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 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 A Randomized Control Trial for conservative management of parotid abscess in children

2018 ◽  
Vol 7 (1) ◽  
pp. 56-59
Author(s):  
Meenakshi Basnet ◽  
Rajkumar Bedajit ◽  
Bijay Neupane ◽  
Bibek Ghimire
Keyword(s):  
Treatment Protocol ◽  
Cross Sectional Study ◽  
Computer Assisted ◽  
Cross Sectional ◽  
Incision And Drainage ◽  
Medical College ◽  
Severe Diarrhea ◽  
Group A ◽  
Group B ◽  
Incision Drainage

Background: The optimal conservative treatment protocol of parotid abscess in children is evaluated.Material and Methods: This is a randomized, prospective, cross-sectional study conducted between November 2013 and June 2017 in Nobel Medical College and Teaching Hospital. Thirty children (below 14 years age) suffering from parotid abscess diagnosed by ultrasonography were included in this study. Recurrent parotid abscess cases were excluded. The children were divided into 2 groups by computer assisted randomization into15 patients each. Group A were treated with intravenous Clindamycin while group B were given intravenous Ampicilin + Cloxacillin combination. Results: Five patients of group B did not respond to treatment and were then put on intravenous Clindamycin. Three of these patients responded to treatment but 2 developed multi-lobulated fluctuation and required incision + drainage. Remaining 10 patients in group B and all patients in Group A responded to medical treatment without recurrence. Five patients in group B developed severe diarrhea during antibiotic treatment but none of the patients in group A had this complaint. No patient developed any complications like parapharyngeal abscess or septicemia. Conclusion: Parotid abscess in children can be managed conservatively with intravenous Clindamycin without the need for incision and drainage. Journal of Nobel Medical College Volume 7, Number 1, Issue 12, January-June 2018, Page: 56-59 

scholarly journals Medial versus Medio-lateral Tympanoplasty in Large Central and Subtotal Perforation – A Prospective Study

2019 ◽  
Vol 27 (1) ◽  
pp. 44-50
Author(s):  
Ajoy Khaowas ◽  
Chiranjib Das
Keyword(s):  
Prospective Study ◽  
Uptake Rate ◽  
West Bengal ◽  
Age Group ◽  
Medical College ◽  
Group I ◽  
Number Of Patients ◽  
Subtotal Perforation ◽  
A Prospective Study ◽  
Bony Overhang

Introduction: Large central and subtotal tympanic membrane (TM) perforations are difficult to repair because of less vascularity of anterior TM than posterior TM and the anterior bony overhang that blocks visualization. Some studies reported very encouraging results with the medio-lateral tympanoplasty in such cases. We have undertaken this study to find out efficacy of this technique in large central and subtotal perforations and to compare the results of medio-lateral with medial tympanoplasty. Materials and Methods: The present prospective study was conducted in the Department of Otorhinolaryngology of a medical college and hospital, West Bengal from January 2013 to December 2014. Patients were alternatively divided into two groups. Medial technique was used in Group I and medio-lateral technique was used in Group II.    Results: Each group comprised of 40 patients each. Maximum number of patients in each group was in the age group of 15-25 years. The overall graft uptake rate in this study was 95% in medio-lateral technique compared to 80% of underlay technique. Conclusion: The medio-lateral tympanoplasty is suitable for reconstruction of large central or subtotal TM perforation. It takes advantage of both medial and lateral grafting methods while avoiding their pitfalls.

scholarly journals TO STUDY AGE, SEX INCIDENCE OF VARIOUS SALIVARY GLAND TUMORS IN BIKANER REGION

2020 ◽  
Vol 4 (5) ◽  
Author(s):  
Saroj Ola ◽  
Nikita Manoj ◽  
Manoj Kumar Meena
Keyword(s):  
Salivary Gland ◽  
Prospective Study ◽  
Age Groups ◽  
Benign Neoplasm ◽  
Histopathological Study ◽  
Salivary Gland Neoplasm ◽  
Age Group ◽  
Salivary Gland Tumours ◽  
Medical College ◽  
Age And Sex

Background: To determine the Incidence of various salivary gland tumours according to age and sex in Bikaner region Methods: This is a retrospective and prospective study on salivary gland neoplasm a histopathological study in relation to age, sex and site over a period of 5 years, 3 years retrospective and 2 years prospective at the department of pathology, Sardar Patel Medical College and Associated Group of Hospitals, Bikaner. Results:  No case was found in age groups 0-20 years while 4 patients were found in age group 21-30 years and out of them 2 each were female and male while 5 patients were found in age group 31-40 and out of them 3 were females and 2 were males. In age group 41-50, only 4 patients were found and they all were males. In age group 51-60 years, maximum number of cases (n=6) were found and out of them 3 each were female and male. Conclusion: In Bikaner zone benign neoplasm is predominant in female and malignant predominant in male. Keywords: Benign, Malignant, Age, Sex, Salivary gland.

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 (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 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 Study of quality of life outcome after adenotonsillectomy in children with sleep disorderd breathing

2017 ◽  
Vol 4 (1) ◽  
pp. 50
Author(s):  
Arshed Ali ◽  
Jasif Nisar ◽  
Ihsan Ali ◽  
Rauf Ahmad
Keyword(s):  
Quality Of Life ◽  
Prospective Study ◽  
Somatic Growth ◽  
Study Groups ◽  
Neck Surgery ◽  
Age Group ◽  
Medical College ◽  
Pediatric Age Group ◽  
Metabolic Systems

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">This prospective study was conducted in our department with the objective to study the quality of life outcome after adenotonsillectomy in children with sleep disorderd breathing. Sleep-disordered breathing, can lead to substantial morbidities, affecting the central nervous system (CNS), the cardiovascular and metabolic systems, and somatic growth, ultimately leading to reduced quality of life. </span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">This prospective study was conducted in 47 patients in the Department of Otorhinolaryngology Head and Neck Surgery, Government Medical College and associated SMHS Hospital Srinagar. The study was included the patients with SDB in pediatric age group, who visited in our OPD.OSA-18 questionnaire was used pre-operatively, at 2 and 6 months after surgery.  </span></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">Our study groups comprised of total 47 patients with majority of patients with in age group of 5-7 years, males were 29 (61.70%) and females were 18 (38.30%). In our study the OSA 18 scale used pre-operatively showed majority of patients 33 (70.21%) having score &gt;80 score, with mean OSA-18 score of 84.15 showing that there was a major impact on quality of life and there was significant improvement in mean OSA-18 score in postoperative period from 30.49 to 26.85 at 2 and 6 months post- operatively and hence improvement in quality of life. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">Based on the observation made in the study we concluded that there was a significant improvement in the disease specific postoperative quality of life after both adenotonsillectomy and tonsillectomy. We also concluded that polysomnography results matched with OSA 18 questionnaire scale score done preoperatively.</span></p>

scholarly journals Prevalence of subclinical hypothyroidism in cases of cholelithiasis

2017 ◽  
Vol 5 (1) ◽  
pp. 34
Author(s):  
Brijendra Singh Raghuwanshi ◽  
Sandeep Jain ◽  
Mahendra Damor ◽  
Naveen Kumar Patbamniya
Keyword(s):  
Prospective Study ◽  
Subclinical Hypothyroidism ◽  
P Value ◽  
Age Group ◽  
Provisional Diagnosis ◽  
Abdominal Ultrasonography ◽  
Medical College ◽  
Gandhi Medical College ◽  
A Prospective Study ◽  
Multiple Stone

Background: This prospective study was carried out to analyse the prevalence of subclinical hypothyroidism in patients of gall stones.Methods: A prospective study was carried out in the Gandhi Medical College and associated Hamidia Hospital Bhopal from 2015 to 2016. Data was collected from patients who were admitted in surgical wards, with a provisional diagnosis of cholelithiasis. Patient was diagnosed cholelithiasis on abdominal ultrasonography and was tested for having subclinical hypothyroidism by testing fasting blood samples for serum TSH.Results: A total of 50 patients of cholelithiasis were included in present study. Females were 42 out of 50 (84%) and males were 8 out of 50 (16%). Most common age group was 41-50 (36%) correct (insignificant at p<0.05). 12 (24%) out 50 patients were hypothyroid. Out of total 42 females 11(26.19 %) were hypothyroid (insignificant at p<0.05). All stones in hypothyroidism patients were >1cm and overall 58% stones were >1cm (statically significant P<0.05). 03 out of 12 hypothyroidisms (25%) patient had single stones while 9 (75%) patient have multiple stone (statically significant P value <0.05). In hypothyroid cases most stones were of cholesterol type (58%) (Statically significant at P value≤0.05).Conclusions: Early diagnosis of hypothyroid state at subclinical level by monitoring TSH level so that they can be treated at early stages and burden of Cholelithiasis thus can be prevented.

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