scholarly journals Peritonsillar Abscess (PTA) Management: A Literature Review Comparing Different Approaches of PTA Drainage

2018 ◽  
Vol 5 ◽  
Author(s):  
Abdullah Ahmed Alamri ◽  
Mohammed Alsheikh ◽  
Saad Hamdi Alenzi ◽  
Asma A Alahmadi ◽  
Hoda Alsayid ◽  
...  
Keyword(s):  
Upper Airway ◽  
Needle Aspiration ◽  
Deep Infection ◽  
Peritonsillar Abscess ◽  
Safe Procedure ◽  
Incision And Drainage ◽  
Study Results ◽  
Life Threatening ◽  
King Abdulaziz University ◽  
Abscess Tonsillectomy

Background: Peritonsillar abscess (PTA) is the most common deep infection of neck space that occurs in adults and is potentially life threatening if not treated appropriately. The surgical treatment of peritonsillar abscess that is not complicated with upper airway obstruction still remains controversial. Objectives: This review attempts to explore the controverseries between different types of management and compare the efficacy of needle aspiration, tonsillectomy and/or incision and drainage. Methodology: This study was done in King Abdulaziz University. All researches, between 1988 to 2015 were recruited and reviewed in this study. Results and conclusion: Studying the three accepted methods of draining: incision and drainage, abscess tonsillectomy, or needle aspiration, Incision and drainage is an efficient and safe procedure to treat peritonsillar abscess. As well as it is superior to Needle aspiration in terms of the post-procedure pain score. It can be performed as the first-line treatment of peritonsillar abscess. Quinsy tonsillectomy can offer several advantages, by allowing full evacuation of the abscess cavity, effectively relieving symptoms, but holds risk in general anesthesia intubation. and also higher post-operative complication like Peritonsillar abscess make it not a favorable step.

Peritonsillar Abscess (PTA) Management: A Literature Review Comparing Different Approaches of PTA Drainage

2018 ◽  
Author(s):  
Abdullah Ahmed ALAMRI ◽  
Mohammed ALSHEIKH ◽  
Saad Hamdi ALENZI ◽  
Asma A ALAHMADI ◽  
Hoda ALSAYID ◽  
...  
Keyword(s):  
Upper Airway ◽  
Needle Aspiration ◽  
Deep Infection ◽  
Peritonsillar Abscess ◽  
Safe Procedure ◽  
Incision And Drainage ◽  
Study Results ◽  
Life Threatening ◽  
King Abdulaziz University ◽  
Abscess Tonsillectomy

Background: Peritonsillar abscess (PTA) is the most common deep infection of neck space that occurs in adults and is potentially life threatening if not treated appropriately. The surgical treatment of peritonsillar abscess that is not complicated with upper airway obstruction still remains controversial. Objectives: This review attempts to explore the controverseries between different types of management and compare the efficacy of needle aspiration, tonsillectomy and/or incision and drainage. Methodology: This study was done in King Abdulaziz University. All researches, between 1988 to 2015 were recruited and reviewed in this study. Results and conclusion: Studying the three accepted methods of draining: incision and drainage, abscess tonsillectomy, or needle aspiration, Incision and drainage is an efficient and safe procedure to treat peritonsillar abscess. As well as it is superior to Needle aspiration in terms of the post-procedure pain score. It can be performed as the first-line treatment of peritonsillar abscess. Quinsy tonsillectomy can offer several advantages, by allowing full evacuation of the abscess cavity, effectively relieving symptoms, but holds risk in general anesthesia intubation. and also higher post-operative complication like Peritonsillar abscess make it not a favorable step.

scholarly journals Bilateral peritonsillar abscess: a case series

2019 ◽  
Vol 5 (3) ◽  
pp. 772
Author(s):  
Ng Chun Tau ◽  
Ahmad Nordin Afandi
Keyword(s):  
Medical Therapy ◽  
Complete Resolution ◽  
Case Series ◽  
Needle Aspiration ◽  
Peritonsillar Abscess ◽  
The Other ◽  
Incision And Drainage ◽  
Tomography Imaging ◽  
First Case ◽  
Intravenous Antibiotics

<p class="abstract">Peritonsillar abscess (PTA) is one of the most common deep neck abscesses. Unlike unilateral peritonsillar abscess, bilateral peritonsillar abscess is rather rare. We report 3 cases of bilateral peritonsillar abscess which were proven by either computerized tomography imaging or needle aspiration. One of the patients was treated with intravenous antibiotics and corticosteroid. The other 2 patients underwent needle aspiration for confirmation of diagnosis and subsequent incision and drainage. All patients were treated successfully with complete resolution. Bilateral PTA should always be considered when there is presence of bilateral peritonsillar swelling with non-deviated uvula and trismus. Despite surgical drainage being the most common management, the option of medical therapy alone may be sufficient. To the best of our knowledge, this is the first case of bilateral PTA reported being treated successfully with medical therapy.</p>

Peritonsillar Abscess Treatment under Local Anaesthesia: Incision and Drainage versus Needle Aspiration

2021 ◽  
Vol 15 (11) ◽  
pp. 2982-2984
Author(s):  
Sajid Rashid Nagra ◽  
Ghulam Dastgir Khan ◽  
Salman Aftab Ahmed ◽  
Saleha Rashid ◽  
Anam Malik ◽  
...  
Keyword(s):  
Hospital Admission ◽  
Prospective Study ◽  
Needle Aspiration ◽  
Peritonsillar Abscess ◽  
Age Group ◽  
Acute Tonsillitis ◽  
Incision And Drainage ◽  
Medical College ◽  
Single Modality ◽  
Incision Drainage

Background: Peritonsillar abscess is usually complication of acute tonsillitis which itself is prevalent in society. As a general surgical principle, abscess any were, has to be drained so same applies for quinsy but methodology for this drainage is not being agreed. Aim: To find best modality for drainage of this abscess and see its incidence in which age group and sex. Study design: Prospective study Place and duration of the study: Department of ENT, Rai Medical College, Sargodha from 1st Feb. 2017 to 31st Jan. 2019. Methodology: One hundred and thirty five patients above 15 years of age and those in need of hospital admission due to severity of symptoms were included. Paediatric, immunocompromised, requiring general anesthesia and acute tonsillitis patients were excluded. Results: There were 65.2% males and 34.8% females. Commonly affected age group was 21-40 years. Needle aspiration was found more effective for management of peritonsillar abscess. Conclusion: No consensus for single modality and both needle aspiration and incision/drainage is advocated and needle aspiration proved fruitful in management. Keywords: Quinsy, Peritonsillar abscess, needle aspiration

scholarly journals Peritonsillar Abscess: A Study of 724 Cases in Japan

2002 ◽  
Vol 81 (6) ◽  
pp. 384-389 ◽  
Author(s):  
Akifumi Matsuda ◽  
Hidekazu Tanaka ◽  
Takeo Kanaya ◽  
Keita Kamata ◽  
Makoto Hasegawa
Keyword(s):  
Clinical Features ◽  
Complication Rate ◽  
Needle Aspiration ◽  
Peritonsillar Abscess ◽  
Aerobic Bacteria ◽  
Disease Course ◽  
Incision And Drainage ◽  
Deep Neck Infections

We reviewed the records of 724 patients diagnosed with peritonsillar abscess who had been admitted to our hospital between January 1988 and December 1999. We analyzed their clinical features, disease course, and treatment. The male:female ratio was 3:1, and approximately two-thirds of these patients were between 20 and 39 years of age. The most common aerobic bacteria cultured from patients’ pus were α-hemolytic streptococci. Severe complications—including deep neck infections and mediastinals—were seen in 13 patients (1.8%). This complication rate suggests that patients with peritonsillar abscess should undergo immediate incision and drainage rather than needle aspiration.

scholarly journals Wide bore needle aspiration for peritonsillar abscess

2019 ◽  
Vol 5 (2) ◽  
pp. 336
Author(s):  
G. Gandhi ◽  
K. Santhanakrishnan ◽  
Poornima S. Bhat
Keyword(s):  
Postoperative Complications ◽  
Retrospective Review ◽  
Needle Aspiration ◽  
Peritonsillar Abscess ◽  
Common Complication ◽  
Exclusion Criteria ◽  
Acute Tonsillitis ◽  
Incision And Drainage ◽  
Emergency Situations ◽  
Parapharyngeal Abscess

<p class="abstract"><strong>Background:</strong> Peritonsillar abscess is the most common complication of acute tonsillitis.</p><p class="abstract"><strong>Methods:</strong> A retrospective review was conducted to identify the cause, microbiology, management and outcomes of the peritonsillar abscess. Over a period of 4 years from September 2014 to September 2018, patients presenting with peritonsillar abscess to the Department of ENT, SMVMCH, Puducherry, who underwent wide bore needle aspiration at least once were included in this study. 45 patients were included in the study. Exclusion criteria were retropharyngeal and parapharyngeal abscess.  </p><p class="abstract"><strong>Results:</strong> Among 45 patients, 18 were males and 27 were females. Two patients presented with bilateral peritonsillar abscess. 40 patients responded well with initial wide bore needle aspiration and IV antibiotics, with no postoperative complications. 5 patients needed incision and drainage under local anaesthesia.</p><p class="abstract"><strong>Conclusions:</strong> Wide bore needle aspiration is easy and cheap, less invasive, effective method of management in emergency situations of peritonsillar abscess. Early wide bore needle aspiration and iv antibiotics will prevent complications and reduce the need for incision and drainage.</p><p class="abstract"> </p>

scholarly journals Peritonsillar abscess after tonsillectomy: a review of the literature

2011 ◽  
Vol 93 (5) ◽  
pp. 353-355 ◽  
Author(s):  
SEJ Farmer ◽  
MA Khatwa ◽  
HMM Zeitoun
Keyword(s):  
Literature Review ◽  
Needle Aspiration ◽  
Peritonsillar Abscess ◽  
Review Of The Literature ◽  
Recurrent Tonsillitis ◽  
Incision And Drainage ◽  
Ovid Medline ◽  
Tonsil Tissue ◽  
Sources Of Infection ◽  
The Mean

INTRODUCTION Peritonsillar abscess (PTA) is a common condition with a complicated aetiology. PTA after tonsillectomy is rare. This literature review of PTA in the absence of tonsil tissue aims to collate experience of these cases and examine the wider implications for understanding the aetiology of PTA formation. METHODS A structured literature review was performed using Ovid MEDLINE®. Keywords ‘quinsy’ or ‘peritonsillar abscess’ were combined with ‘tonsillectomy’. RESULTS The search resulted in 212 citations and the identification of 11 cases of PTA formation in the absence of tonsil tissue. The most common indication for tonsillectomy was recurrent tonsillitis or PTA. Nine patients had no interval peritonsillar infection (ie a peritonsillar infection after a tonsillectomy) prior to presenting with the PTA. The mean interval between tonsillectomy and PTA was 16 years. All patients were managed either by incision and drainage or by needle aspiration with or without antibiotics. CONCLUSIONS PTA in the absence of tonsil tissue is rare. Potential sources of infection include congenital branchial fistulas, Weber's glands and dental disease. These alternatives should also be considered in patients presenting with PTA formation in the absence of concurrent tonsillitis and may influence management decisions.

scholarly journals Ultrasound-Guided Needle Aspiration of Peritonsillar Abscesses: Utility of Transoral Pharyngeal Ultrasonography

Diagnostics ◽  
2019 ◽  
Vol 9 (4) ◽  
pp. 141 ◽  
Author(s):  
Yuta Hagiwara ◽  
Yoshimitsu Saito ◽  
Hana Ogura ◽  
Yuichiro Yaguchi ◽  
Takahiro Shimizu ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Ultrasound Image ◽  
Needle Aspiration ◽  
Deep Infection ◽  
Peritonsillar Abscess ◽  
Arterial Puncture ◽  
Diagnosis And Treatment ◽  
Ultrasound Guided ◽  
Acute Tonsillitis

A peritonsillar abscess is a common deep infection that is usually related to acute tonsillitis. Needle aspiration is often performed for diagnosis and treatment, but several complications, including puncture of the carotid artery, may occur, even when performed by properly trained physicians. The utility of transoral pharyngeal ultrasonography (TOPU) equipped with a biopsy adaptor for safe and full aspiration is presented. A 19-year-old man was admitted to our hospital because of a peritonsillar abscess. TOPU showed the abscess and a branch of the carotid artery, and an otolaryngologist performed puncture through the biopsy adaptor with the aid of the ultrasound image. Needle aspiration was accomplished by avoiding arterial puncture and monitoring the shrinkage of the abscess. TOPU-guided needle aspiration is useful in the safe drainage of peritonsillar abscesses.

Sign in / Sign up

Export Citation Format

Share Document