394 results match your criteria Drainage Peritonsillar Abscess


Risk of internal carotid injury due to peritonsillar abscess drainage.

Auris Nasus Larynx 2020 Jun 21. Epub 2020 Jun 21.

Gulhane Medical School, Department of Otolaryngology, Head and Neck Surgery, Ankara, Turkey.

Objective: Peritonsillar abscess (PTA) is one of the most commonly seen ear nose and throat (ENT) emergencies. The most catastrophic complication that may occur due to surgical treatment of PTA is injury of internal carotid artery. The aim of this study is to determine distance and angle between PTA with ICA; and to prevent possible complications. Read More

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http://dx.doi.org/10.1016/j.anl.2020.06.001DOI Listing

Feather foreign body caused periparotid and peritonsillar abscess in a 9-month-old girl.

Auris Nasus Larynx 2020 Jun 11. Epub 2020 Jun 11.

Department of Anaesthesiology and intensive care, University Hospital Centre Split, Split, Croatia; University of Split, School of Medicine, Soltanska 2, Split, Croatia.

Migratory foreign body appeared to be bird feather, caused peritonsillar and periparotid abscess in a nine-month-old infant. Patient presented painful, tender and fluctuating red neck mass on the left neck region II, and refusal of oral intake, with no fever. Azithromycin was introduced four days before presentation for suspected urinary tract infection. Read More

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http://dx.doi.org/10.1016/j.anl.2020.05.021DOI Listing

Medical Intervention Alone vs Surgical Drainage for Treatment of Peritonsillar Abscess: A Systematic Review and Meta-analysis.

Otolaryngol Head Neck Surg 2020 Jun 2:194599820927328. Epub 2020 Jun 2.

Division of Otolaryngology-Head & Neck Surgery, Dalhousie University, Halifax, Nova Scotia, Canada.

Objective: Peritonsillar abscesses (PTAs) are common emergency consultations for otolaryngologists. Medical management alone may offer satisfactory treatment without the risk associated with surgical drainage. Therefore, we performed a systematic review of medical treatment alone compared to surgical drainage for the treatment of PTA. Read More

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http://dx.doi.org/10.1177/0194599820927328DOI Listing

Resource utilization of intraoperative cultures for pediatric deep neck space abscesses.

Int J Pediatr Otorhinolaryngol 2020 May 15;135:110115. Epub 2020 May 15.

Division of Pediatric Otolaryngology-Head and Neck Surgery, Ann and Robert H. Lurie Children's Hospital, Chicago, IL, USA; Department of Otolaryngology-Head and Neck Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.

Introduction: Peritonsillar (PT), parapharyngeal (PP), and retropharyngeal (RP) abscesses are common pediatric deep neck space infections (DNSI). Despite established literature on DNSI microbiology, obtaining intraoperative cultures remains commonplace. The objective was to evaluate the resource utilization of intraoperative cultures when draining PT, PP, and RP abscesses. Read More

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http://dx.doi.org/10.1016/j.ijporl.2020.110115DOI Listing

Management of pediatric peritonsillar and deep neck infections- cross- sectional retrospective analysis.

World J Otorhinolaryngol Head Neck Surg 2019 Dec 18;5(4):207-214. Epub 2019 Oct 18.

Department of Otorhinolaryngology-Head and Neck Surgery, Hospital De Braga, Portugal.

Objective: Deep neck infections (DNI) are responsible for significant morbidity in children and healthcare expenditures. Few studies exist specifically addressing the clinical and epidemiologic characterization and management of DNI's in the pediatric population. Our goal was to analyse the demographic characteristics, clinical presentation, diagnostic and therapeutic approaches of peritonsillar and DNI in pediatric patients. Read More

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http://dx.doi.org/10.1016/j.wjorl.2019.04.003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7015866PMC
December 2019

Smoking and Alcohol Consumption Are Associated With the Increased Risk of Peritonsillar Abscess.

Laryngoscope 2020 Feb 10. Epub 2020 Feb 10.

Department of Otorhinolaryngology-Head & Neck Surgery, Hallym University College of Medicine, Anyang, Republic of Korea.

Objectives/hypothesis: The purpose of this study was to evaluate the relationship among smoking, alcohol consumption, and peritonsillar abscess in a Korean population.

Study Design: Individuals ≥40 years old from the Korean National Health Insurance Service-Health Screening Cohort were assessed from 2002 to 2013.

Methods: In total, 1,285 peritonsillar abscess participants were matched with 5,140 controls at a ratio of 1:4 with respect to age group, sex, income group, region of residence, hypertension, diabetes, and dyslipidemia. Read More

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http://dx.doi.org/10.1002/lary.28510DOI Listing
February 2020

Association of Computed Tomography With Treatment and Timing of Care in Adult Patients With Peritonsillar Abscess.

Ochsner J 2019 ;19(4):309-313

Department of Otolaryngology - Head & Neck Surgery, Tulane University Medical Center, New Orleans, LA.

Peritonsillar abscess (PTA) is a common occurrence in adult patients, and an important question in such often-seen disease processes is whether we are treating these patients effectively, efficiently, and economically. We sought to determine if a diagnostic computed tomography (CT) scan was associated with a difference in clinical intervention in adult patients with PTA and if CT was associated with delaying this intervention. We conducted a retrospective case-control study examining therapeutic interventions in adults with PTA. Read More

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http://dx.doi.org/10.31486/toj.18.0168DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6928676PMC
January 2019

[Clinical analysis of 27 cases with descending necrotizing mediastinitis].

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2019 Dec;54(12):919-923

Department of Otorhinolaryngology Head and Neck Surgery, the First People's Hospital of Foshan, Foshan 528000, China.

To explore the clinical manifestation and treatment strategy for descending necrotizing mediastinitis (DNM). A total of 27 cases diagnosed as DNM from January 2010 to August 2018 in the First People's Hospital of Foshan were reviewed. There were 16 males and 11 females, age ranged from 16 to 84 years. Read More

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http://dx.doi.org/10.3760/cma.j.issn.1673-0860.2019.12.007DOI Listing
December 2019

Author's reply to letter-to-the-editor.

Eur Arch Otorhinolaryngol 2020 Feb 20;277(2):647-648. Epub 2019 Dec 20.

Service D'ORL Et de Chirurgie Cervico-Faciale, CHU de Toulouse, hôpital Larrey, 24, chemin de Pouvourville, TSA 30030, 31059, Toulouse cedex 9, France.

We welcome the opportunity to continue the discussion and to clarify issues you raised in your letter. You will find enclosed a point-by-point response to your comments. Please note that all of these points are already discussed in the "discussion" section of our article "Comparison of needle aspiration versus incision and drainage under local anaesthesia for the initial treatment of peritonsillar abscess". Read More

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http://dx.doi.org/10.1007/s00405-019-05755-4DOI Listing
February 2020

Deep cervical and paratracheal drainage for descending necrotizing mediastinitis.

Asian Cardiovasc Thorac Ann 2020 Jan 15;28(1):29-32. Epub 2019 Dec 15.

Department of Surgery, Teikyo University School of Medicine, Tokyo, Japan.

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http://dx.doi.org/10.1177/0218492319896515DOI Listing
January 2020

[Surgical interventions on the pharynx in the structure of otorhinolaryngological care to the population of the city of Moscow].

Vestn Otorinolaringol 2019 ;84(5):32-37

The Sverzhevskiy's Otorhinolaryngology Healthcare Research Institute, Moscow, Russia, 117152.

The authors studied the reporting documentation of otorhinolaryngological hospitals of the city of Moscow on the surgical treatment of pharyngeal pathology in adults from 2002 to 2017. It was found that for 16 years surgical treatment of 290 362 patients with ENT-diseases was performed: 181.206 (62. Read More

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http://dx.doi.org/10.17116/otorino20198405132DOI Listing
January 2020

Dexamethasone Use in the Treatment of Pediatric Deep Neck Space Infections.

Ann Otol Rhinol Laryngol 2020 Apr 24;129(4):376-379. Epub 2019 Nov 24.

Department of Otolaryngology, Le Bonheur Children's Hospital, University of Tennessee Health Science Center, Memphis, TN, USA.

Objectives: Assess the outcome of Intravenous (IV) dexamethasone in the treatment of pediatric deep neck space infections (DNSI) in combination with IV antibiotics.

Methods: Retrospective chart review of pediatric patients admitted for a DNSI from March 2014 to June 2016. Patient characteristics including demographics, abscess type, antibiotic, dexamethasone, surgery, culture, and length of stay (LOS) were obtained. Read More

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http://dx.doi.org/10.1177/0003489419890349DOI Listing

A Study on Deep Neck Space Infections.

Indian J Otolaryngol Head Neck Surg 2019 Oct 21;71(Suppl 1):912-917. Epub 2019 Jan 21.

Department of Otorhinolaryngology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India.

Deep neck space infections (DNSI) are serious diseases that involve several spaces in the neck. These are commonly seen in low socioeconomic group with poor oral hygiene, and nutritional disorders. These are bacterial infections originating from the upper aerodigestive tract. Read More

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http://dx.doi.org/10.1007/s12070-019-01583-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6848588PMC
October 2019

Protocol for a randomised clinical trial of transoral ultrasound versus standard of care in the diagnosis of peritonsillar abscess.

Dan Med J 2019 Nov;66(11)

Introduction: Peritonsillar infection is a common complication to acute tonsillitis in younger adults. If peritonsillar cellulitis progresses to a peritonsillar abscess (PTA), the primary treatment is surgical drainage. But distinguishing cellulitis from PTA on a standard clinical examination is difficult. Read More

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November 2019
0.612 Impact Factor

Ultrasound-Guided Needle Aspiration of Peritonsillar Abscesses: Utility of Transoral Pharyngeal Ultrasonography.

Diagnostics (Basel) 2019 Oct 5;9(4). Epub 2019 Oct 5.

Department of Neurology, St. Marianna University School of Medicine, Kawasaki 216-8511, Japan.

A peritonsillar abscess is a common deep infection that is usually related to acute tonsillitis. Needle aspiration is often performed for diagnosis and treatment, but several complications, including puncture of the carotid artery, may occur, even when performed by properly trained physicians. The utility of transoral pharyngeal ultrasonography (TOPU) equipped with a biopsy adaptor for safe and full aspiration is presented. Read More

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http://dx.doi.org/10.3390/diagnostics9040141DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6963430PMC
October 2019
1 Read

Needle aspiration versus incision and drainage under local anaesthesia for the treatment of peritonsillar abscess.

Eur Arch Otorhinolaryngol 2020 02 25;277(2):645-646. Epub 2019 Sep 25.

Department of Otorhinolaryngology, The Second Affiliated Hospital, School of Medicine, Zhejiang University, 88 Jiefang Road, Hangzhou, 310009, Zhejiang, China.

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http://dx.doi.org/10.1007/s00405-019-05663-7DOI Listing
February 2020
1 Read

Optimal Timing of Entry-Level Otolaryngology Simulation.

OTO Open 2019 Apr-Jun;3(2):2473974X19845851. Epub 2019 Apr 26.

Department of Otolaryngology-Head and Neck Surgery, Michigan Medicine, Ann Arbor, Michigan, USA.

Objective: Appropriate timing of subspecialty simulation is critical to maximize learner benefit and guide resource utilization. We aimed to determine optimal timing of a simulation-based curriculum designed to teach entry-level procedural skills for otolaryngology residency.

Study Design: Simulation curriculum intervention tested among 3 comparison groups of varying clinical levels. Read More

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http://dx.doi.org/10.1177/2473974X19845851DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6684146PMC
April 2019
2 Reads

Comparison of needle aspiration versus incision and drainage under local anaesthesia for the initial treatment of peritonsillar abscess.

Eur Arch Otorhinolaryngol 2019 Sep 12;276(9):2595-2601. Epub 2019 Jul 12.

Service d'ORL et de chirurgie cervico-faciale, CHU de toulouse, hôpital Larrey, 24, chemin de Pouvourville, TSA 30030, 31059, Toulouse cedex 9, France.

Purpose: The treatment of peritonsillar abscess (PTA) is still controversial regarding the best method of drainage to perform. This study aims to compare effectiveness and safety of needle aspiration versus incision and drainage under local anaesthesia for the initial treatment of PTA.

Methods: A retrospective review of patients (age > 15 years) admitted in two tertiary medical centres for a PTA between November 2010 and October 2016 was performed. Read More

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http://dx.doi.org/10.1007/s00405-019-05542-1DOI Listing
September 2019
7 Reads

The usefulness of abscess tonsillectomy followed by intraoral drainage for parapharyngeal abscess concomitant with peritonsillar abscess in the elderly.

Auris Nasus Larynx 2019 Jun 22. Epub 2019 Jun 22.

Department of Otolaryngology, Head and Neck Surgery, Kagoshima University Graduate School of Medical and Dental Sciences, 8-35-1 Sakuragaoka, Kagoshima 890-8520, Japan.

Parapharyngeal abscess (PPA) may cause life-threatening complications and peritonsillar abscess (PTA) and tonsillitis frequently precede PPA. The optimal management of PPA caused by PTA has been the subject of debate with respect to the surgical approach. We present three cases of PPA concomitant with PTA in elderly patients. Read More

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http://dx.doi.org/10.1016/j.anl.2019.06.003DOI Listing
June 2019
4 Reads

Trends in the management of peritonsillar abscess in children: A nationwide population-based study in Taiwan.

Int J Pediatr Otorhinolaryngol 2019 Oct 20;125:32-37. Epub 2019 Jun 20.

Department of Otolaryngology, Taipei Hospital, Ministry of Health and Welfare, New Taipei City, Taiwan; Department of Otolaryngology, National Taiwan University Hospital, Taipei, Taiwan. Electronic address:

Objective: Population-based studies analyzing peritonsillar abscess in children are lacking. In this study, a population-based survey of the epidemiology of pediatric peritonsillar abscess in Taiwan was conducted.

Methods: This cross-sectional study was conducted using the Taiwan National Health Insurance Research Database. Read More

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http://dx.doi.org/10.1016/j.ijporl.2019.06.016DOI Listing
October 2019
6 Reads

Hospital admissions for acute throat and deep neck infections versus tonsillectomy rates in Germany.

Eur Arch Otorhinolaryngol 2019 Sep 12;276(9):2519-2530. Epub 2019 Jun 12.

Private Practice, Bad Honnef, Germany.

Purpose: To evaluate trends in hospital admissions in Germany for acute infections of the upper airway and deep neck in the context of the number of tonsil-related surgical procedures between 2005 and 2017.

Methods: A retrospective longitudinal population-based cohort study was performed including all unplanned admissions for acute pharyngitis/tonsillitis, abscess formation of the peritonsillar or retropharyngeal/parapharyngeal space. Elective procedures included tonsillectomy (with or without adenoidectomy), secondary tonsillectomy, and tonsillotomy. Read More

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http://dx.doi.org/10.1007/s00405-019-05509-2DOI Listing
September 2019
13 Reads

Peritonsillar abscess in an infant with congenital bone marrow failure.

Int J Pediatr Otorhinolaryngol 2019 Sep 29;124:200-202. Epub 2019 May 29.

Department of Paediatric Otorhinolaryngology, Nottingham Children's Hospital, Nottingham University Hospitals, Derby Road, Nottingham, NG7 2UH, UK.

Peritonsillar abscess is extremely rare in infants and is potentially life-threatening. We report the case of a 3 month old infant with a background of congenital bone marrow failure who presented with sepsis and desaturation requiring intubation and PICU care. Ultrasound and CT scan revealed an inflammatory mass. Read More

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http://dx.doi.org/10.1016/j.ijporl.2019.05.037DOI Listing
September 2019
24 Reads

Pterygoid muscle abscess secondary to parapharyngeal space lymphadenitis.

Int J Pediatr Otorhinolaryngol 2019 Aug 7;123:63-65. Epub 2019 May 7.

Department of Otorhinolaryngology - Head and Neck Surgery, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, 10467, USA. Electronic address:

We describe the case of a young boy with severe clinical symptoms which mimicked several findings consistent with a peritonsillar abscess (PTA). After the patient exhibited no improvement with medical management, imaging revealed an intramuscular medial pterygoid abscess secondary to parapharyngeal space lymphadenitis. This is the first reported case of a patient with a medial pterygoid abscess secondary to lymphadenitis. Read More

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http://dx.doi.org/10.1016/j.ijporl.2019.04.040DOI Listing
August 2019
8 Reads

Computed tomography use patterns for pediatric patients with peritonsillar abscess.

Int J Pediatr Otorhinolaryngol 2019 Aug 24;123:22-25. Epub 2019 Apr 24.

The Ohio State University Wexner Medical Center, Department of Otolaryngology-Head and Neck Surgery, Columbus, OH, USA; Nationwide Children's Hospital, Department of Pediatric Otolaryngology-Head and Neck Surgery, Columbus, OH, USA. Electronic address:

Objectives: The objective of this study is to examine the impact that an institution-wide policy to reduce radiation exposure in pediatric patients had on the use of computed tomography (CT) imaging in children presenting with suspected peritonsillar abscess (PTA)1.

Methods: A single institution retrospective review was conducted for all pediatric patients under the age of 18 who presented to the emergency department with suspected PTA over a ten-year period. Patients were divided into two groups; those that presented during the years prior to policy implementation and those that presented during the years following. Read More

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http://dx.doi.org/10.1016/j.ijporl.2019.04.027DOI Listing
August 2019
8 Reads

Utility of transoral pharyngeal ultrasonography for puncture drainage of peritonsillar abscess.

Clin Case Rep 2019 Apr 19;7(4):839-840. Epub 2019 Feb 19.

Department of Neurology St. Marianna University School of Medicine Kawasaki Japan.

Puncture drainage is usually needed to treat peritonsillar abscess. However, inadvertent carotid artery puncture may result in devastating complications. Preoperative transoral carotid ultrasonography (TOCU) is useful to delineate the anatomical relationship between the abscess and carotid artery. Read More

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http://dx.doi.org/10.1002/ccr3.2032DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6452502PMC
April 2019
22 Reads

Validating peritonsillar abscess drainage rates using the Pediatric hospital information system data.

Laryngoscope 2020 01 13;130(1):238-241. Epub 2019 Feb 13.

Department of Otolaryngology-Pediatric Otolaryngology Division, UT Southwestern Medical Center and Children's Medical Center Dallas, Dallas, Texas, U.S.A.

Objectives: To evaluate the accuracy of the Children's Hospital Association's Pediatric Health Information System (PHIS) registry data in determining surgical drainage rates as compared to a chart review on the same cohort of children with diagnosis of peritonsillar abscess.

Study Design: Retrospective analysis.

Methods: Our analysis included 200 children, ages 2 to 17 years, treated for a peritonsillar abscess from 2011 to 2016. Read More

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http://dx.doi.org/10.1002/lary.27836DOI Listing
January 2020
8 Reads

Conscious Sedation for Pediatric Peritonsillar Abscess: Comparison of Anesthetic Approaches.

Otolaryngol Head Neck Surg 2019 04 1;160(4):706-711. Epub 2019 Jan 1.

2 Division of Otolaryngology-Head and Neck Surgery, School of Medicine, University of Utah, Salt Lake City, Utah, USA.

Objective: To compare the efficacy, safety, and cost of incision and drainage (I&D) for pediatric patients with peritonsillar abscesses (PTAs) under conscious sedation (CS) versus unsedated (awake) and general anesthesia (GA).

Study Design: Case series with chart review.

Setting: Tertiary pediatric hospital. Read More

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http://dx.doi.org/10.1177/0194599818821905DOI Listing
April 2019
9 Reads

Implication of Fusobacterium necrophorum in recurrence of peritonsillar abscess.

Laryngoscope 2019 07 24;129(7):1567-1571. Epub 2018 Dec 24.

Department of Otolaryngology Head & Neck Surgery, Ann Arbor, Michigan, U.S.A.

Objective: Peritonsillar abscess (PTA) is a common infectious complication of pharyngeal infection managed by otolaryngologists and emergency room physicians. Streptococcus and Fusobacterium (e.g. Read More

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http://dx.doi.org/10.1002/lary.27675DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6581569PMC
July 2019
13 Reads
2.032 Impact Factor

Predictors of intratonsillar versus peritonsillar abscess: A case-control series.

Laryngoscope 2019 06 19;129(6):1354-1359. Epub 2018 Dec 19.

Department of Otolaryngology-Head and Neck Surgery, Michigan Medicine, Ann Arbor, Michigan, U.S.A.

Objectives/hypothesis: An uncommon phenomenon in relation to the peritonsillar abscess (PTA) is the intratonsillar abscess (ITA) or formation of an abscess within tonsillar parenchyma. This study sought to characterize our experience with diagnosis and management of ITAs in the context of the PTA patient population.

Study Design: Case-control series. Read More

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http://dx.doi.org/10.1002/lary.27615DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6755033PMC
June 2019
33 Reads
2.032 Impact Factor

Transoral Point-of-Care Ultrasound in the Diagnosis of Parapharyngeal Space Abscess.

J Emerg Med 2019 Jan 1;56(1):70-73. Epub 2018 Nov 1.

Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada; University of Toronto, Toronto, Ontario, Canada.

Background: Parapharyngeal space abscesses (PPSA) are deep-space neck infections that are associated with significant morbidity and, rarely, mortality if not promptly diagnosed and treated. The diagnosis is often difficult, as the clinical presentation can mimic peritonsillar abscesses (PTA). Transoral point-of-care ultrasound (POCUS) may be a useful tool to help distinguish PTAs from other deep-space infections such as PPSAs. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S07364679183095
Publisher Site
http://dx.doi.org/10.1016/j.jemermed.2018.09.034DOI Listing
January 2019
19 Reads

Parapharyngeal Abscesses Caused by Group G Streptococcus.

Case Rep Otolaryngol 2018 27;2018:7307290. Epub 2018 Sep 27.

Department of Otorhinolaryngology, Juntendo University Faculty of Medicine, Tokyo, Japan.

Deep neck abscess is a life-threatening infection that causes laryngeal edema and upper airway occlusion. The predominant bacterial species involved in this disorder is group A streptococcus. Group G streptococcus (GGS) constitutes the normal commensal flora of the human upper airway. Read More

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https://www.hindawi.com/journals/criot/2018/7307290/
Publisher Site
http://dx.doi.org/10.1155/2018/7307290DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6181002PMC
September 2018
40 Reads

Predictors of intratonsillar abscess versus peritonsillar abscess in the pediatric patient.

Int J Pediatr Otorhinolaryngol 2018 Nov 5;114:143-146. Epub 2018 Sep 5.

Michigan Medicine, Department of Otolaryngology, Head & Neck Surgery, Ann Arbor, MI, United States.

Objective: To determine the incidence of intratonsillar abscess (ITA) patients within the population of patients diagnosed with peritonsillar abscess (PTA) and to further characterize the differences in symptomatology and successful treatment strategies between the two groups.

Methods: This study is a retrospective chart review of patients diagnosed with PTA or ITA at our institution from 2000 to 2017. Descriptive and inferential statistics are reported, including univariate and multivariate analyses. Read More

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http://dx.doi.org/10.1016/j.ijporl.2018.08.042DOI Listing
November 2018
17 Reads
1.320 Impact Factor

Confluent Retropharyngeal, Lateral Pharyngeal, and Peritonsilar MRSA Abscess in an Infant.

Pediatr Emerg Care 2018 Sep;34(9):e161-e164

Division of Pediatric Emergency Medicine, Department of Pediatrics, Hamad Medical Corporation.

Neck abscesses such as retropharyngeal, peritonsilar, and lateral pharyngeal are well described, typically cause a characteristic illness, and have a known epidemiology. We present a rare occurrence of case of confluent, mixed retropharyngeal, lateral pharyngeal, and peritonsilar abscess in a 9-month-old female infant. The symptoms at presentation were very mild and not expected in association with this extensive an abscess. Read More

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http://dx.doi.org/10.1097/PEC.0000000000001601DOI Listing
September 2018
16 Reads

A Novel Technique for Intraoral Ultrasound-Guided Aspiration of Peritonsillar Abscess.

Diagnostics (Basel) 2018 Aug 2;8(3). Epub 2018 Aug 2.

Department of Otorhinolaryngology, Head and Neck Surgery & Audiology, Rigshospitalet University Hospital, 2100 Copenhagen, Denmark.

Peritonsillar abscess (PTA) is a common complication to acute tonsillitis. The treatment is drainage of the abscess, but many needle aspirations are unsuccessful due to a low diagnostic accuracy based on oral examination only. In this article, we describe how intraoral ultrasound can be added to improve the diagnostic work-up of PTA and present a novel technique for ultrasound-guided aspiration of PTA, using a small pencil-shaped transducer. Read More

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http://www.mdpi.com/2075-4418/8/3/50
Publisher Site
http://dx.doi.org/10.3390/diagnostics8030050DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6174334PMC
August 2018
24 Reads

Response to the Letter to the Editor: "Comparison of Medical Therapy Alone to Medical Therapy with Surgical Treatment of Peritonsillar Abscess".

Authors:
Alex Battaglia

Otolaryngol Head Neck Surg 2018 08;159(2):399

Department of Head and Neck Surgery, Southern California Permanente Medical Group, San Diego, California, USA.

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http://dx.doi.org/10.1177/0194599818772051DOI Listing
August 2018
4 Reads

Transcanal incision and drainage of a parapharyngeal abscess in a pediatric patient: A novel technique.

Int J Pediatr Otorhinolaryngol 2018 Sep 19;112:80-81. Epub 2018 Jun 19.

Department of Otolaryngology and Communication Sciences, Medical College of Wisconsin, Milwaukee, WI, United States.

The disease of parapharyngeal abscess is well known to the otolaryngologist and is commonly managed via transoral, transcervical, or combined incision and drainage. We report a novel approach to an abscess that was drained through the external auditory canal (EAC). An otherwise healthy 2-year-old female presented with a 4-day history of fevers, decreased oral intake, neck stiffness, and voice changes. Read More

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http://dx.doi.org/10.1016/j.ijporl.2018.06.033DOI Listing
September 2018
12 Reads

Bilateral peritonsillar abscess: A rare emergency.

Malays Fam Physician 2018 30;13(1):41-44. Epub 2018 Apr 30.

MD, M.Med (ORL-HNS), Department of Otorhinolaryngology-Head & Neck Surgery, Universiti Sains Malaysia Health Campus Kota Bharu, Kelantan, Malaysia.

Peritonsillar abscess, or quinsy, is a rare complication of acute tonsillitis. It usually presents with odynophagia, trismus, and muffled voice, reflecting the space-occupying lesion in the oral cavity. Examination reveals a unilateral swelling on either side of the soft palate, which drains thick pus after an incision is made. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5962234PMC
April 2018
11 Reads

Deep head and neck infections: outcome following empirical therapy with early generation antibiotics.

Trop Doct 2018 Jul 14;48(3):179-182. Epub 2018 May 14.

4 Professor, Department of Otorhinolaryngology, Christian Medical College, Vellore.

In order to study the bacteriological profile, antibiotic sensitivity and outcome following empirical therapy with early generation antibiotics in patients with deep head and neck infection, a retrospective review of 42 patients admitted for drainage and intravenous antibiotic therapy was performed. Ludwig's angina was the commonest infection, with the most common organisms isolated being Group F ß-haemolytic (15%) and non-haemolytic (12.5%) streptococcus. Read More

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http://dx.doi.org/10.1177/0049475518774472DOI Listing
July 2018
24 Reads

Necrotizing fasciitis. Possible profiles of professional liability with reference to two cases.

Ann Ital Chir 2018 ;89:70-74

Necrotizing fasciitis is one of the most dangerous complication of an abscess and it is still a disease with a high mortality. In this work, we decided to consider two cases: the first one concerns a male subject, aged 66, deceased because of a fatal necrotizing fasciitis associated to a cervical descending mediastinitis, which evolved from a primary peritonsillar abscess; the second is about a 50-year-old woman with a perineal abscess, then evolved into necrotizing fasciitis associated to a fatal septis shock. After a systematic consideration of necrotizing fasciitis as pathology and an analysis of the possible related risks to a diagnostic or therapeutic delay, we analyzed the particular history of both cases to underline the possible critical issues in professional behavior of the medical staff intervened. Read More

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November 2018
20 Reads

Impending Rupture of Internal Carotid Artery Aneurysm Mimicking Peritonsillar Abscess.

Indian J Pediatr 2018 Oct 15;85(10):911-913. Epub 2018 Mar 15.

Department of ENT, Hindu Rao Hospital & North DMC Medical College, New Delhi, India.

Extracranial carotid artery aneurysms are rare but important entity. Impending rupture of such aneurysms can lead to catastrophic hemorrhage, airway compromise and may prove fatal. The authors report a case of true aneurysm of cervical internal carotid artery in a four-year-old girl who presented with fever and swelling of neck and oropharynx. Read More

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http://dx.doi.org/10.1007/s12098-018-2655-7DOI Listing
October 2018
15 Reads

Lesson of the month 1: Lemierre's syndrome: a reminder of the 'forgotten disease'.

Clin Med (Lond) 2018 02;18(1):100-102

Barts Health NHS Trust, London, UK.

Lemierre's syndrome is a condition characterised by suppurative thrombophlebitis of the internal jugular (IJ) vein following a recent oropharyngeal infection, with resulting septicaemia and metastatic lesions. It is strongly associated with Fusobacterium necrophorum, a Gram-negative bacilli. Key to early diagnosis is awareness of the classical history and course of this illness, and therefore to ask about a history of recent oropharyngeal infections when a young patient presents with fever and rigors. Read More

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http://dx.doi.org/10.7861/clinmedicine.18-1-100DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6330921PMC
February 2018
17 Reads

Development of a Novel Ultrasound-guided Peritonsillar Abscess Model for Simulation Training.

West J Emerg Med 2018 Jan 14;19(1):172-176. Epub 2017 Dec 14.

University of Arizona, Arizona Simulation Technology & Education Center, Tucson, Arizona.

Introduction: Peritonsillar abscess (PTA) is the most common deep space infection of the head and neck presenting to emergency departments.1 No commercial PTA task trainer exists for simulation training. Thus, resident physicians often perform their first PTA needle aspiration in the clinical setting, knowing that carotid artery puncture and hemorrhage are serious and devastating complications. Read More

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http://dx.doi.org/10.5811/westjem.2017.11.36427DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5785189PMC
January 2018
15 Reads

Peritonsillar abscess: A retrospective case series of 1773 patients.

Clin Otolaryngol 2018 06 19;43(3):940-944. Epub 2018 Feb 19.

Department of Surgery, University of Auckland, Auckland, New Zealand.

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http://dx.doi.org/10.1111/coa.13070DOI Listing
June 2018
6 Reads

Unusual 'feathery' cause of a parapharyngeal abscess in an infant.

BMJ Case Rep 2018 Jan 17;2018. Epub 2018 Jan 17.

Department of Otorhinolaryngology, Derby Teaching Hospitals NHS Foundation Trust, Derby, UK.

A 7-month-old boy presented to the emergency department with reduced oral intake, neck swelling and fever. Clinical examination revealed a 3 cm left parotid and left level I neck swelling with left medialised tonsil but no trismus. Computed imaging confirmed the presence of an abscess in the peritonsillar area with extension into the parapharyngeal space and deep lobe of the parotid gland. Read More

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http://dx.doi.org/10.1136/bcr-2017-222813DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5778229PMC
January 2018
12 Reads

Comparison of Medical Therapy Alone to Medical Therapy with Surgical Treatment of Peritonsillar Abscess.

Otolaryngol Head Neck Surg 2018 02 7;158(2):280-286. Epub 2017 Nov 7.

1 Department of Otolaryngology/Head and Neck Surgery, Southern California Permanente Medical Group, San Diego, California, USA.

Objective This study was performed to determine whether the efficacy and safety of medical management of uncomplicated peritonsillar abscess (PTA) presenting in the emergency department is equivalent to medical plus surgical therapy. Study Design Case series with chart review. Setting Southern California Permanente Medical Group (SCPMG). Read More

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http://dx.doi.org/10.1177/0194599817739277DOI Listing
February 2018
17 Reads

What antibiotic should be used in the management of an otherwise healthy adult with a peritonsillar abscess?

Laryngoscope 2018 04 8;128(4):783-784. Epub 2017 Oct 8.

Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, University of New Mexico Hospital, Albuquerque, New Mexico, U.S.A.

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http://dx.doi.org/10.1002/lary.26881DOI Listing
April 2018
18 Reads

Treatment of Peritonsillar Abscess in Immunosuppressed Patients.

S D Med 2017 Jul;70(7):314-316

Department of Surgery, University of South Dakota Sanford School of Medicine.

Peritonsillar abscess (PTA) is a common pathology in otolaryngology emergency. The treatment of PTA is usually bedside drainage or surgical removal of the tonsils (Quincy tonsillectomy) in combination with antibiotic treatment. However, patients with immune suppression might have a more difficult treatment course. Read More

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July 2017
33 Reads

Acute pediatric neck infections: Outcomes in a seven-year series.

Int J Pediatr Otorhinolaryngol 2017 Aug 29;99:128-134. Epub 2017 May 29.

Department of Otorhinolaryngology, Hospital de São João EPE, Porto, Portugal.

Objectives: The aim of this study was to analyse the epidemiology, clinical presentation, diagnostic clues, as biochemical parameters and imaging studies, of children with acute neck infections (ANI) to identify possible independent prognostic factors leading to complications and prolonged hospitalization.

Methods: Records of children admitted to a tertiary university hospital from January 2008 to December 2014 with a diagnosis of ANIs were reviewed retrospectively. Diseases were categorized according to the site of infection and patients were divided into two groups: children (aged<10 years) and adolescents (aged 10-18 years). Read More

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http://dx.doi.org/10.1016/j.ijporl.2017.05.020DOI Listing
August 2017
44 Reads