Intraoral drainage under surgical microscopy with tonsillectomy for parapharyngeal abscesses

Y. Okumura, Hiroshi Hidaka, N. Noguchi, Y. Katori

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)


Background: An intraoral approach combined with tonsillectomy has been used to access the parapharyngeal space. However, the utility of this technique for parapharyngeal abscesses in paediatric patients has not been investigated. This paper describes an intraoral drainage technique combined with tonsillectomy for treating children with a parapharyngeal abscess that obviates the need for skin incision. Methods: Clinical case records are presented, along with a description of the surgical procedure accompanied by a video clip. Results: Both cases encountered involved paediatric parapharyngeal space abscesses that extended to the skull base. The patients underwent an intraoral approach combined with tonsillectomy performed under surgical microscopy; this resulted in a good post-operative course without complications. Conclusion: To our knowledge, no previous reports have addressed the use of surgical microscopy to help access the parapharyngeal space. The procedure described herein, performed under surgical microscopy, was specifically helpful in enabling access to these challenging spaces; it also meant that surgical procedures could be recorded clearly and findings shared with other medical staff.

Original languageEnglish
Pages (from-to)595-597
Number of pages3
JournalJournal of Laryngology and Otology
Issue number6
Publication statusPublished - 2015 Jun 16


  • Abscess
  • Microsurgery
  • Retropharyngeal Abscess
  • Upper Respiratory Tract Infections

ASJC Scopus subject areas

  • Otorhinolaryngology


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