透過您的圖書館登入
IP:18.191.44.23
  • 期刊

Inferior Pole Peritonsillar Abscess Successfully Treated with Non-Surgical Approach in Four Cases

以非外科手術方法治療下端扁桃腺周圍囊腫-四例病例

摘要


下端扁桃腺周圍囊腫,由於沒有明顯的局部變化以及沒有足夠的警覺性,因此容易被忽略而未能及早診斷。在這篇文章中,我們報告四例罹患下端扁桃腺周圍囊腫的病患。這四名病患都有明顯嚴重的症狀,但是在一般所知的扁桃腺周圍結構並沒有明顯變化。因此,小心檢查口咽部和高度的警覺性是早期發現此疾病的關鍵。而且有機會在免疫功能良好且給予藥物效果好的病患,只使用內科療法,無須馬上實施扁桃腺切除術來治療下端扁桃腺周圍囊腫。

並列摘要


Inferior pole peritonsillar abscess is uncommon and easily overlooked because it has no obvious physical appearance and there is a low index of suspicion by clinicians. In this report, we present four patients with inferior pole peritonsillar abscess who all had severe symptoms (fever, sore throat, muffled voice, trismus and painful neck) but had no obvious distortion of the peritonsillar structure. Careful oropharyngeal examination and a high index of suspicion are critical to make the diagnosis at an early disease stage, when the abscess can be treated with antibiotics without immediate tonsillectomy. This treatment strategy can be used if a patient is immunocompetent and the initial treatment response is good.

延伸閱讀