Tonsil abscess around
tonsillectomy tonsil abscess in acute inflammation, if I were to plug recess. Deep infection to the development of the pharyngeal muscle between the tonsillar capsule and loose tissue inflammation following became abscess. The disease occurred in the side of bilateral and morbidity were rare, the majority of adult patients frequently relapsed.
[Clinical]
After 4-6 acute tonsillitis future, no improvement in symptoms, but the temperature rose, the side lines pain intensified, especially important when swallowing. often connected with the Ministry of ear pain, increased saliva, ambiguous words, trismus, under lymph nodes. Abscess formation in the side of the tongue and soft palate before TPA can be seen significant congestion, swelling and abscess formation markedly around behind the tonsil. tonsil be pushed to the "bottom" ago.
[Diagnosis]
1, sore throat and increase in swallowing, significant side, we can see the side of partial tonsillectomy congestion, swelling, purulent secretions. tonsillectomy acute congestive mucosa, swelling, swelling of the ipsilateral under drenched white unity.
2, differential
(1) wisdom tooth-differentiated : awarded under the third molar (wisdom tooth) pericoronitis due to the onset ¡¢ teeth and gums, redness, swelling crown on Mr. Tan, tonsil inflammation can be extended to the front.
(2) : differential and parapharyngeal abscess swelling of the affected area and lower jaw tenderness, with the center line moved to the pharyngeal wall and tonsil. tonsil itself but no obvious swelling.
[Treatment]
Tonsil abscess around, the early conservative treatment, the use of antibiotics to control infection. In abscess formation, the tourism industry to continue medication, but also pus aspiration or drainage. Nor should tonsillectomy in acute inflammation, in order to avoid repeated attack.
1, Western medicine treatment
(1) use a lot of antibiotics to control infection intravenously better. 800-1200 million units such as intravenous penicillin, fever medicine should be given immediately. severe pain appropriate pain killers, such as Liushen Pill or mouths.
(2) abscess formation, will be limited to 1% tetracaine sprayed surface anesthesia, swelling in the most prominent position in crude needle puncture pus, all I do so with a knife or pus discharge. postoperative wounds the next day review, and maintain good drainage.
2, Chinese medicine : Chinese medicine treatment for the wind-heat evidence that the disease early, late for the correlation of lung and stomach obstruct heat Expelling Shufeng Qingre so early, detoxification Liyan.
Recipe : Jindenglong, the Shandougen 15 grams baicalin, Ballad, carvacrol, honeysuckle, Hypericum perforatum, the Arctiin 10 grams. GA 6 grams.
Inter abscess drainage, drainage must be overcome stasis agent : the scales, RP, Chishao that baicalin curtailed, Banlangen, Gardenia. Shegan, 10 grams Ballad of the Health and 6 grams of licorice. 10 grams in addition to severe pain frankincense, Myrrh 10 grams, 10 grams Huang constipated may intensify.
[] Prevention and surely
I.. Gargle with mouthwash and more during the incubation period, the number of Bell's fluid used prepared dilute brine. Rinse 5-10 times daily, and drainage must play a supporting, anti-inflammatory effect. Catering mainly to customers, odynophagia flow can eat fresh or semi-liquid food, the heat can be used in high alcohol sponge bath. Help to cool down.
2. Aggressive treatment of acute tonsillitis can prevent this disease.

This article was posted on 2007-02-27