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Pediatric peritonsillar abscess: Quinsy ie versus interval tonsillectomy
Lawrence M Simon1, Jackie West-Denning Matijasec, Alvin P Perry
1Louisiana State University Health Sciences Center, USA. larrymsimon@gmail.com
Summary
Quinsy tonsillectomy and interval tonsillectomy show similar outcomes for pediatric peritonsillar abscess. Both methods demonstrated comparable hospital stays, blood loss, operative times, and complication rates in this study.
Area of Science:
- Otolaryngology
- Pediatric Surgery
- Infectious Diseases
Background:
- Peritonsillar abscess (quinsy) is a common pediatric ENT emergency.
- Tonsillectomy is a frequent treatment for peritonsillar abscess.
- Management strategies include immediate quinsy tonsillectomy versus interval tonsillectomy after initial medical management.
Purpose of the Study:
- To compare the outcomes of quinsy tonsillectomy versus interval tonsillectomy in pediatric patients.
- To evaluate differences in hospital stay, blood loss, operative time, and complications.
Main Methods:
- Retrospective chart review of pediatric patients treated for peritonsillar abscess between 2007 and 2011.
- Inclusion criteria: patients treated for ICD-9 code 475, excluding those not undergoing tonsillectomy.
- Data collected: length of stay, blood loss, operative time, complications; statistical analysis performed.
Main Results:
- 34 children underwent tonsillectomy for peritonsillar abscess; 23 had quinsy tonsillectomy, 11 had interval tonsillectomy.
- Hospital days: 2.2 (Quinsy) vs. 2.3 (Interval).
- Blood loss (<20 ml) and operative time (38 min vs. 39 min) were similar. No post-tonsillectomy hemorrhages occurred; one readmission for dehydration in the interval group.
Conclusions:
- Quinsy tonsillectomy and interval tonsillectomy are comparable in treating pediatric peritonsillar abscess.
- No significant differences were observed in key surgical and clinical outcomes.
- Both approaches offer safe and effective management options for pediatric quinsy.
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