Autopsy of paratonzillar abscess: a description of the procedure

Parathonsillar abscess is a pathological process that is a severe stage of paratonzillitis. This disease is characterized by inflammation of the cellulose that surrounds the palatine tonsils. Most often paratonzillite affects people aged 15-30 years. In this case, diagnose it in an equal ratio between women and men. Treatment of the abscess is reduced to the fact that the abscesses are opened surgically, and then antibacterial therapy is prescribed.

Indication for dissection

To designate a patient for opening an abscess, the following indications should be:

• angina of recurrent form that will indicate chronic tonsillitis in the patient;
• paratonsillitis, which are repeated in the history;
• unfavorable concentration of abscesses: lateral, which are difficult for opening and draining;
• absence of positive dynamics even after the pustules were opened;
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• there are symptoms of aggravation of the pathological process: sepsis, mediastatinitis, parapharyngitis.

How the procedure is performed

If the disease is severe or is started, then antibacterial drugs should not be used, as they will not give the desired result. In this case, the doctor decides on the surgical method of therapy. When the abscess is ripe, then within 4 days it can open itself. If after the specified time spontaneous emptying is not observed, then it is not worth further pulling with the treatment, you need to immediately open the abscess.

In video, how the parathonsillar abscess is opened:

This operation is performed as follows:

1. The patient is given local anesthesia. For these purposes, use a spray and a solution of lidocaine. A solution of procaine can also be used. After the drug has been picked up, the affected area is treated.
2. At the site where the maximum swelling is observed, a cut is performed.
3. If swelling is absent, then it is worthwhile to orientate to the place where the intersection of vertical and horizontal lines is observed.
4. A cut is made for the sagittal direction to a depth and length of not more than 2 cm. You need to do this with a scalpel.
5. A Hartman syringe is injected into the resulting incision. Due to it, the hole widens to 4 cm. In addition, tearing of the bridges in the cavity of the abscess is performed.
6. Lastly, the abscess is drained.

Most often, the autopsy is performed with a Hartmann syringe. The Schneider tool can replace it. They are designed specifically for such actions. After the procedure there are no complications, and the patient's well-being improves noticeably. It is extremely rare that temperatures can rise, indicating an insufficient purification of the abscess.

If this symptom occurs, and if the patient complains of pain, redness or swelling of the skin near the abscess, then it is worth to visit a doctor immediately. He is likely to perform a repeated procedure to remove pus, treat the wound with an antiseptic solution and prescribe antibacterial drugs.

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Treatment after

procedure

Therapy after opening the abscess occurs with the help of antibacterial drugs. In the treatment plan, the doctor will prescribe a penicillin preparation: Amoxicillin( which reviews about Amoxicillin with genyantritis exist, you can read in this article) and Cephalexin. They are administered four times a day for 200 or 500 mg. The duration of therapy will be 10 days. If penicillin in a patient has an allergic reaction, then appoint macrolides - Erythromycin, Clarithromycin( but whether the antibiotic Clarithromycin teva treats bronchitis, will help to understand this article)

Antibiotics for external use are also prescribed. These include ointments such as Levosin, Mafedin and Levomekol. They have a local effect, since they act solely on the affected area and are not absorbed into the blood.

Also after opening, it is necessary to process the treated wound. It is necessary that its edges do not stick together until the granulation of the cavity from the depth has occurred. In tissues that have undergone surgery, leave a tampon with Vishnevsky ointment or Vaseline oil. Change the tampon every 2-3 days. Concerning the development of granulation, it is necessary to remove the tampon from the depths. After opening, it is necessary to cauterize the excess granulation, and make sure that the epithelium, growing at the edges of the wound, is not injured. If the wound is slowly overgrown, it will be necessary to apply a suture.

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Reviews

• Yuri, 32 years old: "I was autopsied when I did not cure acute angina in time. Then I was on a business trip, so it was not possible to seek help from a doctor alone, as a result of which pustules began to form. Because of them, I could not eat and drink normally. The pain was just unbearable. When he went to the doctor, he immediately sent me to the autopsy. After that, I went to the dressing, and I also took antibiotics prescribed by my doctor. "
• Anna, 43 years old: "I have chronic tonsillitis, so 2-3 times a year I have an exacerbation. Thus there is a strong pain which does not allow me normally to eat, drink, even speak. Somehow during the next exacerbation I had an abscess. I consulted with a specialist, and he said that you need to wait 4 days, because during this period the abscess can open spontaneously. But this did not happen, so they opened the abscess in my hospital. After that, my temperature dropped, the pain disappeared and my general well-being improved. "
• Xenia, 23 years old: "I had an abscess on the background of acute angina. But I could not visit the doctor for his autopsy, because this process occurred spontaneously. Of course, it can not be called a pleasant thing. But I felt a long-awaited relief. Then I went to the doctor anyway, because I was treated with an antiseptic, and antibiotics were prescribed. I was going through a long time so that there would not be any complications( after all, everything happened at home, not in the hospital), but everything ended normally and after 2 weeks I completely recovered. "

Paratonsillar abscess is a rather unpleasant pathological process, the development of which is affected by acute tonsillitis and chronic tonsillitis. An effective method of treatment remains an autopsy of the abscess. Only in this way can the infectious process be stopped and complications avoided. If after opening the abscesses arose a second time, then there is no need to wait 4 days, and it is necessary to immediately go to the hospital for repeated cleaning.