Parathonsillar abscess

Angina is a common disease for many people from childhood. With improper treatment against the background of the inflammatory process, various accompanying pathologies develop. Paratonzillar abscess, photos will help to better understand how the disease manifests.

Paratonlesillar abscess - what is

Paratonsillar abscess( phlegmonous tonsillitis, paratonzillitis) is a disease in which the inflammatory process is localized in tissue cells around the tonsils. The disease develops against a background of chronic tonsillitis and tonsillitis, it can be one-sided or two-sided.

What does the paratonsillar abscess look like? External manifestations of the disease depend on the form of phlegmonous sore throat:

1. The initial stage - the inflammatory process affects the upper compartments of tonsils and the lingual-tongue arch. The most common subspecies of the disease, as the amygdala in the upper part is poorly drained. The inflamed sky is pushed forward, after 5 days a yellowish coating appears on the arch. Such an abscess is often opened without surgery.
2. In the posterior form, the focus of inflammation is between the amygdala and the pharyngeal arch. The main feature - pathology does not prevent the normal opening of the mouth. As the disease develops, the abscess spreads to the larynx, the lumen narrows, and breathing is difficult.
3. With the lower form, the inflammatory foci are moved to the lower compartments of the tonsils. Pathology develops against the backdrop of dental problems, can occur with teething.
4. The external form of phlegmonous sore throat is rare. It is characterized by the presence of an inflammatory process from the outside of the tonsils.

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Right-sided paratonsillar abscess occurs more often, all signs of inflammation appear on the right side. Code on the ICD 10 - J 36 - peritonsillar abscess.

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Causes of the disease

The parathonsillar abscess of the throat develops on the background of a weakened organism, the wrong drug treatment of inflammatory processes in the tonsils.

Causes of paratonzillitis:

• penetration into the near-mandibular tissues of staphylococci, streptococci;
• traumas of the pharynx, which led to a violation of the integrity of the tissues;
• inflammatory processes associated with teething in children, or wisdom teeth in adults;
• stresses, hypothermia, metabolic disorders in the body;
• some medicines.

Important! Often phlegmonous tonsillitis occurs after removal of the tonsils, if after the operation, pieces of lymphoid tissue are left.

Paratonlesillar abscess often develops on the background of diabetes mellitus, immunodeficiency. Provoke the disease can smoking, unbalanced diet, alcohol abuse.

Symptoms of the disease

During the tonsillitis on the tonsils, scars form which prevent the outflow of pus. In this case, pathogenic microorganisms accumulate in the near-mandibular tissues, inflammation foci are formed, capillaries are filled with blood, which is manifested in the form of a strong edema of the mucosa.

Important! Phlegmonous tonsillitis is equally diagnosed in children and adults.

The main signs of the disease begin to appear 2-8 days before the formation of the abscess. At the same time there is a gradual deterioration in the person's well-being.

As an acute paratonsillar abscess manifests itself:

• appears a pain syndrome, which is localized on one side of the throat;
• there is discomfort during swallowing and talking;
• fever, constant headache, chills;
• sleep deterioration;
• begins to hurt the ear from the side of inflammation, lymph nodes increase.

Accumulation of pus leads to the appearance of putrefactive odor from the mouth, there is swelling of the tongue, spasm of the masticatory muscles. Pain with an abscess is more severe and painful than with an ordinary sore throat, it does not abate in a calm state. The pain syndrome increases with every minor movement, is given in the jaw or ear.

All manifestations of the disease more often affect the right side, with left-sided paratonsillar abscess the signs appear on the left side.

Parathonsillar abscess in child

Parathonsillar abscess in infants and children under 2 years of age is associated with accumulation of pus in the facial tissue. In older children, the disease develops against a background of chronic or untreated angina.

The main symptoms are high fever for 6 or more days, difficulty swallowing, rapid breathing. The sick child begins to talk "in the nose", it is difficult for the infants to suck the breast. Children begin to tilt their heads, tilt it in the direction where the inflammation is located. At a palpation it is possible to find out a tumor on the sides of the pharynx, enlarged lymph nodes.

The sick child needs urgent hospitalization, the antibiotic drug treatment will be carried out, if necessary, the doctor will perform an abscess opening.

Important! For the treatment of phlegmonous sore throat in children use Cefotaxime, Amoxicillin, Ampicillin.

How to treat medicines

Parathonsillar abscess requires long-term drug treatment, based on antibiotics. Conservative treatment is used only at the initial stage of the disease.

Is it possible to treat parathonsillar abscess with biseptol? Biseptol is an antimicrobial drug that does not belong to the group of antibiotics. This drug has been used for several decades, so many bacteria do not react to it. Biseptol is less toxic, but less effective in treating abscesses. It is only the doctor who can decide whether to use the drug in the treatment of phlegmonous sore throat.

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Without qualified medical care, the following complications are possible:

1. Neck phlegmon - the disease is characterized by rapid spread of necrosis, damage to nerve bundles and vessels in the neck. Pus begins to descend into the space behind the breastbone, which can lead to disruption in the lungs and heart.
2. Angina Ludwig - is characterized by a wide spread of purulent discharge. The disease develops against the background of penetration of anaerobic microbes, which are characterized by increased aggression. With pathology, the neck increases in size against the backdrop of gas accumulation in dead tissues.
3. Sepsis - with the bloodstream pathogenic microbes are carried throughout the body.
4. Infectious-toxic shock - a strong intoxication on the background of poisoning the body with the products of decay of dead tissues. Without timely medical assistance, it may be the onset of a coma.

Important! The death rate from Ludwig's angina is more than 10%, even if the most modern and strong antibiotics are used.

For effective treatment, use antibacterial drugs based on amoxicillin, macrolides, cephalosporins of the last generation - Cefazolin, Cefurakshim, Amiksatsin.

In addition prescribe painkillers, immunomodulators, vitamin complexes. It is necessary to gargle with solutions that contain antiseptic and antibacterial substances - furatsilin, miramistin.

Bioparox is the most effective drug for the treatment of phlegmonous tonsillitis. With its help it is possible to suspend the active growth of pathogenic microorganisms, to reduce the inflammatory foci. The drug has a pronounced antibacterial and anti-inflammatory effect.

Important! Any kind of heating with phlegmonous sore throat is prohibited.

Operative removal of paratonzillar abscess

In the absence of positive results after using conservative methods, the doctor prescribes surgical treatment.

Palliative methods:

• suction of pus - for this purpose the abscess is punctured, drainage takes 2-5 days;
• dissection of the paratonsillar abscess - for this purpose a small incision is made in it.

The autopsy technique does not always give positive results, as there may not be an outflow of pus. Often there are complications in the form of gluing a hole, which requires repeated intervention to expand the wound.

Radical treatment is performed by bilateral tonsillectomy. Such an intervention allows you to remove foci of inflammation, which caused the development of pathology.

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Treatment after dissection is based on conservative therapy, which is used to treat the disease at an early stage. In addition, the doctor may prescribe Intraconazole for the prevention of fungal complications. As an anesthetic, paracetamol is used intravenously.

Time of hospitalization is 3-14 days, depending on the severity of the disease, the presence of complications after surgery.

Parathonsillar abscess is a complex disease that can cause many serious pathologies. Therefore, treatment at home is unacceptable, hospitalization is necessary. Methods of alternative medicine can be used only as a supportive and preventive remedy, when the tonsils are already without pus.