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Bilateral peritonsillar abscess revisited.

Adnan Safdar1, Joseph P Hughes, Rory McConn Walsh

  • 1Department of Otolaryngology-Head and Neck Surgery, Beaumont Hospital, 27 Forster Walk, Lucan, Co. Dublin, Republic of Ireland. adnan_safdar@hotmail.com

Ear, Nose, & Throat Journal
|January 18, 2006
PubMed
Summary
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Bilateral peritonsillar abscess, though rare, can be effectively treated with needle aspiration. This case series suggests its utility as a primary treatment for bilateral cases, potentially improving diagnosis and management.

Area of Science:

  • Otolaryngology
  • Infectious Diseases

Background:

  • Peritonsillar abscess (PTA) is a common complication of tonsillitis.
  • Bilateral peritonsillar abscess (BPPA) is considered uncommon and may present atypically.

Observation:

  • This report details two cases of BPPA.
  • Both patients were successfully treated with bilateral needle aspiration using a 14-gauge intravenous cannula.

Findings:

  • Needle aspiration, a standard treatment for unilateral PTA, was used as the sole modality for BPPA.
  • This approach, combined with intravenous antibiotics and observation, proved effective.

Implications:

  • The findings suggest that BPPA may be underdiagnosed.
  • A low threshold for imaging in suspected BPPA cases is recommended to expedite diagnosis and treatment.

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