1、Pharyngeal Infection Dieases Symptoms:general+regional Signs:Complications:peritonsillar abscess rheumatism Therapy:antibioticsAcute Tonsilitis Acute Tonsilitis Pathogen:-hemolytic streptococci anaerobe mixed infection Pathology:catarrhal purulent (follicular+lacunar)Acute Tonsilitis Signs and sympt
2、oms Fever Sore throat Tender cervical lymphadenopathy Dysphagia Erythematous tonsils with exudatesAcute Tonsilitis Acute Tonsilitis Same signs and symptoms as acute Occurring in 4-7 separate episodes per year 5 episodes per year for 2 years 3 episodes per year for 3 yearsAcute Tonsilitis Chronic Ton
3、silitis Chronic Tonsilitis chronic/abscess hypertrophy focus keratosis/diphtheria tumorIndication of Tonsillectomy Current clinical indicators of AAO-HNS 3 or more infections per year Hypertrophy causing dental malocclusion Hypertrophy causing upper airway obstruction severe dysphagia sleep disorder
4、TonsillectomyPeritonsillar abscessPersistent foul taste or breathChronic or recurrent tonsillitisUnilateral tonsil hypertrophy presumed neoplasticTonsillectomy acute attack blood disorder general disorder infectious disease menstruation/pregnancy immune deficiencyContradication of TonsillectomyPerit
5、onsillar Abscess Cause acute tonsillitis peritonsillar cellulitis abscess -hemolytic streptococci Types anterior-superior posterior-superiorPeritonsillar Abscess Abscess formation outside tonsillar capsule Signs and symptoms:Fever(3-5d)Sore throat muffled voice Dysphagia/odynophagia Drooling Trismus
6、 Unilateral swelling of soft palate/pharynx with uvula deviationPeritonsillar AbscessPeritonsillar AbscessPeritonsillar Abscess Thought to be extension of tonsillitis to involve surrounding tissue with abscess formation Recently described to be an infection of small salivary glands in the supratonsillar fossa called Webers glands Would explain superior pole involvement and the usual absence of tonsillar erythema/exudatesPeritonsillar Abscess puncture and incision(diagnosis&therapy)antibiotics tonsillectomyPeritonsillar Abscess
