The clinical characteristics of inferior pole peritonsillar abscesses

DOI
  • Kawabata Masaki
    Kagoshima University Graduate School of Medical and Dental Sciences
  • Umakoshi Mizuo
    Kagoshima University Graduate School of Medical and Dental Sciences
  • Matsumoto Hayato
    Kagoshima University Graduate School of Medical and Dental Sciences
  • Nagano Hiromi
    Kagoshima University Graduate School of Medical and Dental Sciences
  • Ohori Junichiro
    Kagoshima University Graduate School of Medical and Dental Sciences
  • Kurono Yuichi
    Kagoshima University Graduate School of Medical and Dental Sciences

Bibliographic Information

Other Title
  • 下極型扁桃周囲膿瘍の臨床的特徴

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Description

We previously reported that based on computed tomography （CT） findings, peritonsillar abscess （PTA） patients were classified into two categories by the abscess shape: the Oval type and the Cap type. When the CT classifications were compared with the clinical findings, patients with the inferior Cap type abscess had laryngeal edema and airway obstruction more frequently than the other categories of PTA. In the present study, we reviewed 240 patients diagnosed as having PTAs on the basis of the CT findings between April 2007 and March 2017. Age, gender, bacteria detected in pus and diameters of PTAs were investigated. On the axial view of enhanced CT images, the longest diameter of the PTAs was measured. Compared to the other categories, the ratio of female patients was relatively high in patients with the inferior Cap-type abscess. In addition, the Streptococcus anginosus group tended to be identified more frequently in patients with an inferior Cap-type abscess. The diameter of the PTAs was significantly greater in the inferior Cap-type PTA than in the inferior Oval-type PTA. On the other hand, the disease duration was shorter in the inferior Cap-type PTA compared to the inferior Oval-type PTA.

Journal

  • Stomato-pharyngology

    Stomato-pharyngology 31 (2), 187-192, 2018

    Japan Society of Stomato-pharyngology

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