Advantages of otorhinolaryngologist performed transcervical ultrasonography in the management of peritonsillar abscess

Hallak, Bassel; Graber, Stephan; Bouayed, Salim; Teiga, Pedro S.

doi:10.1016/j.amjoto.2020.102659

Cited by 6 publications

(2 citation statements)

References 17 publications

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“…In rare circumstances, tumor spillage with seeding may be the worse consequence in an infected neck space due to malignancy. Recent reports have shown SUS as a safe and effective tool in managing peritonsillar abscesses with good outcomes and shorter waiting times [ 12 ]. Despite the COVID-19 challenge, we successfully performed SUS interventional procedure much earlier with a good outcome.…”

Section: Discussionmentioning

confidence: 99%

Surgeon-performed ultrasound-guided head and neck procedures during COVID-19 pandemic

Toong

Ghauth

2022

Egypt J Otolaryngol

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Background The ultrasonographic procedure is a common diagnostic and therapeutic method in daily medical practice. Surgeon-performed ultrasound (SUS) has been gaining popularity, especially during this COVID-19 pandemic. Methods Two ENT surgeons performed US-guided diagnostic or therapeutic procedures in the outpatient clinic. A successful SUS is defined as the diagnostic procedure's ability to facilitate the final histopathological diagnosis that can guide the subsequent treatment and disease resolution following the therapeutic procedure without the need for more invasive open surgical intervention. Results Out of 10 participants, 6 are males, and 4 are females. There were no complications noted. All subjects had successful tissue sampling or intervention on the first attempt for diagnostic and therapeutic SUS. Conclusions With COVID-19, there has been a significant shift in ordinary medical practice. SUS is proven to be a safe and effective method to facilitate the management of head and neck pathologies.

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Section: Discussionmentioning

confidence: 99%

Surgeon-performed ultrasound-guided head and neck procedures during COVID-19 pandemic

Toong

Ghauth

2022

Egypt J Otolaryngol

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“…24 The usefulness of IOU becomes limited when trismus is present, and transcervical ultrasound has shown promise in these clinical situations. 25,26 Additionally, trials comparing transcervical ultrasound protocols to CT-guided diagnostics have demonstrated that use of transcervical ultrasound in the diagnosis of PTA in the ED provides decreased length of stay, lower costs, and less radiation exposure for patients. 27,28 Although there are barriers, such as training and equipment costs, to using ultrasound within EDs, its use is gaining popularity and should be considered when choosing a diagnostic imaging modality for PTA.…”

Section: Discussionmentioning

confidence: 99%

Trends in Emergency Department Computed Tomography Usage for Diagnosis of Peritonsillar Abscess

et al. 2021

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Objectives: Peritonsillar abscess (PTA) is the most common deep neck space infection and a frequent cause for otolaryngology consultation. Patients often undergo computed tomography (CT) scan for confirmation in addition to physical examination. Our aims were to determine whether patients unnecessarily undergo CT scans in the emergency department (ED) when presenting with sore throat and identify physical examination characteristics that predict PTA. Methods: The electronic medical records of all patients (>18 years) presenting to an ED between June 2014 and June 2015 with a primary diagnosis of acute pharyngitis, acute tonsillitis, or PTA were reviewed for presenting symptoms and diagnostic imaging use. Results: Four hundred eight patients met inclusion criteria; 21 were diagnosed with PTA, including 13 based on history and physical alone. A total of 21 CT scans were ordered, 11 (52.3%) of which did not demonstrate abscess. Soft palatal fullness, uvular deviation, drooling, and muffled voice were all significantly associated with increased CT usage (all P values <.02). Rising subjective pain scores were associated with increased use of CT imaging ( P = .029). Multivariable analyses revealed that soft palatal fullness, uvular deviation, and drooling were all significant predictors of PTA (all P values <.001). Conclusions: Patients with severe symptoms of PTA, including uvular deviation, drooling, and soft palatal fullness, were most likely to undergo CT imaging. Given the high likelihood of PTA, patients presenting with these symptoms could forego CT imaging, reducing exposure to ionizing radiation.

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Otorhinolaryngologist performed transcervical versus transoral ultrasonography in the management of peritonsillar abscess

Todsen

2021

American Journal of Otolaryngology

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Advantages of otorhinolaryngologist performed transcervical ultrasonography in the management of peritonsillar abscess

Cited by 6 publications

References 17 publications

Surgeon-performed ultrasound-guided head and neck procedures during COVID-19 pandemic

Surgeon-performed ultrasound-guided head and neck procedures during COVID-19 pandemic

Trends in Emergency Department Computed Tomography Usage for Diagnosis of Peritonsillar Abscess

Otorhinolaryngologist performed transcervical versus transoral ultrasonography in the management of peritonsillar abscess

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