Abstract
Deep neck abscess is a life-threatening infection that causes laryngeal edema and upper airway occlusion. The predominant bacterial species involved in this disorder is group A streptococcus. Group G streptococcus (GGS) constitutes the normal commensal flora of the human upper airway. Although rarely, it can cause pharyngitis, tonsillitis, and peritonsillar abscess. Here, we report a case of a woman with parapharyngeal abscess caused by GGS. A 56-year-old woman presented to the emergency department with complaints of sore throat and cervical swelling, and a diagnosis of parapharyngeal abscess was established. She had upper airway occlusion, requiring urgent tracheostomy. Endoscopic incision and drainage of the abscess using a specially designed, rigid curved laryngoscope was successfully performed. Since a rigid curved laryngoscope creates a wide viewing field and working space, it was useful for incision and drainage of the parapharyngeal abscess.
Highlights
Deep neck abscess, including parapharyngeal and retropharyngeal abscesses, is a life-threatening infection that can cause laryngeal edema and upper airway occlusion
Several case reports showed that group G streptococcus (GGS) bacteria are normal commensal flora of the human upper airway that can cause severe pharyngitis, tonsillitis, and, rarely, peritonsillar abscess [1,2,3]
We describe a novel method using a rigid curved laryngoscope for incision and drainage of a parapharyngeal abscess. is instrument was designed for laryngopharyngeal surgery under endoscopic vision [16, 17] (Figure 3)
Summary
Group G streptococcus (GGS) constitutes the normal commensal flora of the human upper airway. Rarely, it can cause pharyngitis, tonsillitis, and peritonsillar abscess. A 56-year-old woman presented to the emergency department with complaints of sore throat and cervical swelling, and a diagnosis of parapharyngeal abscess was established. She had upper airway occlusion, requiring urgent tracheostomy. Endoscopic incision and drainage of the abscess using a specially designed, rigid curved laryngoscope was successfully performed. Since a rigid curved laryngoscope creates a wide viewing field and working space, it was useful for incision and drainage of the parapharyngeal abscess
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