Definition
Definition
A type of phlegmon of the connective tissue supporting the tonsils, characterized by the occurrence of a localized condition between the tonsil and the superior constrictor muscle of the pharynx.
Generalities
Phlegmon is an acute or subacute inflammation of the connective tissue located below the skin or deeper. The pharyngeal constrictor muscle is a muscle in the upper neck region that, by its action, causes the pharynx to close.
Symptoms
Symptoms
Pain in the throatOtalgia (pain radiating into the ears)Very severe difficulty swallowingHyperthermia (increased temperature)
Medical exam
Physical examination
Oral examination (of the mouth) shows, on the side of the peritonsillar phlegmon, swelling of the uvula and an elongation (increase in volume) of the anterior pillar (area located next to the tonsil) of the soft palate.
Cause
Cause
This condition is the result of untreated tonsillar pathology.
Treatment
Treatment
The treatment of this condition must be done urgently. It is necessary to intervene surgically and make an incision then a drainage of the phlegmon associated with the taking of intravenous antibiotics. A tonsillectomy (removal of the tonsils is necessary two to three months later. Some medical teams combine, in addition to antibiotic therapy (treatment with antibiotics), corticosteroid therapy (treatment with corticosteroids: cortisone), especially when there is significant inflammation. A surgical intervention is sometimes considered when the abscess has collected. In this case, the surgeon makes an incision and drainage (continuous evacuation of pus and debris from necrotic tissue: dead), this under antibiotic therapy. Tonsillectomy, that is to say the removal of the tonsil, is performed to prevent recurrences.
Evolution
Evolution
Recurrences of tonsillar phlegmon are common.
Premature
One of the complications that can occur due to poorly treated angina is muscle contraction that prevents the mouth from fully opening (trismus).