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Peritonsillar Abscess with Uvular Hydrops  [cached]
Mills, Lisa D,May, Karen,Mihlon, Frank
Western Journal of Emergency Medicine : Integrating Emergency Care with Population Health , 2010,
Abstract: The use of ultrasound by emergency physicians has improved the evaluation of pharyngeal infections. We present a unique case of concomitant peritonsillar abscess and uvular hydrops in which ultrasound provided accurate, timely information in the evaluation. [West J Emerg Med. 2010; 11(1):83-85].
Association between Peritonsillar Abscess and Molar Caries  [cached]
M Shayani Nasab,F Behnod,F Farehani,F Hashemian
Journal of Research in Medical Sciences , 2006,
Abstract: Background: Peritonsillar abscess is the most common deep neck infections that are related with periodontal disease which has the same pathogenesis. We determined the relationship between peritonsillar infection and molar caries. Methods: In a cross-sectional study, 33 consecutive patients whom referred to Hamadan university clinic of otolaryngologic for peritonsillar abscess were examined by otolaryngologist and dentist who investigated relationship between peritonsillar infection and molar caries. Results: There were 27 males and 6 females with mean age 26.7+_7 years. The frequency caries on ipsilateral peritonsillar infection sides was in relation to molars caries on opposite sides (conterol group). This corrolation was significant with odds ratio 2.5. Conclusion: Molar caries were seen 2.5 times more likely to have peritonsillar infection compared with normal molar sides. Key Words: Peritonsillar abscess, Infection, Periodontal disease, Dental caries
Gram Staining for the Treatment of Peritonsillar Abscess  [PDF]
Yukinori Takenaka,Kazuya Takeda,Tadashi Yoshii,Michiko Hashimoto,Hidenori Inohara
International Journal of Otolaryngology , 2012, DOI: 10.1155/2012/464973
Abstract: Objective. To examine whether Gram staining can influence the choice of antibiotic for the treatment of peritonsillar abscess. Methods. Between 2005 and 2009, a total of 57 cases of peritonsillar abscess were analyzed with regard to cultured bacteria and Gram staining. Results. Only aerobes were cultured in 16% of cases, and only anaerobes were cultured in 51% of cases. Mixed growth of aerobes and anaerobes was observed in 21% of cases. The cultured bacteria were mainly aerobic Streptococcus, anaerobic Gram-positive cocci, and anaerobic Gram-negative rods. Phagocytosis of bacteria on Gram staining was observed in 9 cases. The bacteria cultured from these cases were aerobic Streptococcus, anaerobic Gram-positive cocci, and anaerobic Gram-negative rods. The sensitivity of Gram staining for the Gram-positive cocci and Gram-negative rods was 90% and 64%, respectively. The specificity of Gram staining for the Gram-positive cocci and Gram-negative rods was 62% and 76%, respectively. Most of the Gram-positive cocci were sensitive to penicillin, but some of anaerobic Gram-negative rods were resistant to penicillin. Conclusion. When Gram staining shows only Gram-positive cocci, penicillin is the treatment of choice. In other cases, antibiotics effective for the penicillin-resistant organisms should be used. 1. Introduction Peritonsillar abscess is a localized accumulation of pus within the peritonsillar tissues, which usually results from acute tonsillitis and subsequent peritonsillar cellulitis. This disease is one of the most commonly encountered conditions in ear, nose, and throat (ENT) emergencies. It is characterized by sore throat, trismus, muffed voice, dehydration, dysphagia, and intense pain. Therefore, admission to the hospital is required for some patients with peritonsillar abscess. Intensive therapy may be required in some cases because it may lead to fatal complications, such as deep neck abscess and descending necrotizing mediastinitis [1]. The treatment for peritonsillar abscess involves 2 steps: one is the removal of pus and the other is antibiotic therapy. For effective antibiotic therapy, we usually send the aspirates of the peritonsillar abscess for Gram staining and culture. However, previous reports have denied the effectiveness of bacteriologic studies [2–4]. The aim of this study was to examine the efficacy of bacteriological studies of the peritonsillar abscess, with focus on the Gram-staining characteristics of the bacteria, and determine the value of this method in clinical practice. 2. Materials and Methods A retrospective study was
Gram Staining for the Treatment of Peritonsillar Abscess  [PDF]
Yukinori Takenaka,Kazuya Takeda,Tadashi Yoshii,Michiko Hashimoto,Hidenori Inohara
International Journal of Otolaryngology , 2012, DOI: 10.1155/2012/464973
Abstract: Objective. To examine whether Gram staining can influence the choice of antibiotic for the treatment of peritonsillar abscess. Methods. Between 2005 and 2009, a total of 57 cases of peritonsillar abscess were analyzed with regard to cultured bacteria and Gram staining. Results. Only aerobes were cultured in 16% of cases, and only anaerobes were cultured in 51% of cases. Mixed growth of aerobes and anaerobes was observed in 21% of cases. The cultured bacteria were mainly aerobic Streptococcus, anaerobic Gram-positive cocci, and anaerobic Gram-negative rods. Phagocytosis of bacteria on Gram staining was observed in 9 cases. The bacteria cultured from these cases were aerobic Streptococcus, anaerobic Gram-positive cocci, and anaerobic Gram-negative rods. The sensitivity of Gram staining for the Gram-positive cocci and Gram-negative rods was 90% and 64%, respectively. The specificity of Gram staining for the Gram-positive cocci and Gram-negative rods was 62% and 76%, respectively. Most of the Gram-positive cocci were sensitive to penicillin, but some of anaerobic Gram-negative rods were resistant to penicillin. Conclusion. When Gram staining shows only Gram-positive cocci, penicillin is the treatment of choice. In other cases, antibiotics effective for the penicillin-resistant organisms should be used.
Effect of Corticosteroids in Routine Treatment of PeriTonsillar Abscess
A Mirvakili,MB Owlia,S Atighechi,S Allaf-Akbari
Journal of Shahid Sadoughi University of Medical Sciences , 2009,
Abstract: Introduction: There are controversies regarding treatment of peritonsillar abscess as a common infection of head and neck, especially for prescription of corticosteroids. According to review of articles, use of corticosteroids in management of this abscess is increasing, but more controlled and comparative studies are needed. In this clinical trial study, we evaluated corticosteroid as an adjutant therapy for peritonsillar abscess. Methods: This clinical trial study was done on 50 hospitalized patients divided into 2 groups; steroid and placebo. Antibiotic therapy and method of abscess drainage was the same in both groups. A special questionnaire included characteristics, symptoms, clinical course and complications of patients. Data was filled and analyzed by SPSS software using chi square, repeated measurement and t tests. Results: Normalization of body temperature within 12 hours after treatment and mean time of painless swallowing was 100% and 9 hours in the steroid group as compared to 84% and 15 hours in placebo group (p value=0.04). Trismus recovery was faster in steroid group. Hospitalization period was 3 and 4 days in steroid and placebo groups, respectively (P value>0.05). Fewer complications were reported in steroid receiving patients. There was one case of relapse in the steroid group and 5 cases in the placebo group (P value=0.09). Conclusion: According to our findings, it seems that corticosteroid adjuvant therapy of peritonsillar abscess is effective and doesn’t lead to any important complication
疡医用药漫谈(续完)  [PDF]
高益民
中国中药杂志 , 1984,
Abstract: <正>(二)透托药透托又称托溃,使用具有透托和微有温散的药物,以及具有走窜透达的药物,力争内消的机会,或者促使脓早成而加速溃破,毒随脓解。防风:辛甘温,外科取其辛散疏气透托之效,常与白芷合用,为常用的透托药组,例如仙方活命饮中就有此二药。一般风药性燥,而防风为风中润药,散风化燥而不伤阴为其特点。因其入肝疏气,合白芍抑肝疏肝,再加白术、陈皮为痛泻要方,为外科手术后胃肠功能紊乱、痛必泄泻的常用方剂。另外,防风能疏气而调肝,肝气条达则脾胃和畅,气血化生有源,有人称“防风有人参之功”,实际是其间接的调节效应,不可妄自认为此说荒谬,也许正是其透托妙用的机制所在。防风仍为祛风良效外科常用于疏散风邪,而治疗风疹、(疒咅)瘤等证。
Effects of Peritonsillar Injection of Tramadol and Adrenaline before Tonsillectomy;
Beigh Zafarullah,ul Islam Mudasir,Ahmad Shakil,Pampori Rafiq Ahmad
Iranian Journal of Otorhinolaryngology , 2013,
Abstract: Introduction: Various hemostatic and analgesic agents and techniques have been used to reduce intraoperative and postoperative hemorrhage and pain in tonsillectomy.Aims and objective; The current study aimed to compare the effect of using adrenaline plus tramadol and normal saline in maintaining hemostasis and control of pain in cold dissection tonsillectomy. Materials and Methods: This prospective randomized study was conducted over a period of 10 months in department of otorhinolaryngology state medical college Srinagar. In the current study 46 patients planed for tonsillectomy were put into two groups. 23 patients in each group. In group A patients (study group) 4ml of solution containing 1:200000 adrenaline and 2mg/kg tramadol was injected in peritonsillar space. In group B patients (control group) 4ml of normal saline was injected in peritonsillar space. Results: It was found that the time required to achieve heamostasis and post operative pain was less in group A patients in comparison to Group B patients. There was no significant side effect or complications when adrenaline and tramadol were used. Conclusion: Large randomized controlled studies are needed to compare tramadol plus adrenaline infiltration with other heamostatic and analgesics, but the current study indicated that Tramadol plus adrenaline infiltration could be an effective method to reduce the post operative pain , operative time and time to achieve heamostasis in tonsillectomy surgeries. Therefore the use of Tramadol plus adrenaline infiltration should be further promoted and implemented as routine use in tonsillectomy surgeries.
疮疡膏的制备方法  [PDF]
李志平,杨绍云,朱世欧,黄曼英,潘金元
中国中药杂志 , 1988,
Abstract: <正>疮疡膏系根据民间秘方制成的黑膏药,该方由大黄、升麻、红花、川芎、血竭、土鳖虫等中药组成。本品治疗慢性下肢溃疡、乳腺炎和疖痈病有明显的效果,对150例慢性下肢溃疡(静脉曲张型、外伤和局部炎症型)治愈率达81%,对102例乳腺炎(炎症期和化脓期)治愈率达92%,对100例疖痈病全部治愈,具有疗程短、疗效高的特点。根据组成药物中所含有效成分的性质,我们将传统膏药制备方法
健胃愈疡汤治疗胃溃疡的实验研究  [PDF]
陈启松
中国中医药信息杂志 , 2001,
Abstract: 目的:探讨健胃愈疡汤对实验性胃溃疡的治疗作用。方法:采用冰醋酸腐蚀法造大鼠胃溃疡模型。结果:健胃愈疡汤组溃疡指数比模型组明显小(p<0.01),与西药组相似(p>0.05);而炎细胞浸润数、再生粘膜厚度、粘膜肌层缺损宽度及粘膜pge2含量等指标均显著优于雷尼替丁组或模型组(p<0.01或0.05)。结论:健胃愈疡汤能较好地治疗胃溃疡,使胃粘膜的防御能力得到增强,减少pu复发。
口腔愈疡颗粒质量标准的建立  [PDF]
廖建萍,刘红宇
中国中医药信息杂志 , 2003,
Abstract: 目的:建立口腔愈疡颗粒的质量标准。方法:采用高效液相色谱法对成品中芍药苷进行含量测定。结果:芍药苷浓度线性范围为:0.104~0.520μg/ml,γ=0.9993。样品平均回收率为98.85%,rsd为1.27%(n=5)。结论:该方法适用于口腔愈疡颗粒的质量控制。
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