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Intraoral drainage under surgical microscopy with tonsillectomy for parapharyngeal abscesses

Published online by Cambridge University Press:  22 April 2015

Y Okumura ,
H Hidaka ,
N Noguchi  and
Y Katori
Y Okumura
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Tohoku University Graduate School of Medicine, Sendai, Japan
H Hidaka*
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Tohoku University Graduate School of Medicine, Sendai, Japan
N Noguchi
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Tohoku University Graduate School of Medicine, Sendai, Japan
Y Katori
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Tohoku University Graduate School of Medicine, Sendai, Japan
*
Address for correspondence: Dr Hiroshi Hidaka, Department of Otolaryngology – Head and Neck Surgery, Tohoku University Graduate School of Medicine, 1-1 Seiryomachi, Aoba-ku, Sendai 980-8575, Japan Fax: +81-22-717-7307 E-mail: [email protected]
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Abstract

Background:

An intraoral approach combined with tonsillectomy has been used to access the parapharyngeal space. However, the utility of this technique for parapharyngeal abscesses in paediatric patients has not been investigated. This paper describes an intraoral drainage technique combined with tonsillectomy for treating children with a parapharyngeal abscess that obviates the need for skin incision.

Methods:

Clinical case records are presented, along with a description of the surgical procedure accompanied by a video clip.

Results:

Both cases encountered involved paediatric parapharyngeal space abscesses that extended to the skull base. The patients underwent an intraoral approach combined with tonsillectomy performed under surgical microscopy; this resulted in a good post-operative course without complications.

Conclusion:

To our knowledge, no previous reports have addressed the use of surgical microscopy to help access the parapharyngeal space. The procedure described herein, performed under surgical microscopy, was specifically helpful in enabling access to these challenging spaces; it also meant that surgical procedures could be recorded clearly and findings shared with other medical staff.

Keywords

AbscessUpper Respiratory Tract InfectionsRetropharyngeal AbscessMicrosurgery
Type
Short Communications
Information
The Journal of Laryngology & Otology , Volume 129 , Issue 6 , June 2015 , pp. 595 - 597
Copyright
Copyright © JLO (1984) Limited 2015 

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