MD Peritonsillar Abscess Quinsy Abscess between tonsilar capsule and latpharyngeal wall Follows attack of AT is unilateral above tonsil near soft palate 1 st cellulitis then frank pus ID: 1032180
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1. Pharyngeal SuppurationBy WAMMD
2. Peritonsillar Abscess (Quinsy)Abscess between tonsilar capsule and lat.pharyngeal wall.Follows attack of AT, is unilateral, above tonsil near soft palate, 1st cellulitis then frank pus.CP: pain, fever, trismus, dysphagia. complications: laryngeal oedema, Paraph.abscess
3. Parapharyngeal Abscess.Spread from tonsils, lower wisdom tooth.CP: pain, trismus, fever, neck swelling, pharyngeal wall and tonsils pushed medially.Complications: laryngeal oedema, IJV thrombophlebitis, mediastinitis.Treatment: systemic antibiotics.Incision of abscess through neck.
4. Retropharyngeal Abscess1. Acute: limited to one side of midline, due to suppuration of retropharyngeal LNs.CP: often in infants, difficulty in breathing and suckling, torticollis, nasal obstruction, oedema of larynx.ttt: Incision of abscess.2. Chronic: caused by TB infection of cervical vertebrae, abscess lies centrally behind prevertebral fascia.Seen in older children, adolescents, slight dysphagia.ttt: incision of abscess through neck+ antituberculous drugs.