[Surgical treatment of acute parapharyngitis]

A total of 2,690 patients with paratonsillitis (PT) including 83 (3.08%) ones with PT complicated by parapharyngitis were treated from 1984-2002. At admission, all the patients were punctured, the paratonsillar abscess was opened. Abscess tonsillectomy was made in 82 patients. Four patients developed flegmon of the neck. Besides abscess tonsillectomy, opening and drainage of cervical flegmon were conducted in these patients. Two patients died of mediastinitis. Thus, success of treatment of acute parapharyngitis depends on early diagnosis, especially at prehospital stage, detailed examination in ENT department, early and adequate surgical intervention and combined conservative treatment. It is recommended to measure the content of middle mass molecules during the treatment of pyoinflammatory, septic conditions in otorhinolaryngological practice.