1,320 results match your criteria Peritonsillar Abscess


Systematic review of the role of corticosteroids in cervicofacial infections.

Br J Oral Maxillofac Surg 2019 Feb 12. Epub 2019 Feb 12.

Maxillofacial surgery Trainees Research Collaborative, Queen Elizabeth University Hospital, Glasgow.

The role of corticosteroids in the management of cervicofacial infections continues to cause controversy. Systemic anti-inflammatory and immunomodulatory effects that reduce swelling and improve symptoms in the head and neck may make these agents an effective addition to the antibiotics used and to surgical management, although this same effect may dull the physiological response to infection, and allow infections to progress. We have systematically reviewed the evidence for the use of corticosteroids in common cervicofacial infections following the PRISMA guidelines. Read More

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http://dx.doi.org/10.1016/j.bjoms.2019.01.010DOI Listing
February 2019

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

Laryngoscope 2019 Feb 13. 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
February 2019

Adherence to antibiotic guidelines in the treatment of acute pharyngeal infections.

Dan Med J 2019 Feb;66(2)

Introduction: We aimed to investigate doctors' ad-herence to the local antibiotic guidelines for treatment of patients admitted with acute pharyngeal infections and to identify patient-related risk factors for non-adherence.

Methods: All patients with acute tonsillitis, peritonsillar abscess (PTA), and parapharyngeal abscess admitted to the Ear-Nose-Throat Department, Aarhus University Hospital, in the 2001-2014 period were included in the study.

Results: In total, 2,567 patients were hospitalised with acute pharyngeal infection. Read More

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February 2019
6 Reads

Epidemiology and Clinical Features of Peritonsillar Abscess: Is It Related to Seasonal Variations?

Turk Arch Otorhinolaryngol 2018 Dec 1;56(4):221-225. Epub 2018 Dec 1.

Department of Otorhinolaryngology and Head & Neck Surgery, Şişli Hamidiye Eftal Training and Research Hospital, İstanbul, Turkey.

Objective: Peritonsillar abscess (PTA) is defined as pus accumulation between the tonsillar capsule and constrictor pharyngeal muscle. It can be seen as a complication of acute tonsillitis, but other mechanisms have also been proposed. In this study we aimed to reveal the seasonal variations and epidemiologic features of PTA. Read More

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http://dx.doi.org/10.5152/tao.2018.3362DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6340326PMC
December 2018

The Liverpool Peritonsillar abscess Score: Development of a predictive score through a prospective multicentre observational study.

Clin Otolaryngol 2019 Jan 21. Epub 2019 Jan 21.

Mersey ENT Research Collaborative, Merseyside, UK.

Objectives: While uncommon in the population at large, peritonsillar abscess (PTA) is a common subject of ENT referrals. Missed or uncertain diagnosis is a source of concern for non-specialist referrers. In line with the NHS England Second Sepsis Action Plan, we aimed to develop a predictive score for the presence of PTA. Read More

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http://dx.doi.org/10.1111/coa.13290DOI Listing
January 2019

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

Otolaryngol Head Neck Surg 2019 Jan 1:194599818821905. 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
January 2019
1 Read

Implication of Fusobacterium necrophorum in recurrence of peritonsillar abscess.

Laryngoscope 2018 Dec 24. 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
December 2018
4 Reads
2.032 Impact Factor

Utilization of emergency department computed tomography and otolaryngology consultation in the diagnosis of pediatric peritonsillar abscess.

Int J Pediatr Otorhinolaryngol 2019 Feb 30;117:189-193. Epub 2018 Nov 30.

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

Objectives: To determine whether obtaining a computed tomography (CT) scan in the emergency department (ED) is predictive of peritonsillar abscess (PTA) in the pediatric population, and to evaluate for clinical characteristics that may suggest whether a CT is beneficial in the diagnosis of pediatric PTA.

Methods: Single-institution retrospective chart review at Rush University Hospitals. Study included pediatric patients, aged 17 or younger, who presented to the ED with suspected PTA over a 6-year period. Read More

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http://dx.doi.org/10.1016/j.ijporl.2018.11.034DOI Listing
February 2019
8 Reads

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

Laryngoscope 2018 Dec 19. 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
December 2018
1 Read
2.032 Impact Factor

Infections of the Neck.

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

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http://dx.doi.org/10.1016/j.emc.2018.09.003DOI Listing
February 2019
10 Reads

Infections of the Oropharynx.

Authors:
Matthew R Klein

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

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http://dx.doi.org/10.1016/j.emc.2018.09.002DOI Listing
February 2019
4 Reads

Non-steroids anti-inflammatory drugs and risk of peritonsillar abscess in pharyngitis: a French longitudinal study in primary care.

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

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https://academic.oup.com/fampra/advance-article/doi/10.1093/
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http://dx.doi.org/10.1093/fampra/cmy111DOI Listing
November 2018
12 Reads
1.842 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
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http://dx.doi.org/10.1016/j.jemermed.2018.09.034DOI Listing
January 2019
10 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
13 Reads

A Lot to Choke on: Case of Adult Epiglottitis with Concurrent Peritonsillar Abscess in a Patient with a Sore Throat.

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

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https://linkinghub.elsevier.com/retrieve/pii/S07364679183093
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http://dx.doi.org/10.1016/j.jemermed.2018.09.017DOI Listing
December 2018
18 Reads

Urgent Infections of the Head and Neck.

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

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https://linkinghub.elsevier.com/retrieve/pii/S00257125183007
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http://dx.doi.org/10.1016/j.mcna.2018.06.015DOI Listing
November 2018
10 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
4 Reads
1.320 Impact Factor

A 20-year observational cohort of a 5 million patient population-Tonsillectomy rates in the context of two national policy changes.

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

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http://doi.wiley.com/10.1111/coa.13233
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http://dx.doi.org/10.1111/coa.13233DOI Listing
January 2019
3 Reads

Analysis of smoking behaviour in patients with peritonsillar abscess: a prospective, matched case-control study.

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

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http://dx.doi.org/10.1017/S0022215118001585DOI Listing
October 2018
6 Reads

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
2 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
15 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 Aug;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

Bad breath and painful swallowing in a boy.

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

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http://dx.doi.org/10.1136/archdischild-2018-315509DOI Listing
July 2018
7 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
2 Reads

Acute peritonsillar swelling: a unique presentation for Kawasaki disease in adolescence.

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

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http://dx.doi.org/10.1136/bcr-2018-224441DOI Listing
July 2018
7 Reads

Potential of the Novel PTA Score to Identify Patients with Peritonsillar Inflammation Profiting from Medical Treatment.

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

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http://dx.doi.org/10.1155/2018/2040746DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5994576PMC
October 2018
6 Reads

Diagnostic role of mean platelet volume in tonsillitis with and without peritonsillar abscess.

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

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http://dx.doi.org/10.1017/S0022215118000658DOI Listing
July 2018
10 Reads

Fusobacterium necrophorum Subsp. funduliforme in Tonsils from Various Patient Populations in Japan.

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

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http://dx.doi.org/10.7883/yoken.JJID.2018.061DOI Listing
September 2018
2 Reads

Establishing the Need for an Evidence-Based Treatment Algorithm for Peritonsillar Abscess in Children.

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

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http://dx.doi.org/10.1177/0009922818778048DOI Listing
October 2018
28 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
2 Reads

[Successful treatment of acquired hemophilia A with recombinant porcine factor VIII].

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

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http://dx.doi.org/10.1007/s00063-018-0444-8DOI Listing
May 2018
3 Reads

[Clinical evaluation value of visual analogue scale combined with C-reactive protein for the prognosis of peritonsillar abscess].

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

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http://dx.doi.org/10.13201/j.issn.1001-1781.2017.10.014DOI Listing

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
12 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
8 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
7 Reads

Clinical Mimics: An Emergency Medicine-Focused Review of Streptococcal Pharyngitis Mimics.

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

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https://linkinghub.elsevier.com/retrieve/pii/S07364679183004
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http://dx.doi.org/10.1016/j.jemermed.2018.01.031DOI Listing
May 2018
7 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
6 Reads

Uvula Abscess in a Newborn Infant.

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

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http://dx.doi.org/10.1097/SCS.0000000000004244DOI Listing
May 2018
3 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
1 Read

Analysis of the tonsillar microbiome in young adults with sore throat reveals a high relative abundance of Fusobacterium necrophorum with low diversity.

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

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0189423PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5774679PMC
February 2018
19 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
January 2018
3 Reads

Association between deep neck space abscesses and internal carotid artery narrowing in pediatric patients

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

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http://dx.doi.org/10.3906/sag-1707-165DOI Listing
December 2017
9 Reads

Normative Values for Tonsils in Pediatric Populations Based on Ultrasonography.

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

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http://dx.doi.org/10.1002/jum.14513DOI Listing
July 2018
7 Reads

Increased Levels of S100A8/A9 in Patients with Peritonsillar Abscess: A New Promising Diagnostic Marker to Differentiate between Peritonsillar Abscess and Peritonsillitis.

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

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http://dx.doi.org/10.1155/2017/9126560DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5664231PMC
July 2018
9 Reads

Current perspectives on the role of tonsillectomy.

Authors:
Samuel R Greig

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

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http://dx.doi.org/10.1111/jpc.13745DOI Listing
November 2017
3 Reads

Antibiotic use and bacterial complications following upper respiratory tract infections: a population-based study.

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

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http://dx.doi.org/10.1136/bmjopen-2017-016221DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5695332PMC
November 2017
13 Reads