Complications of ventilation tubes: - Dr. Nassem Talaat

B)chronic specific pharyngitis
1) Syphilis
Primary: chancer, Rare but may affect tonsil
Hard reddish painless nodule + cervical L.N
secordary mucous patches
Bluish Grey, slightly raised --- coalesce & ulcerate to form snail track ulcer
Tertiary Gumma Hard purple swelling ---- ulcerate
2) T.B
Ulcers have deep punched out edge, indurated margins & necrotic floor
Minute Grey tubercles that soon ulcerate: superficial, undermined edges, bluish
margins & yellow caseous floor, severe odynophagia
3) Scleroma : Uually 2ry to rhinoscleroma
- Granulation & crustation in the pharynx
- Painless induration without ulceration
- Atrophic mucosa, lost uvula (Badrawy sign)
- Fibrosis, leading to pharyngeal stenosis
Suppurations related to the pharynx
I. Peritonsillar abscess ( Quinsy )
Def : Collection of pus between fibrous capsule of the tonsil, usually at its upper
pole, & the superior constrictor muscle.
Aet : - Usually as a complication of acute tonsillitis
- Organisms : usually mixed aerobic & anaerobic infection
incid : Usually young adult
Path : Starts by infection in the depth of one of the crypts (usually crypta magna)
Symptoms: (as tonsillitis but severe)
Signs :
General : Fever , headache , malaise ( if pus---hectic fever )
Local : - Sore throat, severe & unilateral -Severe dysphagia & odynophagia
-Unilateral neck pain & referred otalgia -Foetor oris
General: Fever, tachycardia, toxic facies