Rauchen prädisponiert zum Peritonsillarabszess

Lehnerdt, Goetz; Senska, K.; Fischer, Michael B.; Jahnke, K.

doi:10.1055/s-2005-870289

Cited by 24 publications

(8 citation statements)

References 12 publications

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“…No patient of our patient population had presented with a bilateral PTA, while others reported rates ranging between 0.8 and 4.9 % [27,30,[32][33][34]. In accordance with most studies [6,[35][36][37][38][39][40][41][42][43] smoking habits were overrepresented (43.8 %) in our patient population. In contrast to other studies, none of our patients had presented with a concomitant infectious mononucleosis [11,[44][45][46] or Kawasaki's disease [37,[44][45][46][47][48][49][50][51][52].…”

Section: Discussionsupporting

confidence: 93%

Cranial tonsillotomy for peritonsillar abscess: what a relief!

Windfuhr

Nematian

Ziogou

2016

Eur Arch Otorhinolaryngol

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Peritonsillar abscess (PTA) is a common infection of the oropharynx resulting in painful swallowing, sometimes associated with fever, trismus and a typical voice alteration. Several draining methods have been suggested, including needle aspiration (NA), incision and drainage (ID), or abscesstonsillectomy. However, a gold standard of surgical therapy still does not exist. The aim of this study was to evaluate the outcome in patients who had undergone ID supplemented by cranial tonsillotomy (IDTT) as first-line treatment. A retrospective chart review of all patients who had undergone IDTT at our department in 2015 was performed. Demographic data, clinical findings, pain intensity on a 10-point visual analog scale, operation time and routine bloods before and after IDTT were collected. In addition, a 10-point visual analog scale (VAS) was utilized to measure personal satisfaction 2 weeks and 2 months after surgery. A total of 104 procedures were performed in 65 male and 38 female patients (median age 35 years), including one patient with a contralateral PTA 2 weeks after IDTT. Three patients had experienced abscess formation after admittance for antibiotic treatment of acute tonsillitis. 57.7 % of all patients denied intake of antibiotic therapy in their history at initial presentation. Patients were hospitalized for 3 days (median). The median pain intensity (VAS) within the first three postoperative days was 2, 1 and 1, respectively. Two weeks and 2 months after surgery patients were highly satisfied with the procedure (median value 10). Bleeding complications did not occur. IDTT is a novel surgical concept and associated with great patient comfort. It is safe, easy to learn and associated with an early return to normal diet and physical activity. These findings are supported by a rapid normalization of white blood cell count and C-reactive protein. IDTT eliminates the necessity of painful re-draining of the wound cavity and is free of bleeding complications. In contrast to ID and NA, histological examination of tonsillar tissue is feasible to disclose a previously undetected malign disease. Further analysis is warranted to verify the success rate in the long-term.

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Section: Discussionsupporting

confidence: 93%

Cranial tonsillotomy for peritonsillar abscess: what a relief!

Windfuhr

Nematian

Ziogou

2016

Eur Arch Otorhinolaryngol

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“…[23] Smoking appears to be a risk factor for PTAs. [24,25] However, our study revealed no strong correlation between PTA volume and patients' smoking status, drinking status, or dental problems. Only their treatment experience at local clinics was strongly correlated with PTA volume.…”

Section: Discussioncontrasting

confidence: 72%

Effects of temperature and humidity on peritonsillar abscess volume of emergency patients

Su¹,

Yu²,

Wu³

et al. 2022

Medicine

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Climate and temperature have long been considered in relation to human diseases and mortality. In this study, we investigated whether daily temperature and humidity and patients’ personal history affect the volume of peritonsillar abscesses (PTAs). We included 52 patients with PTAs who were admitted to the emergency department of the study hospital; their computed tomography data were analyzed, and PTA volume was measured. We investigated the possible correlation between PTA volume and mean/minimum/maximum temperature and humidity. Furthermore, we obtained personal history data, including information on drinking status, smoking status, dental problems, and patients’ treatment experiences at local clinics before visiting the emergency department. The mean PTA volume was 3.93 mL, which was significantly correlated with temperature differences between 1 and 2 days before hospitalization and the day of hospitalization (P < .05) and also with a lack of treatment experience at local clinics (P < .001). However, no significant correlation was noted between PTA volume and the mean/minimum/maximum temperature and humidity on the day of hospitalization (P > .05). Similar findings were obtained for drinking status, smoking status, and dental problems (P > .1). PTA volume appears to be strongly associated with temperature differences between 1 and 2 days before hospitalization and the day of hospitalization. Patients with treatment experience at local clinics exhibited substantial increases in PTA volume. Thus, an increased PTA volume may be observed in patients who visit the emergency department without any treatment experience at local clinics or from environments that differ considerably from their current environment in terms of temperature.

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“…Isolation of the Necropsobacter genus in humans has been reported in clinical case studies related to bacteremia and abscesses [ 103 ], whereas Actinobacillus has been reported in the pathogenesis of periodontitis [ 104 ]. Interestingly, smoking has been linked to abscesses and periodontitis [ 105 , 106 ], suggesting that both Necropsobacter and Actinobacillus may have a role in the development of smoking-related abscesses.…”

Section: Discussionmentioning

confidence: 99%

Cigarette Smoking Modulation of Saliva Microbial Composition and Cytokine Levels

Rodríguez-Rabassa

López

Rodríguez-Santiago

et al. 2018

IJERPH

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Tobacco use has been implicated as an immunomodulator in the oral cavity and contributes to the development of oral cancer. In the present study, we investigated the effects of cigarette smoking on bacterial diversity and host responses compared to healthy nonsmoking controls. Saliva samples were collected from eighteen smokers and sixteen nonsmoking individuals by passive drool. The 16S rRNA gene was used to characterize the salivary microbiome by using the Illumina MiSeq platform. Cytokine and chemokine expression analyses were performed to evaluate the host response. Significant differences in cytokine and chemokine expression levels of MDC, IL-10, IL-5, IL-2, IL-4, IL-7, adrenocorticotropic hormone (ACTH), insulin, and leptin were observed between smokers and nonsmokers. Taxonomic analyses revealed differences between the two groups, and some bacterial genera associated with the smokers group had correlations with hormones and cytokines identified as statistically different between smokers and nonsmokers. These factors have been associated with inflammation and carcinogenesis in the oral cavity. The data obtained may aid in the identification of the interactions between the salivary microbiome, host inflammatory responses, and metabolism in smokers.

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Rauchen prädisponiert zum Peritonsillarabszess

Cited by 24 publications

References 12 publications

Cranial tonsillotomy for peritonsillar abscess: what a relief!

Cranial tonsillotomy for peritonsillar abscess: what a relief!

Effects of temperature and humidity on peritonsillar abscess volume of emergency patients

Cigarette Smoking Modulation of Saliva Microbial Composition and Cytokine Levels

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