Paratonsillitis

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The objective of the present work was to summarize the currently available literature data on the prevalence, etiology and treatment of paratonsillitis (PT) and paratonsillar abscess (PA). The analysis of statistical information concerning PT/PA prevalence revealed a tendency toward the increase of the number of emergency interventions for the treatment of PA that may be attributed to the reduction in the number of planned tonsillectomies as well as to the absence or inadequate organization of regular medical check-ups of the patients presenting with chronic tonsillitis. The structure of selected complications of PA is described with special reference to the prerequisites for the development of pyo-necrotic lesions in the soft tissues of the neck and tonsillogenic sepsis. The importance of the problems pertaining to the treatment of PA is emphasized. Special attention is given to the low level of evidence (C) for the effectiveness of various drainage methods (puncture, incision). The review of the literature data suggests the high effectiveness of abscess-tonsilectomy.

Keywords:

paratonsillar abscess

prevalence

etiology

pathogenesis

diagnostics

treatment

Authors:

Nosulia E.V.

List of references:

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