(14,28) Injection of steroid into the lower tonsillar fossa
is advised for patients unfit for surgery.
B: Esophagography shows contrast leaking into the ipsilateral cervical opening through a tractfrom the right tonsillar fossa
The operative time, amount of bleeding during the procedure, post operative hemorrhage, healing of tonsillar fossa
and amount of pain were recorded on each visit.
Intraoral examination revealed poor oral hygiene and on palpation of bilateral tonsillar fossa
, tender and elongated styloid process was felt.
Asymmetry is usually apparent rather than real and may be the result of asymmetry of the depth of the tonsillar fossa
or of the tonsillar pillars.
wound healing was quantified at 7 and 14 days postoperatively in the ENT Clinic according to the classification system developed by Magdy et al.
Normal length styloid process is not felt in tonsillar fossa
but if felt in this fossa it is considered as elongated.
Examination of the oropharynx revealed that the right tonsillar fossa
had a deep ulcer with prominent edges, and that it was covered with necrotic debris (figure 1, B).
In procedure 1 only one patient the duration exceeded 1900 seconds in which one tie was given in the left tonsillar fossa
to control the intraoperative bleeding.
After the surgery, tonsillar fossa
is left open to heal by secondary intention and is contaminated by oropharangeal bacteria.
The embryologic migration pattern of the second branchial arch tract originates in the tonsillar fossa
, travels over third arch structures, and terminates in the middle to lower two-thirds of the lateral portion of the neck.
Finally, it opens internally in the tonsillar fossa
in case of second pharyngeal pouch, into larynx in case of third pharyngeal pouch, into pyriform fossa in case of fourth pharyngeal pouch.