Innovative approach in the management of Adult Epiglottic Abscess. –A Prospective Study.

Ramesh Babu Kalyanasundaram; Amurthagani Arumugam; Gitanjali Narendran

Volume : VII, Issue : V, May - 2017

Innovative approach in the management of Adult Epiglottic Abscess. –A Prospective Study.

Ramesh Babu Kalyanasundaram, Amurthagani Arumugam, Gitanjali Narendran

Abstract :

Background: Epiglottic abscess in an otherwise healthy adult is seen as a rare sequelae of acute epiglottitis. It is a life threatening condition which requires emergency management, which if not done early, may result in fatality. Respiratory infections, diabetes exposure to environmental chemical or trauma which may lead to inflammation and infection of the structures around the throat which may lead on to acuteepiglottitis, and an epiglottis abscess very rarely. In our case, study of 15 patientswere imme– diately managed by doing an emergency tracheostomy followed by incision and drainage in the OPD (outpatient department). This emphasizes on need for emergency airway management by doing a tracheostomy there by facilitating incision and drainage in a case of epiglottic abscess as a daycare procedure. Aim: The primary aim of this clinical study is to emphasize the need for im– mediate airway managekment in epiglottic abscess there by facilitating incision and drainage as an OPD procedure Conclusion: Patients with epiglottic abscess are at increased risk of airway com– promise, hence in such patients airway should be immediately secured by doing an emergency tracheostomy or intubation This study shows the benefits of an emergency tracheostomy by doing incision and drainage for epiglottic abscess as an OPD procedure. As most of the patients had co morbid illness such as hypertension diabetes copd which were a challenge in doing under general anaesthesia