Wide bore needle aspiration for peritonsillar abscess
DOI:
https://doi.org/10.18203/issn.2454-5929.ijohns20190490Keywords:
Peritonsillar abscess, Wide bore needle aspiration, Incision and drainageAbstract
Background: Peritonsillar abscess is the most common complication of acute tonsillitis.
Methods: A retrospective review was conducted to identify the cause, microbiology, management and outcomes of the peritonsillar abscess. Over a period of 4 years from September 2014 to September 2018, patients presenting with peritonsillar abscess to the Department of ENT, SMVMCH, Puducherry, who underwent wide bore needle aspiration at least once were included in this study. 45 patients were included in the study. Exclusion criteria were retropharyngeal and parapharyngeal abscess.
Results: Among 45 patients, 18 were males and 27 were females. Two patients presented with bilateral peritonsillar abscess. 40 patients responded well with initial wide bore needle aspiration and IV antibiotics, with no postoperative complications. 5 patients needed incision and drainage under local anaesthesia.
Conclusions: Wide bore needle aspiration is easy and cheap, less invasive, effective method of management in emergency situations of peritonsillar abscess. Early wide bore needle aspiration and iv antibiotics will prevent complications and reduce the need for incision and drainage.
Metrics
References
Kodiya AM, Ngamdu YB, Sandabe BM, Isa A, Garandawa HI. Management Strategies of Peritonsillar Abscess in the Tropics: A Survey of Surgeons’ Preference. Indian J Otolaryngol Head Neck Surg. 2014;66(2):127–30.
Steyer TE. Peritonsillar abscess: diagnosis and treatment. Am Fam Physician. 2002;65(1):93-6.
Khayr W, Taepke J. Management of peritonsillar abscess: needle aspiration versus incision and drainage versus tonsillectomy. Am J Ther. 2005;12(4):344-50.
Belleza WG, Kalman S. Otolaryngologic emergencies in the outpatient setting. Med Clin North Am. 2006;90(2):329-53.
Bisno AL, Gerber MA, Gwaltney JM, Kaplan EL, Schwartz RH, for the Infectious Diseases Society of America. Practice guidelines for the diagnosis and management of group A streptococcal pharyngitis. Infectious Diseases Society of America. Clin Infect Dis. 2002;35(2):113-25.
Ehlers Klug T, Rusan M, Fuursted K, Ovesen T. Fusobacterium necrophorum: most prevalent pathogen in peritonsillar abscess in Denmark. Clin Infect Dis. 2009;49(10):1467–72.
Millar KR, Johnson DW, Drummond D, Kellner JD. Suspected peritonsillar abscess in children. Pediatr Emerg Care. 2007;23(7):431–8.
Herzon FS, Martin AD. Medical and surgical treatment of peritonsillar, retropharyngeal, and parapharyngeal abscesses. Curr Infect Dis Rep. 2006;8(3):196-202.
Passy V. Pathogenesis of peritonsillar abscess. Laryngoscope. 1994; 104(2):185-190. 8. Brook I. Microbiology and management of peritonsillar, retropharyngeal, and parapharyngeal abscesses. J Oral Maxillofac Surg. 2004;62(12):1545-1550.
Gidley PW, Ghorayeb BY, Stiernberg CM. Contemporary management of deep neck space infections. Otolaryngol Head Neck Surg. 1997;116(1):16-22.
Johnson RF, Stewart MG, Wright CG. An evidence-based review of the treatment of peritonsillar abscess. Otolaryngol Head Neck Surg. 2003;128(3):332-43.
Herzon FS. Harris P. Mosher Award thesis. Peritonsillar abscess: incidence, current management practices, and a proposal for treatment guidelines. Laryngoscope. 1995;105(8):1-17.
Brook I. The role of beta lactamase producing bacteria and bacterial interference in streptococcal tonsillitis. Int J Antimicrob Agents. 2001;17(6):439-42.
Kieff DA, Bhattacharyya N, Siegel NS, Salman SD. Selection of antibiotics after incision and drainage of peritonsillar abscesses. Otolaryngol Head Neck Surg. 1999;120(1):57-61.
Khan MI, Iqbal K, Muhammad. Peritonsillar abscess: comparison of outcome of incision and drainage versus needle aspiration. Gomal J Med Sci. 2012;10:205-8.
Kulkarni V, Patel T. Management of Peritonsillar Abscess: comparative prospective study of Needle aspiration and Incision & Drainage in central Indian Population. Asian J Biomed Pharm Sci. 2013;3(18):29-32.
Khan MA, Khan A, Muhammad. Peritonsillar abscess: clinical presentation and efficacy of incision and drainage under local anaesthesia. J Ayub Med Coll Abbottabad. 2011;23(4):34-6.
Verghese A, Chaturvedi VN, Singh AKK, Raizada RM, Puttewar MP. Peritonsillar abscess-a clinico-bacteriological study, Indian J Otolaryngol Head Neck Surg. 2001;53(2):112–5.
AkiraSakae F, RuiImamura, Ubirajara L, Sennes, AraújoFilho BC, HiroshiTsuji D. Microbiology of Peritonsillar Abscesses. Brazilian J Otorhinolaryngol. 2006;72(2):247-50.
Sowerby LJ, Hussain Z, Husein M. The epidemiology, antibiotic resistance and post-discharge course of peritonsillar abscesses in London, Ontario. J Otolaryngol Head Neck Surg. 2013;42:5.
Downloads
Published
How to Cite
Issue
Section
