Tonsillectomy à chaud

Indications for tonsillectomy stratified by the level of evidence

“…Only 7.9 to 56% of the patients with PTA repoted recurrent episodes of tonsillitis their history [257], [260], [266], [270], [290], [291], [301], [302], [303], [304], [305], [306], [307], [308], [309], [310], [311], [312], [313], [314], [315], [316], [317], [318], [319]. This aspect is confirmed by current studies where a correlation between tonsillitis in the patients’ history and PTA was found in only about half of the PTA patients [269], [320].…”

Peritonsillar Abscess

“…12 Only a few researchers have described the precise location of PTAs in relation to the tonsillar poles. [20][21][22][23][24][25][26] A meta-analysis of the literature confirms that the most frequent location for PTAs is behind the upper tonsillar pole ( Table 1). However, 36% (95% confidence interval [95% CI]: 31.7%-40.4%) of PTAs were located behind the midportion or lower tonsillar pole.…”

“…However, studies suggest that there could be a protective effect of appropriate antibiotic treatment to patients with bacterial tonsillitis with avoidance of suppurative complications. 77,78 A Cochrane review 21 34 of 120 (28%) patients had repeated tonsillitis in the past Beeden (1970) 22 56 of 111 (50%) patients had previous episodes of tonsillitis Brandow (1973) 23 79 of 156 (51%) patients previously had 1 attacks of tonsillitis Bonding (1973) 24 83 of 317 (26%) patients previously had repeated tonsillitis with fever 3 times per year; 38 of 317 (12%) patients had symptoms of chronic tonsil affection or previously had 1 or 2 episodes of acute tonsillitis per year Herbild (1981) 32 51 of 256 (20%) patients previously had recurrent episodes of tonsillitis and 7% previously had symptoms of pharyngitis in varying degrees Fried (1981) 31 12 of 41 (29%) patients had had 1 episodes of sore throat symptoms Schechter (1982) 91 29 of 74 (39%) patients had a history of tonsillar disease, including 4 patients with previous PTA Stegehuis (1986) 92 22 of 83 (27%) patients previously had 2 attacks of tonsillitis per year over the last 2 y Stringer (1988) 93 10 (36%) patients had a history of tonsillitis, including 5 patients with a history of PTA Savolainen (1993) 94 34 of 98 (35%) and 21 of 98 (21%) patients previously had 1-3 and .3 episodes of tonsillitis, respectively Wolf (1994) 35 34 of 160 (21%) patients had a medical history of recurrent tonsillitis Matsuda (2002) 95 75 of 724 (10%) patients had a history of tonsillar disease, including 48 with prior PTA Ong (2004) 30 23 of 185 (12%) patients gave a history of recurrent tonsillitis 96 45 of 127 (35%) children previously had tonsillar infection in the past 77 This percentage should be regarded with some reservation, as 72% (18 of 25) of the patients who developed PTA were included in 2 nonrandomized and non-double-blinded studies from 1951. [79][80][81][82][83][84][85][86] At that time, the prevalence of PTA in untreated patients was much higher than it is today.…”

Uncommon complication of quinsy

“…But Hippocrates reserved the word for those cases which were complicated by diffficulty in swallowing (Brandon 1977). According to Bonding (1973) (Fig. III).…”