Peritonsillar abscess surgery: Difference between revisions
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==Overview== | ==Overview== | ||
Medical therapy is the first liine treatment modality for peritonsillar abscess. [[Incision and drainage]], or [[tonsillectomy]] are surgical modalities in the management of peritonsillar abscess. Well formed abscess must be incised and drained and antibiotic therapy continued. [[Tonsillectomy]] is indicated in peritonsillar abscess in severe upper [[airway obstruction]], previous episodes of severe recurrent [[pharyngitis]] or peritonsillar abscess and in unresolving peritonsillar abscess after antibiotics and [[incision and drainage]].<ref name="pmid28025609">{{cite journal| author=Windfuhr JP| title=Indications for tonsillectomy stratified by the level of evidence. | journal=GMS Curr Top Otorhinolaryngol Head Neck Surg | year= 2016 | volume= 15 | issue= | pages= Doc09 | pmid=28025609 | doi=10.3205/cto000136 | pmc=5169082 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28025609 }} </ref><ref name="pmid27754588">{{cite journal| author=Mcleod R, Brahmabhatt P, Owens D| title=Tonsillectomy is not a procedure of limited value - the unseen costs of tonsillitis and quinsy on hospital bed consumption. | journal=Clin Otolaryngol | year= 2016 | volume= | issue= | pages= | pmid=27754588 | doi=10.1111/coa.12773 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27754588 }} </ref><ref name="pmid27128404">{{cite journal| author=Windfuhr JP| title=[Evidence-based Indications for Tonsillectomy]. | journal=Laryngorhinootologie | year= 2016 | volume= 95 Suppl 1 | issue= | pages= S38-87 | pmid=27128404 | doi=10.1055/s-0041-109590 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27128404 }} </ref><ref name="pmid25837365">{{cite journal| author=Rasp G| title=[Tonsillectomy]. | journal=Laryngorhinootologie | year= 2015 | volume= 94 | issue= 4 | pages= 218-9 | pmid=25837365 | doi=10.1055/s-0035-1548998 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25837365 }} </ref> | |||
==Surgery== | ==Surgery== | ||
Surgical modalities in the management of peritonsillar abscess involve the use of the following: | Surgical modalities in the management of peritonsillar abscess involve the use of the following: | ||
*[[Incision and drainage]], or | *[[Incision and drainage]], or | ||
:* Well formed abscess must be incised and drained and antibiotic therapy continued. | |||
*[[Tonsillectomy]] | *[[Tonsillectomy]] | ||
==== | ===Indications for [[tonsillectomy]] in peritonsillar abscess=== | ||
*Severe upper | The following are the indications for [[tonsillectomy]] in patients with peritonsillar abscess.<ref name="pmid28025609">{{cite journal| author=Windfuhr JP| title=Indications for tonsillectomy stratified by the level of evidence. | journal=GMS Curr Top Otorhinolaryngol Head Neck Surg | year= 2016 | volume= 15 | issue= | pages= Doc09 | pmid=28025609 | doi=10.3205/cto000136 | pmc=5169082 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28025609 }} </ref><ref name="pmid27754588">{{cite journal| author=Mcleod R, Brahmabhatt P, Owens D| title=Tonsillectomy is not a procedure of limited value - the unseen costs of tonsillitis and quinsy on hospital bed consumption. | journal=Clin Otolaryngol | year= 2016 | volume= | issue= | pages= | pmid=27754588 | doi=10.1111/coa.12773 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27754588 }} </ref><ref name="pmid27128404">{{cite journal| author=Windfuhr JP| title=[Evidence-based Indications for Tonsillectomy]. | journal=Laryngorhinootologie | year= 2016 | volume= 95 Suppl 1 | issue= | pages= S38-87 | pmid=27128404 | doi=10.1055/s-0041-109590 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27128404 }} </ref><ref name="pmid25837365">{{cite journal| author=Rasp G| title=[Tonsillectomy]. | journal=Laryngorhinootologie | year= 2015 | volume= 94 | issue= 4 | pages= 218-9 | pmid=25837365 | doi=10.1055/s-0035-1548998 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25837365 }} </ref> | ||
*Severe upper [[airway obstruction]] | |||
*Previous episodes of severe recurrent [[pharyngitis]] or peritonsillar abscess | *Previous episodes of severe recurrent [[pharyngitis]] or peritonsillar abscess | ||
*Unresolving peritonsillar abscess after antibiotics [[incision and drainage]] | *Unresolving peritonsillar abscess after antibiotics and [[incision and drainage]] | ||
==References== | ==References== | ||
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{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
[[Category:Emergency mdicine]] | |||
[[Category:Disease]] | |||
[[Category:Up-To-Date]] | |||
[[Category:Infectious disease]] | |||
[[Category:Otolaryngology]] | |||
[[Category:Pediatrics]] | |||
[[Category:Surgery]] | |||
Latest revision as of 23:40, 29 July 2020
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Peritonsillar abscess Microchapters |
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Treatment |
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Case Studies |
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Peritonsillar abscess surgery On the Web |
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American Roentgen Ray Society Images of Peritonsillar abscess surgery |
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Risk calculators and risk factors for Peritonsillar abscess surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Prince Tano Djan, BSc, MBChB [2]
Overview
Medical therapy is the first liine treatment modality for peritonsillar abscess. Incision and drainage, or tonsillectomy are surgical modalities in the management of peritonsillar abscess. Well formed abscess must be incised and drained and antibiotic therapy continued. Tonsillectomy is indicated in peritonsillar abscess in severe upper airway obstruction, previous episodes of severe recurrent pharyngitis or peritonsillar abscess and in unresolving peritonsillar abscess after antibiotics and incision and drainage.[1][2][3][4]
Surgery
Surgical modalities in the management of peritonsillar abscess involve the use of the following:
- Well formed abscess must be incised and drained and antibiotic therapy continued.
Indications for tonsillectomy in peritonsillar abscess
The following are the indications for tonsillectomy in patients with peritonsillar abscess.[1][2][3][4]
- Severe upper airway obstruction
- Previous episodes of severe recurrent pharyngitis or peritonsillar abscess
- Unresolving peritonsillar abscess after antibiotics and incision and drainage
References
- ↑ 1.0 1.1 Windfuhr JP (2016). "Indications for tonsillectomy stratified by the level of evidence". GMS Curr Top Otorhinolaryngol Head Neck Surg. 15: Doc09. doi:10.3205/cto000136. PMC 5169082. PMID 28025609.
- ↑ 2.0 2.1 Mcleod R, Brahmabhatt P, Owens D (2016). "Tonsillectomy is not a procedure of limited value - the unseen costs of tonsillitis and quinsy on hospital bed consumption". Clin Otolaryngol. doi:10.1111/coa.12773. PMID 27754588.
- ↑ 3.0 3.1 Windfuhr JP (2016). "[Evidence-based Indications for Tonsillectomy]". Laryngorhinootologie. 95 Suppl 1: S38–87. doi:10.1055/s-0041-109590. PMID 27128404.
- ↑ 4.0 4.1 Rasp G (2015). "[Tonsillectomy]". Laryngorhinootologie. 94 (4): 218–9. doi:10.1055/s-0035-1548998. PMID 25837365.