Paratonlesillar abscess is a pathological process in which a cavity filled with purulent contents is formed. It is concentrated in the tissues that surround the palatine tonsil. The development of the abscess occurs against the background of inflammation of the oclomindal tissues. Most often, it happens after a sore throat or chronic tonsillitis. In most cases, the formation of abscess occurs, on the one hand. Treatment should be done immediately after the discovery of the first symptoms.
Contents
- 1 Description of the disease
- 2 Symptoms of the pathology
Description of the disease
The development of the pathological process is associated with the anatomical structure of palatine tonsils and concentrated around their tissues. Tonsils have grooves, which are called crypts. When an inflammatory process occurs, they are filled with purulent contents. Deep abscesses are concentrated in the upper region of the amygdala. It is there that the inflammatory process with angina is most often observed.
Over time, scar tissue forms instead of inflammatory foci. It prevents the normal outflow of inflammatory fluid and pus from the depressions of the tonsils. If there is a new inflammation, then the process of cleansing the altered depressions is inhibited, but the infectious process moves deeper. He passes through Weber's glands directly into the paratonsillar space.
The zone near the upper pole of the tonsils also often lends itself to the development of an infectious process. This is due to the fact that its fiber has a fairly loose texture, so that the concentration of the abscess there occurs as often as possible.
In the chronic form of tonsillitis there is local and general weakening of immunity, therefore, it can be confidently asserted that the development of the inflammatory process in the paratonsillar space with infection can occur very easily.
On the video parathonsillar abscess:
Paratonlesillar abscess can be diagnosed in the following forms:
- Ointment .This form of pathological process is extremely rare, as it is accompanied by minor painful sensations in the throat. It may occur due to hypothermia. Therefore, the disease is extremely easy to transform into a more severe stage.
- Infiltrative .This form of pathology is diagnosed in 1015% of cases. For her, the characters are signs of poisoning, among them temperature rise, pain in the head, painful sensations when swallowing. It is this stage of the pathological process that requires the appointment of treatment.
- Abscessing form of .This is the parotonsillar abscess. Occurs in 80-85% of cases in patients with purulent tonsillitis, if timely treatment has not been performed. In this case, the abscess can assume a different localization.
In addition, the paratonsillar abscess is classified into three types, taking into account the area of the tonsils affected. Each form has its own distinctive features:
- Front-top .It is diagnosed in 90% of cases. It arises because of the broken outflow of pus from the upper pole of the amygdala. As a result, the purulent contents accumulate and pass to the cellulose.
- Rear .It is diagnosed in almost every 10 patients. Against this background, there may be a laryngeal edema and respiratory failure.
- Lower .It occurs very rarely. Its formation is associated with a one-to-one cause. The abscess is concentrated in the cellulose behind the lower third palatal arch, which is located between the lingual and palatine tonsils.
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Symptoms of pathology
The clinical picture of the pathological process can be recognized immediately after there was angina or chronic tonsillitis. It is important to consult a doctor right away to prevent the development of an abscess in severe form. Otherwise, it will have serious consequences for the body.
Against the background of a transmitted infection the patient's condition may worsen, and there is a sore throat when swallowed, which is concentrated on one side. In this case, there is a rise in temperature, and the general condition is much worse than it was with angina. On one side of the soft palate, redness develops, hyperemia. In this case, the amygdala itself becomes invisible, and the tongue displacement is carried out in one direction.
Compared with angina, the pain with an abscess is much stronger. Even at rest, it is acute or stinging. You can hit the ear and become more intense when swallowing, during a cough or simple movement. The patient experiences difficulties when opening the mouth, as there is a trisus of chewing muscles. The head is kept immobile, and it can be tilted to one side.
In the video description of the paratonsillar abscess:
Lymph nodes located on the neck and under the jaw, increase in size. The voice becomes nasal, since the soft palate is mobile. Taking food becomes impossible, even liquid food can pass through the nose.
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The overall well-being of the patient complicates psychological tension. It arises against the background of constant pain, which depletes emotionally. From this, a person can not sleep properly and eat, as a result of which the body does not receive the necessary vitamins and trace elements.
With an abscess in the patient, salivation increases. Because of this, he must constantly be in the same position: lying on his side, sitting and tilting his head forward. This will allow the saliva to drain normally without performing swallowing movements that are accompanied by severe pain. 
On the 4th-5th day of pathology development, an autopsy of an already ripped abscess may occur. At the same time, the patient has a sharp improvement in overall well-being. The temperature goes down, the pain of the throat goes away. In this case, it is not necessary to perform an operative dissection of the abscess. All that the patient must do is gargle with antiseptic solutions.
Any disease requires immediate treatment. The same applies to angina or chronic tonsillitis. If you do not start timely therapy, you can develop a complication such as paratonzillar abscess. The danger of pathology is that ulcers form on tonsils. If you do not start immediate removal, then the patient's condition will deteriorate sharply, and a number of dangerous complications will arise.