TY - JOUR
T1 - Unusual parapharyngeal extension of peritonsillar abscess to the masticator space
T2 - Successfully drained by extraoral and intraoral endoscopic approaches
AU - Hidaka, Hiroshi
AU - Ishida, Eiichi
AU - Suzuki, Takahiro
AU - Matsutani, Sachiko
AU - Kobayashi, Toshimitsu
AU - Takahashi, Shoki
N1 - Copyright:
Copyright 2014 Elsevier B.V., All rights reserved.
PY - 2014/5
Y1 - 2014/5
N2 - Objective: The object was to describe 2 novel cases of peritonsillar abscess showing peculiar extension to the masticator space. Methods: The methods included clinical case records, including computed tomography and surgical approaches. Results: Both patients we encountered were suffering from systematic diseases, with case 1 involving a 75-year-old man with diabetes mellitus and case 2 involving a 90-year-old woman taking immunosuppressive medications. The abscesses were peritonsillar in origin, extending primarily to the parapharyngeal space, with unusual secondary extension to the masticator space. Extraoral drainage conducted in case 1 was useful for assessing the masticator space and surrounding spaces, but endoscopy-assisted intraoral drainage in case 2 was less invasive, obviating the need for identifying the facial nerve. Conclusions: It is important to bear in mind that patients suffering from systemic diseases may display unusual extension of deep head and neck infections, and enhanced computed tomography is a useful modality for evaluating such extensions.
AB - Objective: The object was to describe 2 novel cases of peritonsillar abscess showing peculiar extension to the masticator space. Methods: The methods included clinical case records, including computed tomography and surgical approaches. Results: Both patients we encountered were suffering from systematic diseases, with case 1 involving a 75-year-old man with diabetes mellitus and case 2 involving a 90-year-old woman taking immunosuppressive medications. The abscesses were peritonsillar in origin, extending primarily to the parapharyngeal space, with unusual secondary extension to the masticator space. Extraoral drainage conducted in case 1 was useful for assessing the masticator space and surrounding spaces, but endoscopy-assisted intraoral drainage in case 2 was less invasive, obviating the need for identifying the facial nerve. Conclusions: It is important to bear in mind that patients suffering from systemic diseases may display unusual extension of deep head and neck infections, and enhanced computed tomography is a useful modality for evaluating such extensions.
KW - Deep neck infection
KW - Drainage
KW - Endoscopy
KW - Masticator space
KW - Peritonsillar abscess
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U2 - 10.1177/0003489414526360
DO - 10.1177/0003489414526360
M3 - Article
C2 - 24682731
AN - SCOPUS:84903513989
VL - 123
SP - 333
EP - 337
JO - The Annals of otology, rhinology, and laryngology
JF - The Annals of otology, rhinology, and laryngology
SN - 0003-4894
IS - 5
ER -