Bilateral Peritonsillar Abscesses

Kanesada, Keiko; Mogi, Goro

doi:10.1016/s0385-8146(81)80013-2

Cited by 15 publications

(12 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The larger percentage includes cases where an unsuspected contralateral abscess was discovered during tonsillectomy. The incidence of unsuspected contralateral peritonsillar abscess identified at tonsillectomy has been reported to be between 1.9% and 24%, while the overall incidence of PTA is reported to reach 4.9% [3, 5–8]. …”

Section: Discussionmentioning

confidence: 99%

“…Drainage of the pus from the abscess cavity can be accomplished via needle aspiration (sometimes ultrasound-guided), incision-drainage, or immediate (quinsy) tonsillectomy [3–8]. …”

Section: Discussionmentioning

confidence: 99%

“…Immediate tonsillectomy is an easy to perform one-stage surgical procedure assuring quick relief of trismus and pain and total evacuation of the pus. Such an operation may subsequently reveal an unsuspected contralateral peritonsillar abscess as well [3–8]. On the contrary, incision and drainage which is also supported by many authors is an awkward procedure, very unpleasant for the patient that could often lead to incomplete evacuation of the abscess cavity.…”

Section: Discussionmentioning

confidence: 99%

“…Although unilateral peritonsillar abscess is a common complication of acute bacterial tonsillitis, bilateral peritonsillar abscesses are quite rare. The overall incidence of bilateral PTA is reported to reach 4.9% [3, 5–8]. In most bilateral cases, an unsuspected contralateral abscess is discovered during tonsillectomy.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Bilateral Peritonsillar Abscesses: A Case Presentation and Review of the Current Literature with regard to the Controversies in Diagnosis and Treatment

Papacharalampous

Vlastarakos

Kotsis

et al. 2011

Case Reports in Medicine

View full text Add to dashboard Cite

Although unilateral peritonsillar abscess is a common complication of acute bacterial tonsillitis, bilateral peritonsillar abscesses are quite rare. The incidence of unsuspected contralateral peritonsillar abscess identified at tonsillectomy has been reported to be between 1.9% and 24%, while the overall incidence of bilateral peritonsillar abscess is reported to reach 4.9%. Diagnosis can be based on clinical criteria or imaging techniques. As far as the treatment is concerned, it is generally accepted that the basic strategy consists of systemic antibiotics and drainage of the pus. We report the case of a 19-year-old girl, treated in the emergency room with a bilateral diagnostic needle aspiration followed by bilateral incision and drainage along with intravenous clindamycin plus anti-inflammatory agents and hydration. Following treatment, the patient progressively experienced a marked alleviation of her odynophagia. She was discharged 48 hours later on a 10-day course of clindamycin.

show abstract

Section: Discussionmentioning

confidence: 99%

“…Drainage of the pus from the abscess cavity can be accomplished via needle aspiration (sometimes ultrasound-guided), incision-drainage, or immediate (quinsy) tonsillectomy [3–8]. …”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Bilateral Peritonsillar Abscesses: A Case Presentation and Review of the Current Literature with regard to the Controversies in Diagnosis and Treatment

Papacharalampous

Vlastarakos

Kotsis

et al. 2011

Case Reports in Medicine

View full text Add to dashboard Cite

show abstract

“…However, as the case presented above illustrates, the presence of bilateral tonsillar swelling and a midline uvula does not eliminate the possibility of PTA. In fact, it is a common finding in patients with bilateral PTA (6). Patients with other common clinical entities, including severe acute tonsillitis and mononucleosis, and less commonly lymphomas and salivary gland tumors, can present similarly (3).…”

Section: Discussionmentioning

confidence: 99%

Bilateral peritonsillar abscesses: Not your usual sore throat

Fasano¹,

Chudnofsky²,

Vanderbeek³

2005

The Journal of Emergency Medicine

View full text Add to dashboard Cite

Bilateral peritonsillar abscesses

Lehnerdt

Senska

Fischer

et al. 2005

Eur Arch Otorhinolaryngol

View full text Add to dashboard Cite

In the discussion about the management of the peritonsillar abscess (PTA) in regard to the pros and cons of tonsillectomy à chaud versus à froid, the risk of obscure contralateral abscesses is often neglected. To the authors' knowledge, there are only a few series of PTA being analyzed for the abscess rate of bilateral PTA. A group of 541 abscess tonsillectomies was retrospectively analyzed for the presence of a bilateral manifestation of peritonsillar abscess. Twenty-one patients (3.88%) had bilateral abscesses. None of these had been detected prior to the operation. Of the 541 patients, 2.22% had postoperative hemorrhages that had to be arrested under general anesthesia. Within the discussion about abscess tonsillectomy versus stab incision followed by interval tonsillectomy (à froid), the rate of almost 4% bilateral abscesses should be taken into consideration as dangerous complications such as mediastinitis could develop from the remaining abscess formation of the contralateral side.

show abstract

Bilateral Peritonsillar Abscesses

Cited by 15 publications

References 7 publications

Bilateral Peritonsillar Abscesses: A Case Presentation and Review of the Current Literature with regard to the Controversies in Diagnosis and Treatment

Bilateral Peritonsillar Abscesses: A Case Presentation and Review of the Current Literature with regard to the Controversies in Diagnosis and Treatment

Bilateral peritonsillar abscesses: Not your usual sore throat

Bilateral peritonsillar abscesses

Contact Info

Product

Resources

About