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Related Experiment Videos

Bilateral peritonsillar abscesses.

G Lehnerdt1, K Senska, M Fischer

  • 1Department of Otorhinolaryngology, University of Duisburg-Essen, Hufelandstrasse 55, 45122 Essen, Germany. goetz.lehnerdt@uni-essen.de

European Archives of Oto-Rhino-Laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
|January 26, 2005
PubMed
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Bilateral peritonsillar abscesses (PTA) are often missed, with nearly 4% of patients undergoing tonsillectomy having undiagnosed abscesses on both sides. This highlights the need to consider bilateral PTA during management to prevent serious complications like mediastinitis.

Area of Science:

  • Otolaryngology
  • Head and Neck Surgery
  • Infectious Diseases

Background:

  • Peritonsillar abscess (PTA) management strategies, including immediate (à chaud) versus delayed (à froid) tonsillectomy, often overlook the risk of contralateral abscesses.
  • Limited data exists on the incidence of bilateral PTA in patients undergoing tonsillectomy.

Purpose of the Study:

  • To retrospectively analyze the rate of bilateral PTA in patients undergoing abscess tonsillectomy.
  • To evaluate the implications of undiagnosed bilateral PTA in clinical decision-making.

Main Methods:

  • Retrospective analysis of 541 patients who underwent abscess tonsillectomy.
  • Assessment for the presence of bilateral PTA, with pre-operative detection noted.

Main Results:

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  • Twenty-one patients (3.88%) presented with bilateral PTA, none of which were detected pre-operatively.
  • Postoperative hemorrhage requiring general anesthesia occurred in 2.22% of patients.
  • The incidence of bilateral PTA was nearly 4%.

Conclusions:

  • The high rate of undiagnosed bilateral PTA (3.88%) necessitates consideration in management decisions.
  • Failure to identify bilateral PTA can lead to serious complications, including mediastinitis.
  • This finding supports careful evaluation for bilateral involvement in all PTA cases.