Therapy options for peritonsillar abscess

Federspil, P

doi:10.1007/s00106-008-1882-z

Cited by 6 publications

(4 citation statements)

References 45 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Erw ä hnenswert ist, dass bei den 13 Nachblutungen nach Abszesstonsillektomie die Nachblutung in fast identischer Verteilung von der Abszessseite und jedoch auch der Gegenseite ausging. Die Diskussion, ob bei einem Peritonsillarabszess die Gegenseits ü berhaupt mit tonsillektomiert werden soll, wird in der Literatur gef ü hrt [11] . Da die Art der prim ä ren Operation bez ü glich der Dissektion der Tonsille als auch der Blutstillung einen Einfl uss auf die Zahl von Nachblutungen hat [10, 12 -19] , ist auf die hier vorherrschende Technik der " kalten " Dissektion und einer Blutstillungstechnik mit wenig thermischen L ä sionen hinzuweisen.…”

Section: Untersuchungen An 105 F ä Llen Von Nachblutungen Nach Tonsilunclassified

Untersuchungen an 105 Fällen von Nachblutungen nach Tonsillektomie

Deitmer¹,

Neuwirth²

2010

Laryngo-Rhino-Otol

View full text Add to dashboard Cite

show abstract

Section: Untersuchungen An 105 F ä Llen Von Nachblutungen Nach Tonsilunclassified

Untersuchungen an 105 Fällen von Nachblutungen nach Tonsillektomie

Deitmer¹,

Neuwirth²

2010

Laryngo-Rhino-Otol

View full text Add to dashboard Cite

show abstract

“…Khan et al ( 26 ) reported of 60 patients with a successful PTA drainage. Nevertheless, all recommendations are based on retrospective study data and small study cohorts ( 23 , 27 , 28 ).…”

Section: Discussionmentioning

confidence: 99%

The peritonsillar abscess and its management – is incision and drainage only a makeshift to the tonsillectomy or a permanent solution?

Ketterer,

Maier,

Burkhardt

et al. 2023

Front. Med.

View full text Add to dashboard Cite

IntroductionThis study aims to examine the long-term management of peritonsillar abscess and compare needle aspiration, incision with drainage, and tonsillectomy in terms of comorbidities, complication rates, and recurrences in the largest study cohort published to date.MethodsWe conducted a retrospective analysis of patients, both adults and children, who were treated for peritonsillar abscess between 2007 and 2019. Patient charts were analyzed to assess surgical treatment, infection and inflammation rates, risk of bleeding, recurrence rates, duration of illness, and sick certificates. Additionally, patient imaging and blood levels were compared. Postal questionnaires were sent to all patients to evaluate subjective success rates, complications, and long-term benefits of the different treatment regimens. General practitioners and ENT doctors in private practices were contacted to gather missing data on the long-term course of the disease.ResultsA total of 821 patients with peritonsillar abscess were included in this study. Two patients had to be excluded due to incidental pathological findings. Of the remaining 819 patients, 180 were successfully treated with needle aspiration or incision. Among these patients, 37.7% required tonsillectomy during the same inpatient stay. Laboratory parameters such as leukocyte count or C-reactive protein levels were not indicative of the need for tonsillectomy. Furthermore, computed tomography was only necessary in cases of suspected parapharyngeal abscess, not in clear cases of peritonsillar abscess. Among the 641 patients who underwent tonsillectomy, 11.4% experienced postoperative bleeding requiring treatment. Only patients who underwent bilateral tonsillectomy reported recurrent episodes of sore throat and pharyngitis resulting in absence from work. The ipsilateral recurrence rate for peritonsillar abscess after needle aspiration or incision was 2.8%. There were no contralateral recurrences during the observation period.ConclusionDue to the lower risk of postoperative bleeding, shorter absence from work, and shorter inpatient stay, incision and drainage are the preferable treatment for peritonsillar abscess. Additionally, patients who underwent bilateral tonsillectomy reported higher rates of work incapacity due to sore throat caused by pharyngitis. No patient met the clear indication for bilateral tonsillectomy due to recurrent acute tonsillitis. The recurrence rate after drainage without tonsillectomy was very low (2.8% ipsilaterally, no recurrence contralaterally).

show abstract

“…Ein Peritonsillarabszess wird entweder durch eine Nadelpunktion, eine Inzisionsdrainage oder die Abszesstonsillektomie behandelt. Die empirische Antibiotikatherapie kann bereits in der Hausarztpraxis beginnen, die First-Line Therapie ist ein Aminopenicillin mit Betalaktamase-Inhibitor [3,4]. ▶ Tab.…”

Section: Therapieunclassified

Halsschmerzen in der Hausarztpraxis

Krüger¹,

Oltrogge²

2020

Allgemeinmedizin up2date

View full text Add to dashboard Cite

Therapy options for peritonsillar abscess

Cited by 6 publications

References 45 publications

Untersuchungen an 105 Fällen von Nachblutungen nach Tonsillektomie

Untersuchungen an 105 Fällen von Nachblutungen nach Tonsillektomie

The peritonsillar abscess and its management – is incision and drainage only a makeshift to the tonsillectomy or a permanent solution?

Halsschmerzen in der Hausarztpraxis

Contact Info

Product

Resources

About