Case Report
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Year 2022, Volume: 32 Issue: 1, 18 - 21, 10.03.2022

İbrahim Erdim Ceyhun Aksakal Emrah Sapmaz Erkan Gökçe

https://doi.org/10.26650/Tr-ENT.2021.1015708

Abstract

References

  • 1. Amar YG, Manoukian JJ. Intraoral drainage: Recommended as the initial approach for the treatment of parapharyngeal abscesses. Otolaryngol Head Neck Surg 2004;130(6):676-80. google scholar
  • 2. Oh JH, Kim Y, Kim CH. Parapharyngeal Abscess: Comprehensive Management Protocol ORL 2007;69(1):37-42. google scholar
  • 3. Alaani A, Griffiths H, Minhas SS, Olliff J, Lee ABD. Parapharyngeal abscess: diagnosis, complications and management in adults. Eur Arch Otorhinolaryngol 2005;262(4):345-50. google scholar
  • 4. Klug TE, Fischer ASL, Antonsen C, Rusan M, Eskildsen H, Ovesen T. Parapharyngeal abscess is frequently associated with concomitant peritonsillar abscess. Eur Arch Otorhinolaryngol 2014;271(6):1701-07. google scholar
  • 5. Page C, Biet A, Zaatar R, Strunski V. Parapharyngeal abscess: diagnosis and treatment. Eur Arch Otorhinolaryngol 2008;265(6):681-6. google scholar
  • 6. Moiseenko AP. Bilateral parapharyngeal abscess complicated by sepsis and pulmonary candidiasis. Vestn Otorinolaringol 1962;24:91-2. google scholar
  • 7. Lee CH, Lee TJ, Chen CW. Transnasal endoscopic approach for drainage of pediatric parapharyngeal space abscess. Otolaryngol Head Neck Surg 2010;143(3):467-8. google scholar
  • 8. Koivunen P, Löppönen H. Internal carotid artery thrombosis and Horner’s syndrome as complications of parapharyngeal abscess. Otolaryngol Head Neck Surg 1999;121(1):160-2. google scholar
  • 9. Cicek MT, Yildirim IO, Gunduz E. Endovascular Treatment of Carotid Pseudoaneurysm Bleeding Due to Parapharyngeal Abscess. J Craniofac Surg 2020;31(4):324-6. google scholar
  • 10. Osculati A, Fassina G. Parapharyngeal abscess and sudden death. Legal Med 1999;1(1):34-6. google scholar

Bilateral Parapharyngeal Abscess Complicated with Trismus, Airway Obstruction and Bleeding

Year 2022, Volume: 32 Issue: 1, 18 - 21, 10.03.2022

İbrahim Erdim Ceyhun Aksakal Emrah Sapmaz Erkan Gökçe

https://doi.org/10.26650/Tr-ENT.2021.1015708

Abstract

Bilateral parapharyngeal abscess is a very rare condition. Placing pressure on the airway on both sides increases the risk of respiratory arrest. Intubation cannot be performed due to the trismus caused by the infection in the mastication muscles, and the need to create an emergency airway can only be provided by invasive means. The adjacency of the region to major vessels and their branches can lead to massive hemorrhages since the infection erodes the vascular wall. In a case of bilateral parapharyngeal abscesses which resulted in respiratory arrest due to the trismus, we were able to ensure airway safety using a coniotomy and subsequent tracheotomy. The presence of massive hemorrhages on both sides in the early postoperative period caused us to remain constantly vigilant until the full recovery of the patient in terms of clinical, laboratory and radiological parameters.

Keywords

Bilateral parapharyngeal abscess airway bleeding

References

  • 1. Amar YG, Manoukian JJ. Intraoral drainage: Recommended as the initial approach for the treatment of parapharyngeal abscesses. Otolaryngol Head Neck Surg 2004;130(6):676-80. google scholar
  • 2. Oh JH, Kim Y, Kim CH. Parapharyngeal Abscess: Comprehensive Management Protocol ORL 2007;69(1):37-42. google scholar
  • 3. Alaani A, Griffiths H, Minhas SS, Olliff J, Lee ABD. Parapharyngeal abscess: diagnosis, complications and management in adults. Eur Arch Otorhinolaryngol 2005;262(4):345-50. google scholar
  • 4. Klug TE, Fischer ASL, Antonsen C, Rusan M, Eskildsen H, Ovesen T. Parapharyngeal abscess is frequently associated with concomitant peritonsillar abscess. Eur Arch Otorhinolaryngol 2014;271(6):1701-07. google scholar
  • 5. Page C, Biet A, Zaatar R, Strunski V. Parapharyngeal abscess: diagnosis and treatment. Eur Arch Otorhinolaryngol 2008;265(6):681-6. google scholar
  • 6. Moiseenko AP. Bilateral parapharyngeal abscess complicated by sepsis and pulmonary candidiasis. Vestn Otorinolaringol 1962;24:91-2. google scholar
  • 7. Lee CH, Lee TJ, Chen CW. Transnasal endoscopic approach for drainage of pediatric parapharyngeal space abscess. Otolaryngol Head Neck Surg 2010;143(3):467-8. google scholar
  • 8. Koivunen P, Löppönen H. Internal carotid artery thrombosis and Horner’s syndrome as complications of parapharyngeal abscess. Otolaryngol Head Neck Surg 1999;121(1):160-2. google scholar
  • 9. Cicek MT, Yildirim IO, Gunduz E. Endovascular Treatment of Carotid Pseudoaneurysm Bleeding Due to Parapharyngeal Abscess. J Craniofac Surg 2020;31(4):324-6. google scholar
  • 10. Osculati A, Fassina G. Parapharyngeal abscess and sudden death. Legal Med 1999;1(1):34-6. google scholar
There are 10 citations in total.

Details

Primary Language English
Subjects Otorhinolaryngology
Journal Section Case Report
Authors

İbrahim Erdim 0000-0003-1840-6052

Ceyhun Aksakal 0000-0001-9770-1513

Emrah Sapmaz

Erkan Gökçe 0000-0003-3947-2972

Publication Date March 10, 2022
Submission Date October 27, 2021
Published in Issue Year 2022 Volume: 32 Issue: 1

Cite

APA Erdim, İ., Aksakal, C., Sapmaz, E., Gökçe, E. (2022). Bilateral Parapharyngeal Abscess Complicated with Trismus, Airway Obstruction and Bleeding. The Turkish Journal of Ear Nose and Throat, 32(1), 18-21. https://doi.org/10.26650/Tr-ENT.2021.1015708
AMA Erdim İ, Aksakal C, Sapmaz E, Gökçe E. Bilateral Parapharyngeal Abscess Complicated with Trismus, Airway Obstruction and Bleeding. Tr-ENT. March 2022;32(1):18-21. doi:10.26650/Tr-ENT.2021.1015708
Chicago Erdim, İbrahim, Ceyhun Aksakal, Emrah Sapmaz, and Erkan Gökçe. “Bilateral Parapharyngeal Abscess Complicated With Trismus, Airway Obstruction and Bleeding”. The Turkish Journal of Ear Nose and Throat 32, no. 1 (March 2022): 18-21. https://doi.org/10.26650/Tr-ENT.2021.1015708.
EndNote Erdim İ, Aksakal C, Sapmaz E, Gökçe E (March 1, 2022) Bilateral Parapharyngeal Abscess Complicated with Trismus, Airway Obstruction and Bleeding. The Turkish Journal of Ear Nose and Throat 32 1 18–21.
IEEE İ. Erdim, C. Aksakal, E. Sapmaz, and E. Gökçe, “Bilateral Parapharyngeal Abscess Complicated with Trismus, Airway Obstruction and Bleeding”, Tr-ENT, vol. 32, no. 1, pp. 18–21, 2022, doi: 10.26650/Tr-ENT.2021.1015708.
ISNAD Erdim, İbrahim et al. “Bilateral Parapharyngeal Abscess Complicated With Trismus, Airway Obstruction and Bleeding”. The Turkish Journal of Ear Nose and Throat 32/1 (March 2022), 18-21. https://doi.org/10.26650/Tr-ENT.2021.1015708.
JAMA Erdim İ, Aksakal C, Sapmaz E, Gökçe E. Bilateral Parapharyngeal Abscess Complicated with Trismus, Airway Obstruction and Bleeding. Tr-ENT. 2022;32:18–21.
MLA Erdim, İbrahim et al. “Bilateral Parapharyngeal Abscess Complicated With Trismus, Airway Obstruction and Bleeding”. The Turkish Journal of Ear Nose and Throat, vol. 32, no. 1, 2022, pp. 18-21, doi:10.26650/Tr-ENT.2021.1015708.
Vancouver Erdim İ, Aksakal C, Sapmaz E, Gökçe E. Bilateral Parapharyngeal Abscess Complicated with Trismus, Airway Obstruction and Bleeding. Tr-ENT. 2022;32(1):18-21.
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