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[Peritonsillar abscess. Emergency tonsillectomy?]

F Marchal1, P Dulguerov, W Lehmann

  • 1Clinique d'Oto-Rhino-Laryngologie et de Chirurgie Cervico-faciale, Hôpital Cantonal Universitaire, Genève, Suisse.

Annales D'Oto-Laryngologie Et De Chirurgie Cervico Faciale : Bulletin De La Societe D'Oto-Laryngologie Des Hopitaux De Paris
|January 1, 1995
PubMed
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Immediate tonsillectomy (TC) for peritonsillar abscess is safe and effective. This study found TC resulted in less bleeding, fewer complications, and shorter hospital stays compared to delayed surgery (TF).

Area of Science:

  • Otolaryngology
  • Head and Neck Surgery
  • Infectious Diseases

Background:

  • Peritonsillar abscess treatment remains controversial, with options including immediate tonsillectomy (TC) or delayed interval tonsillectomy (TF) after incision and drainage.
  • Posterior abscess location, present in 33% of cases, complicates drainage without tonsillectomy.

Purpose of the Study:

  • To compare the safety and efficacy of immediate tonsillectomy (TC) versus interval tonsillectomy (TF) for peritonsillar abscess treatment.
  • To analyze surgical outcomes including bleeding, complications, and hospital stay duration.

Main Methods:

  • A retrospective analysis of 105 patients with peritonsillar abscess, comparing 27 patients who underwent TC with 26 who had TF.
  • Variables analyzed included age, abscess location, bacteriology, surgical duration, blood loss, and post-operative outcomes.

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Main Results:

  • TC demonstrated significantly less intraoperative bleeding.
  • Post-operative hemorrhage and overall hospital stay duration were significantly reduced in the TC group.
  • No increased risks or complications were observed with TC.

Conclusions:

  • Immediate tonsillectomy (TC) is a safe and advantageous procedure for peritonsillar abscess.
  • TC offers benefits of reduced complications, decreased bleeding, and shorter hospital stays, leading to reduced costs.
  • The study advocates for TC when surgical intervention is indicated for peritonsillar abscess.