SavedAdd your journal

Journals / The Turkish Journal of Ear Nose and Throat / 2026 / Volume: 32 Issue: 1

Bilateral Parapharyngeal Abscess Complicated with Trismus, Airway Obstruction and Bleeding

İbrahim Erdim(TOKAT GAZİOSMANPAŞA ÜNİVERSİTESİ)0000-0003-1840-6052
Ceyhun Aksakal(TOKAT GAZİOSMANPAŞA ÜNİVERSİTESİ)0000-0001-9770-1513
Emrah Sapmaz(TOKAT GAZİOSMANPAŞA ÜNİVERSİTESİ)
Erkan Gökçe(TOKAT GAZİOSMANPAŞA ÜNİVERSİTESİ)0000-0003-3947-2972
Pages
—
Publication Date
2022-03-10
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

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.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Bilateral parapharyngeal abscess is a very rare condition.
📊
Key Findings & Data:Placing pressure on the airway on both sides increases the risk of respiratory arrest.
💡
Conclusion & Impact: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.
🔬Design:Case Report
📍Scope:Comprehensive Sample
⚙️Variables:Bilateral · parapharyngeal · abscess

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.

🔖

Cite This Article

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, Volume: 32 Issue: 1. https://doi.org/10.26650/Tr-ENT.2021.1015708

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (10)

  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