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Anales de Otorrinolaringología Mexicana

2022, Number 2

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Otorrinolaringología 2022; 67 (2)

Surgical management of epiglottic abscess

Albavera-Giles LR, Vivar-Acevedo E

Language: Spanish
References: 9
Page: 156-162
PDF size: 260.37 Kb.


ABSTRACT

Background: Epiglottic abscess is a rare complication of acute epiglottitis characterized by a supraglottic pus collection. Its detection is fundamental for the prognosis in the patient morbidity and mortality.
Clinical case: A 46-year-old male patient admitted to a tertiary hospital unit with a diagnosis of epiglottic abscess, which was managed with successful awake orotracheal intubation at the second attempt plus endolaryngeal drainage by microscopy of the abscess, to protect post-surgical airway and avoid admission to the intensive care unit, a tracheostomy cannula was placed, with favorable evolution and hospital discharge 8 days after admission, performing control laryngoscopies.
Conclusions: An epiglottic abscess is a condition that requires immediate evaluation and proper management in conjunction with the anesthesiology service, it is important to consider the state of the airway as the main axis for decision-making during patient’s evolution.


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