Department puncture incision and submucosal organizations, about a centimeter, tonsil then inserted into the vascular clamp vomica, the expansion incision, purulent discharge, placed drainage, After a day a further expansion until the abscess do Pott row at the top before, it is difficult to determine if the incision site, along vertical roots hanging obstruct an imaginary horizon and then to the tongue and palate arch free edge of the bottom for an imaginary vertical line, Here two lines intersection incision. After abscess at the top, in palatopharyngeus arch incision, and vascular clamp expand incision and drainage must be made. Good recurrence of the disease, to prevent recurrence, should be held tonsillectomy. Acute inflammation can be dissipated in the two weeks after the trip tonsillectomy. Also available on the control of antibiotics, the pus aspiration trip immediately after tonsillectomy, the strengths of the drainage must be made smoother and faster recovery.