The Impact of Prior Tonsillitis and Treatment Modality on the Recurrence of Peritonsillar Abscess: A Nationwide Cohort Study

Wang, Ying‐Piao; Wang, Mao-Che; Lin, Hung-Ching; Chou, Pesus

doi:10.1371/journal.pone.0109887

Cited by 27 publications

(46 citation statements)

References 27 publications

(54 reference statements)

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“…Other data of our study were less exciting including the demographic findings which are fully in accordance with other studies concerning a median age less than 40 years [1,21]. A male to female ratio of 1.71 confirms the finding of a male predominance in PTA patients [21,[27][28][29].…”

Section: Discussionsupporting

confidence: 91%

“…The mean time to recurrence questions the good outcome in our patients as a result of on an inadequately short follow-up. However, Wang identified in 20.5 % a ''residual disease'' (by definition: \30 days) [21] which is a higher rate compared to our study with a followup of 60 days. Our department of Otorhinolaryngology is part of an Academic Teaching Hospital with 17 different disciplines and responsible for a potential catchment area of more than 260,000 inhabitants.…”

Section: Discussioncontrasting

confidence: 84%

“…A male to female ratio of 1.71 confirms the finding of a male predominance in PTA patients [21,[27][28][29]. There was a slight preponderance of the right side in our study which is contradictory to the findings of a balanced affection of both sides [27,30], or a preponderance of the left side [31,32].…”

Section: Discussionsupporting

confidence: 59%

“…Herzon analyzed 19 studies with a minimum time of follow-up of at least 1 year and identified a recurrence rate ranging between 0 and 23 % after NA or ID [2]. In a population of 28,837 patients, Wang identified NA as a risk factor for PTA recurrence in the pediatric population [21]. On the other hand, it is worth to repeat the limited preventive value of tonsillectomy: PTA occurs even in the absence of tonsillar tissue, presumably resulting from infections of a second branchial cleft fistula, Weber's glands or spreading of dental diseases [22][23][24][25][26].…”

Section: Discussionmentioning

confidence: 99%

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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: 91%

Section: Discussioncontrasting

confidence: 84%

Section: Discussionsupporting

confidence: 59%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Cranial tonsillotomy for peritonsillar abscess: what a relief!

Windfuhr

Nematian

Ziogou

2016

Eur Arch Otorhinolaryngol

View full text Add to dashboard Cite

show abstract

“…For the age group between 14 and 21 years, Risberg et al [55] identified the highest annual incidence (124/100,000). In some trials it becomes obvious that mainly male adolescents and adults are affected [56], [57], [58], with a ratio of 3:1 [53], [59]. There are other investigations that do not reveal a gender-related preponderance [49], [52], [53], [55], [59], [60], [61], [62], [63], [64], [65], [66], [67], [68].…”

Section: Discussionmentioning

confidence: 99%