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CO2-Lasertonsillotomy Under Local Anesthesia in Adults
Published on: November 6, 2019
[Peritonsillar infections: prospective study of 100 consecutive cases]
María Costales-Marcos1, Fernando López-Álvarez, Faustino Núñez-Batalla
1Servicio de Otorrinolaringología, Hospital Universitario Central de Asturias, Oviedo, Principado de Asturias, España. Costi2@hotmail.com
Acta Otorrinolaringologica Espanola
|March 20, 2012
Summary
Peritonsillar infection, a common complication of acute tonsillitis, is effectively treated with needle aspiration and intravenous antibiotics. This approach led to a low recurrence rate of 5% in a study of 100 patients.
Area of Science:
- Otolaryngology
- Infectious Diseases
- Surgical Infections
Context:
- Peritonsillar infection is the most common complication of acute tonsillitis.
- These infections involve pus collection between the tonsillar capsule and superior constrictor pharyngeal muscle.
- Peritonsillar infections are categorized as either abscess or cellulitis.
Purpose:
- To analyze clinical data from 100 patients diagnosed with peritonsillar infection between 2008 and 2010.
- To evaluate the effectiveness of current treatment protocols in the absence of clinical guidelines.
- To assess the association of clinical signs with peritonsillar abscess.
Summary:
- A prospective analysis of 100 patients with peritonsillar infection revealed 62 cases of peritonsillar abscess and 38 of cellulitis.
- Clinical signs like trismus, uvular deviation, and anterior pillar bulging were significantly associated with peritonsillar abscess (P<.005).
- Treatment involved hospitalization, puncture-aspiration, intravenous antibiotics (amoxicillin/clavulanate in 83%), steroids, and oral antibiotics upon discharge, resulting in a 5% recurrence rate and a 3-day mean hospital stay.
Impact:
- Puncture-aspiration combined with intravenous antibiotics offers a safe and effective treatment for peritonsillar infections.
- The study highlights the need for controlled trials to investigate the efficacy and safety of outpatient management.
- Findings contribute to understanding peritonsillar infection management and inform potential guideline development.
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