Abscess of the pharynx
Abscess of the pharyngeal (abscess retrofaringealny) - purulent fusion of the pharyngeal space and lymph nodes. It is usually observed at an early age (up to two to three years) in weakened and malnourished children. The infection spreads through the lymphatic pathways from the middle ear, auditory tube, nasopharynx and nasal cavity. , гриппа; Often an abscess can appear as a complication of scarlet fever, measles , flu; and also due to injuries to foreign bodies (solid food) of the mucous membrane of the posterior surface of the pharynx. In adults, the development of an abscessed abscess is possible with syphilitic or tuberculous spondylitis of the cervical spine
The main causes of zaglugal abscess:
- Infectious diseases for children: scarlet fever, measles, flu
- Upper respiratory tract infections: pharyngitis, laryngitis
- Removal of adenoids (adenoidectomy)
- Removal of tonsils (tonsillectomy)
- Injuries to the occiput with subsequent development of osteomyelitis
- Foreign bodies of pharynx
- Injury of the pharyngeal wall
- Caries
- Purulent otitis media
- Wounds with solid food
- Mastoiditis
- Stony bone osteitis (Petrositis)
- Syphilis
Symptoms and course
As a rule, the pharyngeal abscess is acute (up to two weeks), but it can have a subacute (more than two weeks), a chronic and latent course (months).
Patients complain of severe pain and choking when swallowing, and often enough food gets into the nose, resulting in a complete refusal to eat. When the abscess is localized in the nasopharynx, nasal breathing appears as a result of nasal breathing. In case the abscess spreads to the lower parts of the pharynx, with the patient's vertical position, inspiratory dyspnea occurs, accompanied by wheezing. The total body temperature rises to 39 * - 40 * C. Quite a characteristic symptom is the forced position of the head: while it is tilted to the sore and slightly reclined. On the front of the sternocleidomastoid muscle and behind the angle of the lower jaw can be observed a slight swelling. Also a constant symptom of the abscess is the soreness of the lateral upper cervical and swelling lymph nodes.
The diagnosis is confirmed by the pharyngoscopy, in which the fluctuating swelling of the posterior pharyngeal wall is detected. In the initial stage of the disease, the globular protrusion of the posterior pharyngeal wall is located on one side, and as it continues to flow along the middle line. In case of doubt of the correct diagnosis, a diagnostic puncture
Treatment
In cases of acute development of the pharyngeal abscess, its mandatory concealment with subsequent administration of intramuscular injections of antibiotics and the use of antipyretic, sulfanilamide and hyposensitizing drugs is shown.
A chronic retropharyngeal abscess is not opened, in order to avoid re-infection. Against the background of antisyphilitic or anti-tuberculosis treatment, repeated punctures with suction of pus and subsequent introduction of the necessary specific medicinal solutions are necessary.
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