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[Peritonsillar abscesses (quincy)].

C Page1, J Peltier, C Medard

  • 1Laboratoire d'anatomie à la faculté de médecine, service d'ORL et de chirurgie cervicofaciale, CHU d'Amiens, hôpital Nord, place Victor-Pauchet, 80054 Amiens cedex, France. cyril.page@caramail.com

Annales D'Oto-Laryngologie Et De Chirurgie Cervico Faciale : Bulletin De La Societe D'Oto-Laryngologie Des Hopitaux De Paris
|March 21, 2007
PubMed
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Peritonsillar abscess (quinsy) diagnosis is primarily clinical. Prompt needle aspiration or drainage, combined with antibiotics, leads to favorable outcomes within days, with some patients later undergoing tonsillectomy.

Area of Science:

  • Otolaryngology
  • Infectious Diseases
  • Surgical Pathology

Context:

  • Peritonsillar abscess (quinsy) is a common complication of tonsillitis.
  • Understanding diagnostic and therapeutic patterns is crucial for effective management.
  • This study analyzes 98 cases over a decade in an ENT department.

Purpose:

  • To investigate the diagnostic circumstances, contributing factors, bacteriology, and treatment of peritonsillar abscesses.
  • To evaluate the effectiveness of various therapeutic interventions.
  • To identify factors influencing patient outcomes and recurrence.

Summary:

  • Diagnosis of peritonsillar abscess is predominantly clinical (98%).
  • Most cases (90%) complicated angina; 49% had no prior antibiotics.

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  • Treatment involved needle aspiration (65%) or surgical drainage (35%), with a 2-day average hospital stay and complete cure in 10 days.
  • Impact:

    • Effective management, including aspiration or drainage and antibiotics, leads to rapid recovery.
    • Later tonsillectomy is considered for recurrent cases.
    • This data aids in optimizing peritonsillar abscess treatment protocols.