1,453 results match your criteria Peritonsillar Abscess

The Surgical Treatment of Peritonsillar Abscess: A Retrospective Analysis in 584 Patients.

Laryngoscope 2021 Jun 10. Epub 2021 Jun 10.

Department of Oto-Rhino-Laryngology, Head and Neck Surgery, Ulm University Medical Center, Ulm, Germany.

Objectives: There are three surgical treatment options for patients with peritonsillar abscess (PTA): needle aspiration, incision and drainage (ID), and abscess tonsillectomy (ATE). The updated German national guideline (2015) included changes in the treatment of PTA. The indication for tonsillectomy (TE) in patients became more stringent and preference was given to ID in certain cases. Read More

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Fusobacterium necrophorum pharyngotonsillitis.

Anaerobe 2021 Jun 2:102388. Epub 2021 Jun 2.

Fusobacterium necrophorum, a gram-negative anaerobe, causes pharyngotonsillitis primarily in adolescents and young adults (approximately 15-30 years old). The same age group has the highest incidence of peritonsillar abscess and the Lemierre syndrome. The same organism, F. Read More

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Internal jugular vein thrombosis in a child.

Med J Malaysia 2021 May;76(3):438-440

Universiti Putra Malaysia, Faculty of Medicine and Health Sciences, Department of Paediatrics, Malaysia.

Venous thrombosis is a potentially life-threatening condition with varied aetiology. First described in 1912 as a complication of peritonsillar abscess, internal jugular vein (IJV) thrombosis is a rare entity in children with very few cases reported until now. Among the leading causes of this condition are prolonged use of IJV for venous access and central venous catheterisation, acute mastoiditis and Lemierre's syndrome. Read More

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Peritonsillar Abscess Size as a Predictor of Medical Therapy Success.

Ann Otol Rhinol Laryngol 2021 May 12:34894211015590. Epub 2021 May 12.

Department of Otorhinolaryngology - Head and Neck Surgery, Rush University Medical Center, Chicago, IL, USA.

Objective: To evaluate the success of sole medical therapy (MT) versus surgical therapy (ST) in patients with both clinically and radiographically confirmed peritonsillar abscess (PTA). To also determine treatment safety based on abscess size, and identify predictors of treatment failure.

Methods: This was a retrospective cohort of 3 hospitals in a single academic health system. Read More

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The value of transcutaneous ultrasound in the diagnosis of tonsillar abscess: A retrospective analysis.

Auris Nasus Larynx 2021 Apr 24. Epub 2021 Apr 24.

Department of Otorhinolaryngology, Head and Neck Surgery, Friedrich Alexander University of Erlangen-Nuremberg, Germany, Waldstrasse 1, 91054 Erlangen, Germany.

Objective: To identify the appropriate treatment in the tonsillar region's infections, a distinction between tonsillitis with or without abscess formation is essential. Ultrasound proved to be a valuable method in identifying abscess formation in the head and neck region. However, no report described the assessment of the tonsil region. Read More

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Current trend of antibiotic prescription and management for peritonsillar abscess: A cross-sectional study.

Laryngoscope Investig Otolaryngol 2021 Apr 11;6(2):183-187. Epub 2021 Mar 11.

Department of Otolaryngology - Head & Neck Surgery University of Toronto Toronto Canada.

Objective: There are no consensus guidelines for managing peritonsillar abscess (PTA) despite its prevalence. In order to devise best practice guidelines, current practice patterns must first be established.

Methods: This was a cross-sectional study, surveying Otolaryngology-Head & Neck Surgery trainees (residents and fellows) and consultant (academic and community). Read More

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Periapical abscess progressing to parotitis and descending necrotizing mediastinitis with thoracic abscess in a patient on etanercept: A case report.

Int J Crit Illn Inj Sci 2020 Oct-Dec;10(4):220-223. Epub 2020 Dec 29.

Department of Emergency Medicine, Vidant Medical Center, East Carolina University Brody School of Medicine, Greenville, NC, USA.

Patients on Type 2 biologics, such as etanercept, are at increased risk for aggressive infections. This may be further exacerbated by concomitant systemic corticosteroid use or comorbidities such as diabetes. We report a case of a patient with rheumatoid arthritis on etanercept with poor dentition and periodontal disease, who developed parotitis with peritonsillar abscess and descending necrotizing mediastinitis (DNM) with periaortic abscess arising from a periapical abscess. Read More

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December 2020

Early surgical intervention enhances recovery of severe pediatric deep neck infection patients.

Int J Pediatr Otorhinolaryngol 2021 May 28;144:110694. Epub 2021 Mar 28.

Department of Otorhinolaryngology and Head and Neck Surgery, Turku University Hospital and University of Turku, Kiinanmyllynkatu 4-8, 20520, Turku, Finland. Electronic address:

Purpose: Pediatric deep neck space infection (DNI) is a relatively rare but potentially life-threatening condition and requires prompt and accurate management. This study retrospectively reviews our experience in a tertiary referral hospital from 2004 to 2019.

Methods: Systematic data collection from medical records using ICD10 codes between 2004 and 2019. Read More

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Infectious Mononucleosis Complicated with Bilateral Peritonsillar Abscess and Splenic Infarction.

Case Rep Infect Dis 2021 12;2021:6623834. Epub 2021 Mar 12.

Amir Alam Hospital, Tehran University of Medical Sciences, Tehran, Iran.

Infectious mononucleosis (IM) due to Epstein-Barr virus (EBV) infection is usually self-limited. It presents with fever, pharyngitis, fatigue, and cervical lymph node enlargement. It is common among adolescents and young adults. Read More

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Surgeon-performed Transoral Ultrasound-Guided Aspiration of Peritonsillar Abscess.

Laryngoscope 2021 Mar 20. Epub 2021 Mar 20.

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

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Etiology, Clinical Profile, Evaluation, and Management of Stridor in Children.

Indian J Pediatr 2021 Mar 17. Epub 2021 Mar 17.

Department of ENT, Kalinga Institute of Medical Sciences, Bhubaneswar, Odisha, India.

Objective: To evaluate various causes of pediatric stridor and their management among admitted patients in last 2 y.

Methods: Retrospective study of 67 stridor cases in pediatric age group (from birth to 18 y), admitted to the Department of Pediatrics and ENT (Ear, Nose and Throat) from May 2018 to April 2020 were included in the study. Data were obtained from medical records regarding age, gender, clinical presentation, and management. Read More

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[Small salivary glands in the paratonsillar space in children].

Vestn Otorinolaringol 2021 ;86(1):41-45

Rostov State Medical University, Rostov-on-Don, Russia.

The Aim Of The Study: Was to study the changes in the small salivary glands in chronic tonsillitis and paratonsillar abscess in children. A histological examination of the palatine tonsils of 22 children aged 5 to 14 years old who had a paratonsillar abscess and 18 children suffering from chronic tonsillitis was carried out. Fragments of small salivary glands, located both superficially, in the mucous membrane between the stratified squamous non-keratinizing epithelium and the lymphoid tissue of the palatine tonsils, and between the muscles of the amygdala were found in 42 of the 80 (52. Read More

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Ageusia: A Symptom of Peritonsillar Abscess?

Indian J Otolaryngol Head Neck Surg 2021 Mar 10:1-3. Epub 2021 Mar 10.

Department of ENT-HNS, Saveetha Medical College and Hospital, No. 1, Saveetha Nagar, Thandalam, Chennai, 602105 Tamilnadu India.

Peritonsillar abscess is a known complication of tonsillitis. The patient usually presents with typical symptoms of odynophagia, fever and difficulty in mouth opening. The diagnosis is established by clinical examination that commonly revealed unilateral peritonsillar swelling. Read More

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Risk of Postoperative Bleeding in Tonsillectomy for Peritonsillar Abscess, as Opposed to in Recurrent and Chronic Tonsillitis-A Retrospective Study.

Int J Environ Res Public Health 2021 02 17;18(4). Epub 2021 Feb 17.

Department of Immunochemistry Diagnostics, University Hospital in Pilsen, Faculty of Medicine in Pilsen, Charles University, E. Benese 1128/13, 305 99 Pilsen, Czech Republic.

Tonsillectomy is a routine surgery in otorhinolaryngology and the occurrence of postoperative bleeding is not a rare complication. The aim of this retrospective, observational, analytic, cohort study is to compare the incidence of this complication for the most common indications. A group of patients indicated for tonsillectomies for peritonsillar abscess (group I) was compared to a group of patients indicated for chronic and recurrent tonsillitis (group II). Read More

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February 2021

ENT UK coronavirus disease 2019 adult tonsillitis and quinsy guidelines: translating guidance into practice.

J Laryngol Otol 2021 Mar 3:1-5. Epub 2021 Mar 3.

Department of Otolaryngology, Queen Elizabeth Hospital, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.

Objectives: This study examined the uptake of ENT UK coronavirus disease 2019 adult tonsillitis and quinsy guidelines at our tertiary centre, and assessed perceived barriers to uptake.

Methods: A retrospective case series of tonsillitis and quinsy patients was analysed in two arms: before and after the introduction of new ENT UK management guidelines. A survey assessed perceptions and practice differences between ENT and emergency department doctors. Read More

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Tonsillitis, tonsillectomy, and deep neck space infections in England: the case for a new guideline for surgical and non-surgical management.

Ann R Coll Surg Engl 2021 Mar;103(3):208-217

The Rotherham Foundation Trust, Moorgate Road, Rotherham.

Introduction: Tonsillectomy is a common surgical procedure performed chiefly for recurrent tonsillitis. The Scottish Intercollegiate Guidance Network (SIGN) introduced guidelines in 1998 to improve patient selection for tonsillectomy and reduce the potential harm to patients from surgical complications such as haemorrhage. Since the introduction of the guidance, the number of admissions for tonsillitis and its complications has increased. Read More

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Evaluation of the QUANTUM BLUE sCAL rapid test as a point of care tool to identify patients with peritonsillar abscess.

Sci Rep 2021 Feb 24;11(1):4497. Epub 2021 Feb 24.

Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital Münster, 48149, Münster, Germany.

S100A8/A9 (Calprotectin) serves as a biomarker for various inflammatory diseases, such as for peritonsillar abscess (PTA). Recently, the PTA score was developed for reliable PTA identification. It uses a combination of characteristic clinical symptoms and elevated calprotectin levels in serum and saliva to determine this score. Read More

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February 2021

How the COVID-19 pandemic affects specialty training: An analysis of a nationwide survey among otolaryngology residents in Chile.

Medwave 2021 Jan 8;21(1):e8098. Epub 2021 Jan 8.

Departamento Otorrinolaringología, Facultad de Medicina, Universidad de Católica del Norte, Coquimbo, Chile. ORCID: 000-0002-1775-0057.

Introduction: Coronavirus disease 2019, or COVID-19, has become a global pandemic. Given that the highest viral load of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is found in the airway, otolaryngologists are at high risk of infection. As a result, multiple recommendations have emerged regarding protective measures for surgical teams, including suspending non-urgent procedures and surgeries. Read More

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January 2021

"No drain, no gain": Validation of novel quinsy simulation model.

Laryngoscope Investig Otolaryngol 2021 Feb 19;6(1):81-87. Epub 2020 Dec 19.

Department of Otolaryngology Imperial College London London UK.

Objectives: To test a novel, low-cost, home-made model for needle aspiration of PTA.To ascertain whether simulation-based teaching using this model was superior to lecture-based teaching in increasing confidence and reducing anxiety relating to PTA aspiration.To assess whether there was an improvement in outcomes for PTA patients at one hospital following the delivery of a simulation-based training session using our model. Read More

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February 2021

Management of ENT emergencies during the coronavirus disease 2019 pandemic.

J Laryngol Otol 2021 Feb 22;135(2):117-124. Epub 2021 Feb 22.

Department of Otorhinolaryngology - Head and Neck Surgery, Fairfield General Hospital, Northern Care Alliance NHS Group, Bury, UK.

Background: Coronavirus disease 2019 imposed dramatic changes on ENT service delivery. Pre-pandemic, such changes would have been considered potentially unsafe. This study outlines the impact of lockdown on the incidence and management of ENT emergencies at a large UK centre. Read More

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February 2021

Peritonsillar abscess drainage: using oropharyngeal endoscopy as a therapeutic adjunct and training tool.

J Laryngol Otol 2021 Feb 18;135(2):176-178. Epub 2021 Feb 18.

Department of Ear, Nose and Throat Surgery, Heartlands Hospital, University Hospitals Birmingham, Birmingham, UK.

Background: Peritonsillar abscess, or quinsy, is one of the most common emergency presentations to ENT departments, and is the most common deep tissue infection of the head and neck. In the UK, junior members of the ENT team are regularly required to independently assess, diagnose and treat patients with peritonsillar aspiration or incision and drainage.

Issue: Inexperienced practitioners can stumble at several obstacles: poor access due to trismus; poor lighting; difficulty in learning the therapeutic procedure; and difficulty in accurately documenting findings and treatment. Read More

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February 2021

Prospective observational study evaluating the C-MAC Video Stylet for awake tracheal intubation: a single-center study.

Minerva Anestesiol 2021 Feb 17. Epub 2021 Feb 17.

Department of Anaesthesiology and Pain Medicine, Bern University Hospital, University of Bern, Bern, Switzerland.

Background: Gold standard for management of known or predicted difficult airways is awake tracheal intubation. The newly developed C-MAC Video Stylet promises to combine the advantages of rigid stylets and flexible optical scopes. We therefore evaluated the feasibility of awake orotracheal intubations with this device. Read More

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February 2021

Ambulatory management of common ENT emergencies - what's the evidence?

J Laryngol Otol 2021 Mar 17;135(3):191-195. Epub 2021 Feb 17.

Department of ENT, Birmingham Heartlands Hospital, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.

Objectives: The global pandemic of coronavirus disease 2019 has necessitated changes to 'usual' ways of practice in otolaryngology, with a view towards out-patient or ambulatory management of appropriate conditions. This paper reviews the available evidence for out-patient management of three of the most common causes for emergency referral to the otolaryngology team: tonsillitis, peri-tonsillar abscess and epistaxis.

Methods: A literature review was performed, searching all available online databases and resources. Read More

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Empiric treatment for peritonsillar abscess: A single-center experience with medical therapy alone.

Am J Otolaryngol 2021 Feb 5;42(4):102954. Epub 2021 Feb 5.

Western Michigan University, Homer Stryker M.D. School of Medicine, 300 Portage Street, Kalamazoo, MI 49007, United States of America. Electronic address:

Purpose: Compare the use of medical therapy alone (MTA) with surgical therapy (ST) for the empiric treatment of peritonsillar abscess (PTA).

Materials And Methods: A consecutive cohort of patients treated for PTA at our institution from May 2013 to February 2019 was analyzed. Demographics, disease characteristics, management strategies, and treatment outcomes were compared between treatment groups. Read More

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February 2021

Otolaryngology Curriculum During Residency Preparation Course Improves Preparedness for Internship.

Laryngoscope 2021 Feb 10. Epub 2021 Feb 10.

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

Objectives/hypothesis: Residency preparation courses (RPCs) have become a widely adopted practice to ease the transition of medical students into residency, but these courses often lack training in skills expected of subspecialty interns. To fill this gap, a simulation-based curriculum in otolaryngology (ORL) was implemented at the University of Michigan Medical School. The curriculum aimed to improve confidence and perceived ability to perform common ORL skills for graduating students prior to internship. Read More

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February 2021

Type 2 diabetes mellitus increases peritonsillar abscess susceptibility: real-world evidence.

Clin Exp Otorhinolaryngol 2021 Jan 14. Epub 2021 Jan 14.

Department of Otolaryngology - Head and Neck Surgery, Chang Gung Memorial Hospital, Chiayi, Taiwan.

Objectives: Type 2 diabetes mellitus (T2DM) is a risk factor for deep neck infection (DNI) and lead to complications and poor outcomes. Our study aims to investigate the risk, prognosis, and complications of peritonsillar abscess (PTA) in patients with T2DM.

Methods: We extracted data of patients newly diagnosed as having T2DM between January 2000 and December 2011 from Taiwan's National Health Insurance (NHI) Research Database. Read More

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January 2021

Using telemedicine to facilitate social distancing in otolaryngology: A systematic review.

J Telemed Telecare 2021 Feb 3:1357633X20985391. Epub 2021 Feb 3.

Department of Otolaryngology-Head and Neck Surgery, Karmanos Cancer Institute & Wayne State University, USA.

Objectives: As the coronavirus 2019 pandemic puts strains on current models of otolaryngology practice, telemedicine is an attractive way for otolaryngologists to reduce in-person appointments while still addressing the health of their patients. This systematic review of the literature aims to identify the evidence basis for using telemedicine in otolaryngology practice to limit person-to-person interactions while achieving comparable quality to in-person services.

Methods: The authors gathered articles from three databases (Embase, PubMed and Web of Science), performed a comprehensive literature review of articles published on telemedicine since 2002, and selected articles for inclusion based on their relevance to otolaryngology and the potential of the intervention to improve patient social distancing. Read More

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February 2021

Patients with comorbid rheumatoid arthritis are predisposed to peritonsillar abscess: real-world evidence.

Eur Arch Otorhinolaryngol 2021 Feb 3. Epub 2021 Feb 3.

Department of Otolaryngology-Head and Neck Surgery, Chang Gung Memorial Hospital, 6, W. Sec., Jiapu Rd., Puzih, Chiayi County, 613, Taiwan.

Purpose: The peritonsillar abscess (PTA)-rheumatoid arthritis (RA) association remains unclear. Here, the effects of RA on PTA incidence and prognosis are elucidated.

Methods: We compared PTA incidence and prognosis of 30,706 RFCIP-registered patients with RA (RA cohort) with matched individuals without RA from another database of 1 million randomly selected people representing Taiwan's population (non-RA cohort). Read More

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February 2021