Efficacy of spinal needle aspiration for epiglottic abscess in 90 patients with acute epiglottitis

Acta Oto-laryngologica
Sun Gon KimSeung Gun Yeo

Abstract

Patients with epiglottic abscesses showed more severe symptoms than those with acute epiglottitis and were at increased risk of airway compromise. All 11 patients with epiglottic abscesses underwent spinal needle aspiration; all were cured without severe complications. These findings indicate that spinal needle aspiration is both safe and effective in patients with epiglottic abscesses. Acute epiglottitis is a disease that may become serious or even fatal because of sudden upper airway obstruction. An epiglottic abscess may result from a coalescent epiglottic infection due to acute epiglottitis or secondary infection of an epiglottic mucocele. There have been few reports comparing acute epiglottitis with epiglottic abscess. We therefore assessed the clinical characteristics of each condition, as well as the efficacy of spinal needle aspiration and drainage of epiglottic abscesses. We retrospectively reviewed the records of 90 hospitalized patients diagnosed with acute epiglottitis and epiglottic abscess by flexible nasopharyngolaryngoscopy between March 2006 and February 2008. All patients were treated with medication; in addition, those with epiglottic abscess underwent spinal needle aspiration. Of 90 patients, 79 had acute ep...Continue Reading

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Citations

Apr 13, 2013·Clinical Otolaryngology : Official Journal of ENT-UK ; Official Journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery·Y C LeeY G Eun
Dec 3, 2014·The American Journal of Emergency Medicine·Jason K HsiehSamantha Anne
May 2, 2015·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Young Chan LeeYoung Gyu Eun
Jun 11, 2020·Ear, Nose, & Throat Journal·Xiufa WuChunsheng Wei
Nov 30, 2021·The Annals of Otology, Rhinology, and Laryngology·Giorgos SiderisAlexander Delides

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