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Mediastinitis - a rare complication of a peritonsillar abscess

Published online by Cambridge University Press:  29 June 2007

T. R. Nielsen ,
F. Clement  and
U. K. Andreassen
T. R. Nielsen*
Affiliation:
Department of Otolaryngology, Hillerød Hospital, University of Copenhagen.
F. Clement
Affiliation:
Department of Otolaryngology, Hillerød Hospital, University of Copenhagen.
U. K. Andreassen
Affiliation:
Department of Otolaryngology, Gentofte Hospital, University of Copenhagen.
*
Address for correspondence: Torfinnur Rubek Nielsen, Department of Otolaryngology, Hillerød Sygehus, Helsevej 2, DK-3400 Hillerød, Denmark.
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Abstract

We report a case of mediastinitis, in an otherwise healthy 25-year-old man, resulting from a peritonsillar abscess with extension through the parapharyngeal and retropharyngeal spaces.

In our case the patient was primarily treated with needle aspiration, a method described in many publications as a safe alternative to incision and drainage.

We emphasize that for peritonsillar abscesses a tonsillectomy or wide incision and drainage, instead of needle aspiration, might prevent the extension of the condition, thus preventing serious complications.

Keywords

Peritonsillar abscessMediastinitisParapharyngeal abscess
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 110 , Issue 2 , February 1996 , pp. 175 - 176
Copyright
Copyright © JLO (1984) Limited 1996

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References

Brodsky, L. (1993) Tonsillitis, tonsillectomy and adenoidectomy. In Head and Neck Surgery — Otolaryngology. Vol. 1. (Bailey, B. J.andPillsbury, H. C. III eds.), J. B. Lippincott Company, Philadelphia, pp 833–847.Google Scholar
Cliven, R., Vaisanen, M. L., Finegold, S. M. (1993) Peritonsillar abscess, retropharyngeal abscess, mediastinitis, and nonclostridial anaerobic myonecrosis: a case report. Clinical Infectious Diseases 16(suppl 4): 299–303.Google Scholar
Crewson, W. N. (1973) Fatal necrotizing fasciitis developing after tooth extraction. American Journal of Surgery 39: 525–527.Google Scholar
Herzon, F. S. (1984) Permucosal needle drainage of peritonsillar abscess: a five-year experience. Archives of Otolaryngology – Head and Neck Surgery 110: 104–105.CrossRefGoogle ScholarPubMed
Jensen, M. H. (1990) Peritonsilr absces behandlet med punktur og aspiration. Ugeskrift for Lager 152: 1231–1232.Google Scholar
Ophir, D., Bawnik, J., Poria, Y., Porat, M., Marshak, G. (1988) Peritonsillar abscess: a prospective evaluation of outpatient management by needle aspiration. Archives of Otolaryn gotogy – Head and Neck Surgery 114: 661–663.CrossRefGoogle ScholarPubMed
Scott, B. A., Stiernberg, C. M. (1993) Deep neck space infections. In Head and Neck Surgery – Otolaryngology Vol. 1. (Bailey, B. J., Pillsbury, H. C. III, eds.), J. B. Lippincott Company, Philadelphia, pp 738–753.Google Scholar
Snow, D. G., Campbell, J. B., Morgan, W. D. (1991) The microbiology of peritonsillar sepsis. Journal of Laryngology and Otology 105: 553–555.CrossRefGoogle ScholarPubMed
Spires, J. R., Owens, J. J., Woodson, G. E., Miller, R. H. (1987) Treatment of peritonsillar abscess: a prospective study of aspiration vs incision and drainage. Archives of Otolaryngology – Head and Neck Surgery 113: 984–986.CrossRefGoogle ScholarPubMed
Stage, J., Bonding, P. (1988) Peritonsillar abscess with parapharyngeal involvement: incidence and treatment. Clinical Ototaryngology 12: 1–5.Google Scholar
Wenig, B. L., Shikowitz, M. J., Abramson, A. L. (1984) Necrotizing fasciitis as lethal complication of peritonsillar abscess. Laryngoscope 94: 1576–1579.CrossRefGoogle ScholarPubMed
Wolf, M., Even-Chen, I., Kronenberg, J. (1994) Peritonsillar abscess: repeated needle aspiration versus incision and drainage. Annals of Otology, Rhinology and Laryngology 103: 554–557.CrossRefGoogle ScholarPubMed