1,507 results match your criteria Peritonsillar Abscess
Emerg Med Clin North Am 2019 Feb;37(1):95-107
Department of Emergency Medicine, Loma Linda University School of Medicine, 11234 Anderson Street MC A-108, Loma Linda, CA 92354, USA. Electronic address:
Infection of the neck is a relatively common emergency department complaint. If not diagnosed and managed promptly, it may quickly progress to a life-threatening infection. These infections can result in true airway emergencies that may require fiberoptic or surgical airways. Read More
Emerg Med Clin North Am 2019 Feb;37(1):69-80
Department of Emergency Medicine, Northwestern University, 211 East Ontario - Suite 300, Chicago, IL 60611, USA. Electronic address:
This article reviews the presentation, diagnosis, and management of common and "can't miss" infections of the oropharynx, including streptococcal pharyngitis, infectious mononucleosis, peritonsillar abscess, retropharyngeal abscess, and epiglottitis. Read More
Fam Pract 2018 Nov 12. Epub 2018 Nov 12.
Département de médecine générale, UFR des sciences de la santé Simone Veil, Université Versailles-Saint-Quentin-en-Yvelines, Montigny le Bretonneux, France.
Background: The safety of non-steroids anti-inflammatory drugs (NSAIDs) in the context of pharyngitis is doubtful with contradictory results in the literature.
Objective: To evaluate the risk of peritonsillar abscess (PTA) associated to NSAIDs consumption during a pharyngitis episode observed in primary care.
Method: A retrospective cohort study using Observatory of General Medicine Datalink from 1995 to 2010. Read More
J Emerg Med 2018 Oct 31. Epub 2018 Oct 31.
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
J Laryngol Otol 2018 Oct;132(10):857
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
J Emerg Med 2018 Dec 17;55(6):841-844. Epub 2018 Oct 17.
University of California San Diego, San Diego, California.
Background: In the winter months, one often sees a large increase in the volume of patients presenting to emergency departments with acute pharyngitis. While most cases of acute pharyngitis are benign, a rare minority can be life threatening.
Case Report: We report a case of epiglottis with a concomitant peritonsillar abscess (PTA) in an adult who presented to the emergency department with a sore throat. Read More
Med Clin North Am 2018 Nov 20;102(6):1109-1120. Epub 2018 Sep 20.
Otolaryngology-Head and Neck Surgery, University of California, San Francisco, 2233 Post Street, 3rd floor, San Francisco, CA 94115, USA.
Infections of the head and neck are common and appropriately managed by primary care providers in most cases. However, some infections are associated with significant morbidity and require urgent recognition and management by specialty services. These include deep neck space infections originating in the oral cavity, pharynx, and salivary glands, as well as complicated otologic and sinonasal infection. Read More
J Pak Med Assoc 2018 Jul;68(7):1002-1008
Adana Numune Research and Training Hospital, Turkey.
Objective: To compare effects of local and systemic administrations of dexamethasone and local bupivacaine on postoperative pain in patients who have had tonsillectomy..
Methods: This randomised, double-blinded, placebo-controlled and prospective clinical trial was conducted at Adana Numune Training and Research Hospital, Turkey, between April and July 2016, and comprised patients who were undergoing tonsillectomy operation due to recurrent tonsillitis, chronic tonsillitis or tonsillar hypertrophy indication. Read More
J Laryngol Otol 2018 Oct 9;132(10):911-922. Epub 2018 Oct 9.
Department of Otorhinolaryngology - Head and Neck Surgery,Turku University Hospital,Finland.
Objectives: In order to evaluate the safety of tonsillectomy among children, we retrospectively studied the incidence of post-operative complications, adverse events and their association with peri-operative medication.
Methods: Data were collected from the medical records of 691 patients aged 1-16 years, including details of post-operative complications (any unplanned contact with the hospital), analgesics, dexamethasone, 5-HT3 antagonists, local anaesthetic and haemostatic agents.
Results: Recovery was complicated in 13. Read More
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
Clin Otolaryngol 2019 Jan 25;44(1):7-13. Epub 2018 Oct 25.
Department of Otolaryngology - Head and Neck Surgery, Queen Elizabeth University Hospital, Glasgow, UK.
Aim: (a) To report national trends for tonsillectomy, tonsillitis, peritonsillar abscess and deep neck space infection in secondary care. (b) To report national trends in sore throat consultations in primary care. (c) To report national trends in antibiotic prescribing in both primary and secondary care between 2011 and 2015. Read More
Eur Arch Otorhinolaryngol 2018 Nov 26;275(11):2879-2887. Epub 2018 Sep 26.
Department of Otolaryngology Head and Neck Surgery, Wayne State University, Detroit, MI, USA.
Objectives/hypothesis: To investigate the efficacy of a simple and feasible suturing technique on posttonsillectomy pain control and wound healing.
Methods: A prospective, randomized, controlled trial was conducted on a sample of 121 children between 3 and 10 years of age. Group A comprised children undergoing surgery with bipolar cautery and the posterior pillar mucosal suspension technique. Read More
J Laryngol Otol 2018 Oct 13;132(10):872-874. Epub 2018 Sep 13.
Department of Otorhinolaryngology, Head and Neck Surgery,Medical Faculty,University of Cologne,Germany.
Objective: Smoking is purported to increase the risk of peritonsillar abscess formation, but prospective data are needed to confirm this hypothesis. This prospective study aimed to identify this correlation.
Methods: Fifty-four patients with peritonsillar abscess were prospectively asked about their smoking behaviour using a questionnaire that was designed and approved by the Robert Koch Institute (Berlin, Germany) to analyse smoking behaviour in epidemiological studies. Read More
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
IDCases 2017 10;10:100-101. Epub 2017 Oct 10.
Department of Advanced Cardiovascular Therapeutics, Nagoya University Graduate School of Medicine, Japan.
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
Otolaryngol Head Neck Surg 2018 Aug;159(2):399
Department of Head and Neck Surgery, Southern California Permanente Medical Group, San Diego, California, USA.
Arch Dis Child Educ Pract Ed 2018 Jul 31. Epub 2018 Jul 31.
Department of Pediatric Endocrinology, Pamukkale University School of Medicine, Denizli, Turkey.
An 11-year-old boy was admitted with mildly painful swallowing. His parents mentioned he had had bad breath for 4 months. He had presented with the same complaint several times at medical centres, and some antibiotics and analgesics were given. Read More
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
BMJ Case Rep 2018 Jul 24;2018. Epub 2018 Jul 24.
Women's & Children's Hospital, Adelaide, South Australia, Australia.
We report the case of a 14-year-old man with unilateral peritonsillar swelling, airway compromise and fever. On physical examination, the patient was pyrexic with trismus, dysphonia, uvula deviation, exudative unilateral peritonsillar swelling and unilateral cervical lymphadenopathy. Attempts at aspirating the prominent peritonsillar region were unsuccessful. Read More
Dis Markers 2018 28;2018:2040746. Epub 2018 May 28.
Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital Münster, Münster, Germany.
Peritonsillar inflammation is a common characteristic of both peritonsillar abscess (PTA) and peritonsillitis (PC). The aim of the present study was to apply the PTA score as an objective criterion to identify patients with peritonsillar inflammation (PI) who might profit from medical treatment. Hence, the recently developed PTA score was applied retrospectively on patients suffering from acute tonsillitis, peritonsillitis, and peritonsillar abscess. Read More
Indian J Otolaryngol Head Neck Surg 2018 Jun 11;70(2):180-183. Epub 2014 Sep 11.
Department of Otorhinolaryngology, Rizhao City Hospital, 126 Taian Road, Rizhao, China.
Looking for a simple and inexpensive method to reduce patients' pain during tonsillectomy. Bilateral tonsillectomy patients were enrolled and placed into different groups based on their admission numbers. Patients with odd numbers had electrical tonsillectomy on the right side with hypertonic saline injection into peritonsillar gap (group A) or electrical tonsillectomy on the left side without hypertonic saline injection (group B). Read More
Otolaryngol Head Neck Surg 2018 Jul;159(1):208
Head Neck 2018 Sep 22;40(9):2094-2102. Epub 2018 Jun 22.
Department of Otolaryngology, Head and Neck Surgery, Westmead Hospital, Sydney, Australia.
Background: Cervical necrotizing fasciitis is a progressive soft tissue infection with significant morbidity and mortality.
Methods: A case review of cervical necrotizing fasciitis managed at our institution (2007-2017) and a systematic review of PubMed, MEDLINE, and EMBASE databases using the algorithm "(cervical OR neck) AND necrotizing fasciitis."
Results: There were 1235 cases from 207 articles which were included in our clinical review. Read More
J Laryngol Otol 2018 Jul 11;132(7):615-618. Epub 2018 Jun 11.
Department of Advanced Cardiovascular Therapeutics,Nagoya University Graduate School of Medicine,Japan.
Objective: To assess the diagnostic role of mean platelet volume in tonsillitis with and without peritonsillar abscess.
Methods: Mean platelet volume and other laboratory data were retrospectively investigated.
Results: Mean platelet volume was significantly lower in the tonsillitis group (7. Read More
Jpn J Infect Dis 2018 Sep 31;71(5):365-367. Epub 2018 May 31.
Department of Otolaryngology, National Center for Global Health and Medicine.
Fusobacterium necrophorum has recently been suggested to be associated with tonsillopharyngitis, peritonsillar abscess, and recurrent tonsillitis. Between the 2 subspecies of F. necrophorum, subsp. Read More
Clin Pediatr (Phila) 2018 Oct 29;57(12):1385-1390. Epub 2018 May 29.
2 Ochsner Medical Center, Jefferson, LA, USA.
In this retrospective case series, we report clinical factors associated with pediatric peritonsillar abscess (PTA), with hopes of contributing to the design of an evidenced-based, economic treatment approach. Charts were examined for presenting symptoms and signs. Each of these were analyzed for association with the presence of PTA and for association with treatment. Read More
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
Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2017 Jun;31(11):879-880
Med Klin Intensivmed Notfmed 2018 May 17. Epub 2018 May 17.
Medizinische Klinik I, Universitätsklinikum Carl Gustav Carus Dresden, Dresden, Deutschland.
Acquired hemophilia A is a rare, potentially life-threatening disease resulting from autoantibodies against coagulation factor VIII. We report the case of a patient with acquired hemophilia A and severe bleeding after incision of a peritonsillar abscess. Treatment with high dose factor VIII and recombinant activated factor VII failed to control bleeding. Read More
Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2017 May;31(10):794-795
Department of Otorhinolaryngology Head and Neck Surgery, the Sixth Affiliated Hospital of Guangzhou Medical University, the People's Hospital of Qingyuan, Qingyuan, 511518, China.
The aim of this study is to investigate the clinical value of visual analogue scale combined with serum C-reactive protein in evaluating the prognosis of peritonsillar abscess. Thirty-one patients be hospitalized with peritonsillar abscess were enrolled in this study, who were treated by puncture and antibiotic from January 2016 to February 2017. VAS and CRP level were detected on the 1, 3, 5 day of hospitalization for all the patients. Read More
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
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
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
J Emerg Med 2018 05 6;54(5):619-629. Epub 2018 Mar 6.
Department of Emergency Medicine, The University of Texas Southwestern Medical Center, Dallas, Texas.
Background: Pharyngitis is a common disease in the emergency department (ED). Despite a relatively low incidence of complications, there are many dangerous conditions that can mimic this disease and are essential for the emergency physician to consider.
Objective: This article provides a review of the evaluation and management of group A β-hemolytic Streptococcal (GABHS) pharyngitis, as well as important medical conditions that can mimic this disease. Read More
J Craniofac Surg 2018 Jun;29(4):e384-e387
Department of Otolaryngology, Head and Neck Surgery, Otorhinolaryngology Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Introduction: The authors investigated the effect of honey on post-tonsillectomy pain and compare its efficacy with tramadol.
Methods: This clinical trial was performed on 60 patients with American Society of Anesthesia I and II aged between 18 and 55 years and underwent tonsillectomy. Induction of anesthesia was carried out using 2 mg/kg propofol and 0. Read More
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
J Craniofac Surg 2018 May;29(3):e238-e239
Department of Neonatology, Medova Hospital, Konya, Turkey.
Abscesses can be found in several places in the oral cavity, most commonly occurring in peritonsillar and periodontal regions. In this report, the authors described a uvula abscess in a 1-month-old term newborn who was brought to the pediatric outpatient clinic with the complaints of difficulty in sucking-swallowing and refusal to suck at the breast. To the best of the authors' knowledge this is the first report of a uvula abscess in the literature. Read More
Clin Otolaryngol 2018 Jun 19;43(3):940-944. Epub 2018 Feb 19.
Department of Surgery, University of Auckland, Auckland, New Zealand.
PLoS One 2018 19;13(1):e0189423. Epub 2018 Jan 19.
Department of Pathology, School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, United States of America.
Fusobacterium necrophorum (Fn), a gram-negative anaerobe, is increasingly implicated as an etiologic agent in older adolescents and young adults with sore throat. Inadequately treated Fn pharyngitis may result in suppurative complications such as peritonsillar abscess and Lemierre's syndrome. Data from the literature suggest that the incidence of life-threating complications in these age groups from Fn pharyngitis (Lemierre's syndrome) in the United States exceeds those associated with group A beta-hemolytic streptococcal (GAS) pharyngitis (acute rheumatic fever). Read More
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
Sci Rep 2018 01 17;8(1):918. Epub 2018 Jan 17.
Division of Otolaryngology-Head and Neck Surgery, Graduate School of Medical Science, Kanazawa University, Kanazawa, Ishikawa, Japan.
Activation-induced cytidine deaminase (AID) and apolipoprotein B mRNA-editing catalytic polypeptide 3 (A3) family are cytidine deaminases that play critical roles in B-cell maturation, antiviral immunity and carcinogenesis. Adenoids and palatine tonsils are secondary lymphoid immune organs, in which AID and A3s are thought to have several physiological or pathological roles. However, the expression of AID or A3s in these organs has not been investigated. Read More
Turk J Med Sci 2017 Dec 19;47(6):1842-1847. Epub 2017 Dec 19.
Background/aim: Our aim was to interpret the effects of deep neck space abscesses on the adjacent carotid artery according to abscess location, as well as to determine narrowing by calculating the mean stenosis ratios.Materials and methods: Neck computed tomography scans and clinical data of 45 children with neck abscesses were evaluated retrospectively for abscess location and internal carotid artery narrowing. The lumen areas of the carotid arteries were measured from standard levels, and stenosis ratios were calculated with two different techniques. Read More
Am J Otolaryngol 2018 Mar - Apr;39(2):230-231. Epub 2017 Dec 28.
Clinical medicine, Xinxiang Medical University, Xinxiang City, China.
J Ultrasound Med 2018 Jul 23;37(7):1657-1663. Epub 2017 Dec 23.
Department of Radiology, Soonchunhyang University Bucheon Hospital, Bucheon, Korea.
Objectives: Pediatric tonsillar infections are common, particularly in adolescents. Ultrasonography (US) has high sensitivity and specificity for diagnosing peritonsillar abscesses and can diagnose tonsillitis by enlargement of the gland. In this study, we established normal tonsillar measurements and volumes according to age in pediatric populations. Read More
Dis Markers 2017 17;2017:9126560. Epub 2017 Oct 17.
Institute of Immunology, University Hospital Münster, Münster, Germany.
Peritonsillar abscess (PTA) is a very frequent reason for urgent outpatient consultation and otolaryngological hospital admission. Early, correct diagnosis and therapy of peritonsillar abscess are important to prevent possible life-threatening complications. Based on physical examinations, a reliable differentiation between peritonsillar cellulitis and peritonsillar abscess is restricted. Read More
J Paediatr Child Health 2017 Nov;53(11):1065-1070
Otorhinolaryngology, Head and Neck Surgery, Canterbury District Health Board, Christchurch, New Zealand.
Tonsillectomy is one of the most common paediatric surgical procedures performed in Australasia. The aim of this paper is to provide an up-to-date review of the indications for the procedure (and the evidence base for each of these indications), as well as describe the surgical technique and perioperative management and risks for a non-surgical audience. The primary indications for tonsillectomy are obstructive sleep apnoea (OSA) (where it is most commonly performed in association with adenoidectomy) and recurrent pharyngotonsillitis. Read More
BMJ Open 2017 Nov 15;7(11):e016221. Epub 2017 Nov 15.
Department of Medicine Solna, Karolinska Institutet, Stockholm, Sweden.
Objectives: To investigate if use of antibiotics was associated with bacterial complications following upper respiratory tract infections (URTIs).
Design: Ecological time-trend analysis and a prospective cohort study.
Setting: Primary, outpatient specialist and inpatient care in Stockholm County, Sweden. Read More