Neck phlegmon as a complication of paratonsillar abscess

Teuvov Aslan Alekseevich, Baziev hur Mukharbievich, Lovpache Zarema Nuriyidinovna, Lukyaeva Zuleikha Mazhmudinovna

In recent years, a paradigm shift in the treatment of chronic tonsillitis has led to a significant decrease in the number of tonsillectomy, which contributes to the growth of infectious and inflammatory diseases in the oral cavity and pharynx. The frequency of distribution of paratonsillar abscesses tends to increase, which, in turn, leads to the development of such dangerous complications as neck phlegmon. Purulent diseases of the neck and pharynx occur against the background of a significant decrease in immunity, which is facilitated by concomitant somatic pathology: diabetis mellutis, rheumatoids, Wegener's disease, chonic renal failure. Phlegmons of the neck tend to spread and can be complicated by sepsis, mediastinitis, which gives a mortality rate of 10-25%. Most of all, the prospects for a patient with neck phlegmon are affected by the time elapsed from the onset of the disease to the start of treatment, which is based on the removal of the infectious focus, drainage of purulent cavities, and antimicrobial therapy. The purpose of this article is to highlight the main aspects of the diagnosis and treatment of paratonsillar abscesses complicated by neck phlegmon.

Keywords:tonsillitis, paratonsillar abscess, phlegmon, mediastinitis, antibiotics.