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Related Experiment Videos

Bilateral peritonsillar abscesses and quinsy tonsillectomy.

R E Dalton, E Abedi, A Sismanis

    Journal of the National Medical Association
    |October 1, 1985
    PubMed
    Summary

    Bilateral peritonsillar abscesses may be more common than previously thought. This suggests reconsidering surgical approaches for suspected unilateral cases, especially if symptoms persist after initial treatment.

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    Area of Science:

    • Otolaryngology
    • Infectious Diseases

    Background:

    • Peritonsillar abscess (PTA) typically follows acute tonsillitis.
    • Unilateral presentation is common, but bilateral involvement may be underestimated.
    • Antibiotic therapy and drainage may mask contralateral abscesses.

    Purpose of the Study:

    • To investigate the frequency of bilateral peritonsillar abscesses.
    • To re-evaluate treatment strategies for patients with suspected unilateral PTA.

    Main Methods:

    • Case review of patients presenting with unilateral PTA.
    • Literature review on the incidence of bilateral PTA.
    • Analysis of treatment outcomes based on clinical findings.

    Main Results:

    • Two patients initially diagnosed with unilateral PTA were found to have contralateral pus during surgery.
    • Literature review suggests bilateral PTA may occur with differing stages of development.
    • Subclinical contralateral abscesses might be present in patients unresponsive to initial treatment.

    Conclusions:

    • Bilateral peritonsillar abscesses may be more prevalent than recognized.
    • Quinsy tonsillectomy is indicated for persistent fever post-drainage, considering potential contralateral involvement.
    • Clinical presentation requires careful assessment to rule out bilateral PTA.

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