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Updated: Oct 17, 2025
05:07
CO2-Lasertonsillotomy Under Local Anesthesia in Adults
Published on: November 6, 2019
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[From tonsillitis to peritonsillar abscess]
Sinan Ghavami1, Edwige Gombert1, Cécile De Sandre1
1Service d'otorhinolaryngologie et chirurgie maxillofaciale, CHUV, 1011 Lausanne.
Revue Medicale Suisse
|October 6, 2021
Summary
Acute tonsillitis, often resolving spontaneously, can lead to peritonsillar abscess. Recognizing key symptoms like severe throat pain and palate swelling is crucial for timely diagnosis and treatment of this common infection.
Area of Science:
- Otolaryngology
- Infectious Diseases
Background:
- Acute tonsillitis is a frequent upper respiratory tract infection.
- Tonsillar infections can be unilateral or bilateral, often resolving spontaneously.
- Complications include peritonsillar cellulitis or abscess, involving inflammation of the peritonsillar space.
Purpose of the Study:
- To outline the diagnostic criteria and management of acute tonsillitis and its complications.
- To highlight the importance of recognizing red flag symptoms indicative of peritonsillar abscess.
Main Methods:
- Clinical observation and description of symptoms.
- Diagnostic procedures including needle puncture for pus detection.
- Treatment modalities such as surgical drainage and antibiotic therapy.
Main Results:
- Peritonsillar abscess is characterized by worsening odynophagia, soft palate swelling, trismus, and voice changes.
- Needle puncture is essential for diagnosing peritonsillar abscess.
- Surgical drainage (tonsillectomy or incision) combined with antibiotics is the recommended treatment for abscess.
Conclusions:
- Prompt recognition of peritonsillar abscess red flags is vital.
- Effective management involves accurate diagnosis and appropriate surgical and antibiotic interventions.
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