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Published on: November 6, 2019

Management of intratonsillar abscess in children

Seckin O Ulualp1, Korgun Koral, Linda Margraf

  • 1Department of Otolaryngology - Head and Neck Surgery, University of Texas Southwestern Medical Center and Children's Medical Center, Dallas, Texas 75390-9035, USA. seckin.ulualp@utsouthwestern.edu

Pediatrics International : Official Journal of the Japan Pediatric Society
|May 25, 2013
PubMed

Insights

Intratonsillar abscess in children often resolves with intravenous antibiotics. Surgical drainage is necessary for cases with airway compromise or combined intra- and peritonsillar abscess.

Area of Science:

  • Otolaryngology
  • Pediatric Infectious Diseases
  • Surgical Infections

Background:

  • Intratonsillar abscess is a rare condition in children.
  • Assessing treatment outcomes for intratonsillar abscess is crucial for pediatric care.

Purpose of the Study:

  • To evaluate the effectiveness of medical and surgical interventions for pediatric intratonsillar abscess.
  • To identify predictors for successful treatment outcomes.

Main Methods:

  • Retrospective chart review of pediatric patients diagnosed with intratonsillar abscess.
  • Analysis of patient history, physical examination findings, imaging results, management strategies, and follow-up data.

Main Results:

  • Eleven children (4-18 years) were analyzed.
  • Intravenous antibiotics were effective for isolated intratonsillar abscess or phlegmon.
  • Surgical intervention was required for patients with combined intra- and peritonsillar abscess or respiratory compromise.

Conclusions:

  • Intravenous antibiotic therapy is a primary treatment for stable pediatric intratonsillar abscess or phlegmon.
  • Surgical drainage is indicated for complex cases involving airway compromise or coexisting peritonsillar abscess.
Abstract

Keywords:
antibioticschildrenintratonsillar abscess

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