Spontaneous Drainage of Large Parapharyngeal Abscess

Camilla Berkembrock

doi:10.31579/2690-8794/081

Abstract

The case of a 68-year-old female patient, without comorbidities, with a diagnosis of a large parapharyngeal abscess on the left, was reported by a neck CT scan, which evolved with spontaneous drainage and complete resolution of the peritonsillar bulging, completing the therapeutic plan with antibiotic therapy, without abscess recurrence. Clinical suspicion, associated with neck CT, is an indispensable item in the design of early treatment, in order to avoid complications.

Highlights

Deep cervical abscesses are characterized by the presence of purulent material in virtual regions and fascial planes of the head and neck
The case of a 68-year-old female patient, without comorbidities, with a diagnosis of a large parapharyngeal abscess on the left, was reported by a neck computed tomography (CT) scan, which evolved with spontaneous drainage and complete resolution of the peritonsillar bulging, completing the therapeutic plan with antibiotic therapy, without abscess recurrence
The objective of this study is to present a case of large parapharyngeal abscess, approaching the methods used in diagnosis and treatment, which presented a favorable outcome

Summary

Introduction

Deep cervical abscesses are characterized by the presence of purulent material in virtual regions and fascial planes of the head and neck. Parapharyngeal abscesses are located in the parapharyngeal space, which presents the base of the skull inferiorly (petrous, sphenoid bone) and the hyoid bone superiorly [1, 2]. Since it has extensive communication with other cervical spaces (such as the submandibular, retropharyngeal, parotid, masticatory), an assertive diagnosis and early treatment are extremely important to ensure a favorable outcome and prevent the spread of infection and progress to a complicated condition, which can have a high mortality rate [3, 4]. Abscesses affect men and women in different age groups [5]

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Conclusion