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Abscess of the larynx

An abscess of the larynx may be the final stage of phlegmonous laryngitis, but more often it is caused by a body injury (fish bone, etc.). An abscess occurs mainly on the lingual surface of the epiglottis or in the area of ​​one of the arytenoid cartilages, and usually develops gradually against the background of the general inflammatory reaction of the body. Complaints boil down to pain when swallowing. 2-3 days after the injury, respiratory and voice disturbances due to reactive edema and infiltration may occur.

With laryngoscopy, a limited area of ​​the mucous membrane is determined, in the center of which an abscess is visible. The mobility of the epiglottis or arytenoid cartilage (depending on the location of the lesion) is sharply limited (see
fig. 8.1, c).

In the initial (infiltrative) stage of the disease, it is necessary to carry out antibacterial and anti-inflammatory therapy ', constantly monitor respiratory function; when signs of acute growing stenosis appear, a tracheostomy is indicated. The formed infiltrate and abscess should be opened; in the following days, it is recommended to part the edges of the incision to better empty the abscess. Aerosol or inhalation of antibiotics after opening an abscess give a good effect.

The prognosis is usually good, but dangerous complications are possible in the form of acute stenosis of the larynx, the development of extensive phlegmon.
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Abscess of the larynx

  1. Epidural Abscess
    Epidural abscess - an infectious process that develops between the bones of the skull and the outer leaf of the dura mater, may be accompanied by osteomyelitis. Due to the fact that the pathogen easily penetrates through the dura mater along the emissary veins, the epidural abscess is often accompanied by subdural empyema. Major causative agents The most common cause of
  2. Abscess
    Abscess (abscessus), abscess, abscess - a limited cavity filled with pus, formed as a result of focal purulent fusion of tissues. Etiology. The cause of abscesses is the penetration of microorganisms into tissues with damage to the skin and mucous membrane and when foreign bodies enter the tissue. They can be introduced during medical manipulations (injections, subcutaneous infusions) made
  3. Pharyngeal and paratonsillar abscesses
    A pharyngeal abscess develops as a result of a purulent lesion of deep pharyngeal lymph nodes and loose tissue located in the pharyngeal space. These lymph nodes are regional for the posterior sections of the nasal cavity, paranasal sinuses, auditory tube, middle ear, nasal pharynx and palatine tonsils. A pharyngeal abscess may occur in newborns, but
  4. Abscess
    Physical blockage An abscess is a collection of pus in one place. Distinguish between hot and cold abscesses. With a hot abscess (it occurs much more often), pus accumulates very quickly and all four signs of inflammation appear: swelling, redness, temperature and pain. A cold abscess is characterized by a slow accumulation of fluid in one place with no signs of inflammation. Emotional
    An abscess is a limited inflammation in tissues or organs, characterized by an accumulation of pus in a newly formed cavity under a dense membrane. An abscess most often occurs after any mechanical damage to the skin (for example, due to a splinter), through which pyogenic microbes (staphylococci, streptococci, Pseudomonas aeruginosa, cryptococcus fungi, etc.) penetrate the skin.
  6. Pharyngeal abscess
    Clinical picture The pharyngeal abscess is a purulent fusion of the lymph nodes and loose tissue of the pharyngeal space. It is especially common in debilitated children under the age of 2-3 years, rarely in adults. In childhood, usually occurs after infectious diseases, acute respiratory viral infections, measles, scarlet fever. In adults, pharyngeal abscesses
  7. Brain Abscess
    Clinic. An abscess of the brain is a limited abscess in the brain tissue - intracerebral, or epidural, subdural. Caused by streptococci, staphylococci, pneumococci, etc. Contact (otogenically determined), metastatic (pneumonia, lung abscess), bronchiectatic abscesses and abscesses occurring during open craniocerebral injuries are pathogenetically distinguished.
  8. Otogenic intracranial abscesses
    An extradural abscess is the accumulation of pus between the dura and the bone. It occurs as a result of the spread of the inflammatory process from the mastoid process and tympanum to the cranial cavity and is localized in the middle or posterior cranial fossae. An extradural abscess is usually a complication of chronic suppurative otitis media; often observed
  9. Paratonsillar abscess (paratonsillitis)
    This disease is also called phlegmonous tonsillitis. Between the capsule of the tonsil and the pharyngeal fascia, the distance between which is normally 0.5-1 cm, there is paratonsillar tissue, and behind the pharyngeal fascia, laterally, there is fiber of the parapharyngeal space. These spaces are made of fiber, the inflammation of which, and in the final stage, and abscess formation determines the clinic
  10. Extradural abscess
    An extradural abscess usually has a contact mechanism of occurrence. In most cases, the source of infection is osteoperiostitis, a carious process located in the wall of the paranasal sinus, which can occur with their chronic inflammation (frontitis, ethmoiditis, sphenoiditis). The onset of the disease is characterized by the appearance of a limited focus of inflammation in the dura mater
  11. Pelvic abscesses
    Abscesses of the pelvic cavity are a delimited accumulation of pus in the cystic-uterine or rectal-uterine space. Such abscesses can form with purulent-inflammatory saccular masses in the appendages, as well as in the postoperative period. In this case, the resulting adhesions delimit the accumulation of pus from the free parts of the abdominal cavity. In the beginning, an inflammatory
    Lung abscess is a pathological process characterized by the formation of a limited cavity in the lung tissue as a result of its necrosis and purulent fusion. The main pathogens The development of lung abscess is primarily associated with the anaerobic flora - Bacteroides spp., F.nucleatum, Peptostreptococcus spp., P.niger - often in combination with enterobacteria (due to aspiration of the contents
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