Document Detail

Lingual abscess: diagnosis and treatment.
MedLine Citation:
PMID:  15162358     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Lingual abscesses are very rare, and as a result, the individual surgeon usually lacks experience in the diagnosis and therapy of this entity. We present four cases of abscesses of the tongue diagnosed and treated during the past 2 years. METHODS: The medical records, films, and charts of four patients with lingual abscess were retrospectively reviewed. The clinical presentation, radiographic features, treatment, and outcome of the cases were examined. RESULTS: Diagnosis was obtained by clinical examination and CT. In all cases, we avoided incision and drainage and preferred draining the abscess and aspirating pus with a large-bore needle through the inferior surface of the tongue. All patients responded remarkably well and did not have any recurrence. CONCLUSIONS: Lingual abscesses are rare conditions. In contrast to the approach in cases of most deep neck space infections, a more conservative therapeutic approach by needle-aspiration is effective and has the advantages of not exacerbating the edema of the tongue and of avoiding airway compromise.
Dimitrios G Balatsouras; Panayotis N Eliopoulos; Antonis C Kaberos
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Head & neck     Volume:  26     ISSN:  1043-3074     ISO Abbreviation:  Head Neck     Publication Date:  2004 Jun 
Date Detail:
Created Date:  2004-05-26     Completed Date:  2004-10-21     Revised Date:  2006-10-05    
Medline Journal Info:
Nlm Unique ID:  8902541     Medline TA:  Head Neck     Country:  United States    
Other Details:
Languages:  eng     Pagination:  550-4     Citation Subset:  IM    
Copyright Information:
Copyright 2004 Wiley Periodicals, Inc. Head Neck 26: 550-554, 2004
ENT Department of Tzanion General Hospital of Piraeus, Piraeus, Greece.
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MeSH Terms
Abscess / diagnosis*,  therapy*
Anti-Bacterial Agents / therapeutic use
Anti-Inflammatory Agents / therapeutic use
Hydrocortisone / therapeutic use
Penicillins / therapeutic use
Tongue Diseases / diagnosis*,  therapy*
Reg. No./Substance:
0/Anti-Bacterial Agents; 0/Anti-Inflammatory Agents; 0/Penicillins; 50-23-7/Hydrocortisone

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