1,513 results match your criteria Peritonsillar Abscess


Impact of COVID-19 on nationwide pediatric otolaryngology practice: Adenotonsillectomies (TA) and tonsil-related diagnoses trends.

Am J Otolaryngol 2022 Jun 11;43(5):103526. Epub 2022 Jun 11.

Department of Otorhinolaryngology-Head and Neck Surgery, McGovern Medical School, Houston, TX, United States of America. Electronic address:

Objectives/hypothesis: To determine the effects of the COVID-19 pandemic on Adenotonsillectomies (TA), Tonsil Related Cases (TC), and Peritonsillar Abscess (PTA) Trends.

Study Design: Retrospective Cohort Study.

Methods: This is a retrospective cohort study using the Pediatric Health Information System® (PHIS) database, which consists of 51 children's hospitals. Read More

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Treatment outcomes of acute streptococcal tonsillitis according to antibiotic treatment. A retrospective analysis of 242,366 cases treated in the community.

Eur J Gen Pract 2022 Dec;28(1):142-149

Department of Family Medicine and Siaal Research Center for Family Medicine and Primary Care, The Haim Doron Division of Community Health, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel.

Background: Acute upper respiratory infections are the most common reason for primary physician visits in the community. This study investigated whether the type of antibiotic used to treat streptococcal tonsillitis can reduce the burden by affecting the number of additional visits.

Objectives: To assess the effect of different antibiotic treatments for tonsillitis on the number of additional primary physician visits and the development of infectious or inflammatory sequels. Read More

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December 2022

Lemierre Syndrome Due to : A Case Report.

Infect Drug Resist 2022 31;15:2763-2771. Epub 2022 May 31.

Department of Clinical Infectious Diseases, Aichi Medical University Hospital, Nagakute, Aichi, 480-1195, Japan.

Although is a commensal microorganism of the oral cavity, it may sometimes cause severe systemic infections. We report a case of Lemierre syndrome (LS), which developed after infection, in a 73-year-old Japanese woman who was admitted to the hospital for throat pain, neck swelling, and fever for 3 days. She had a 3-month history of neglected dental caries, gingivitis, and periodontitis. Read More

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Peritonsillar abscess due to temporomandibular joint septic arthritis: an uncommon cause of a common disease.

BMJ Case Rep 2022 Jun 6;15(6). Epub 2022 Jun 6.

Otolaryngology-Head and Neck Surgery (ENT), AIIMS, Raipur, CG, India

Peritonsillar abscess is a common presentation of complicated acute tonsillitis. The temporomandibular joint septic arthritis is an uncommon clinical entity while its complications are further rare. We present a case of a man in his late 30s who presented with a painful swelling in the left preauricular region along with increasing trismus. Read More

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[Typical emergencies in otorhinolaryngology-a monocentric analysis of the seasonal course].

HNO 2022 Jun 3. Epub 2022 Jun 3.

Klinik für Hals-Nasen-Ohrenheilkunde, Kopf- und Halschirurgie, Universitätsklinik Ulm, Frauensteige 12, 89075, Ulm, Deutschland.

Background: The incidence of acute ear, nose, and throat (ENT) diagnoses is influenced by multiple parameters, for example meteorological and seasonal influences. By better understanding the triggering factors, prophylactic approaches can be developed.

Materials And Methods: A retrospective analysis was performed over 6 years of all patients who presented to the university hospital because of typical and minor ENT emergencies. Read More

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Quality of Life Assessment for Tonsillar Infections and Their Treatment.

Medicina (Kaunas) 2022 Apr 25;58(5). Epub 2022 Apr 25.

Department of Otorhinolaryngology, Head and Neck Surgery, University Medical Center Mainz, 55131 Mainz, Germany.

Tonsillar infections are a common reason to see a physician and lead to a reduction in the patients' health-related quality of life (HRQoL). HRQoL may be an important criterion in decision science and should be taken into account when deciding when to perform tonsillectomy, especially for chronic tonsillitis. The aim of this study was to determine the health utility for different states of tonsillar infections. Read More

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Retropharyngeal, Parapharyngeal and Peritonsillar Abscesses.

Children (Basel) 2022 Apr 26;9(5). Epub 2022 Apr 26.

Università degli Studi di Milano, 20122 Milan, Italy.

Deep neck infections (DNIs) include all the infections sited in the potential spaces and fascial planes of the neck within the limits of the deep layer of the cervical fascia. Parapharyngeal and retropharyngeal infections leading to parapharyngeal abscess (PPA) and retropharyngeal abscess (RPA) are the most common. DNIs remain an important health problem, especially in children. Read More

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Peritonsillar abscess caused by Prevotella bivia during home quarantine for coronavirus disease 2019: Case report.

Medicine (Baltimore) 2022 May 27;101(21):e29469. Epub 2022 May 27.

Department of Emergency and Internal Medicine, Saitama Citizens Medical Center, Saitama, Japan.

Rationale: Since late 2019, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) had rapidly spread worldwide, resulting in a pandemic. Patients with coronavirus disease 2019 (COVID-19) have difficulty in visiting clinics in person during pandemic because they might be encouraged to quarantine at home with supportive care. Peritonsillar abscess rarely coexists with COVID-19; however, patients with SARS-CoV-2 infection could get co-infections or become superinfected with other microorganisms which could cause peritonsillar abscess. Read More

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[Diffuse large B cell lymphoma misdiagnosed as peritonsillar abscess: a case report].

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2022 May;57(5):629-631

Department of Otorhinolaryngology Head and Neck Surgery, Yantai Yuhuangding Hospital, Qingdao University, Shandong Provincial Clinical Research Center for Otorhinolaryngologic Disease, Yantai 264000, China.

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[Abscesstonsillectomy: Uni- or bilateral?]

Laryngorhinootologie 2022 May 23. Epub 2022 May 23.

Hals-Nasen-Ohren-Klinik, Kopf- und Halschirurgie, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany.

Objective: In addition to an empirical use of antibiotics for treatment of a peritonsillar abscess (PTA) there is a drainage of pus or the abscess tonsillectomy. Postoperative bleeding after abscesstonsillectomy (ABTE) is this surgery's most feared complication which can rarely lead to patients' deaths. The objective of this study was to compare bleeding complications of ABTE with and without contralateral tonsillectomy (TE) and to analyze the occurrence of a metachronous PTA at the contralateral side. Read More

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A Low-Cost Ultrasound Phantom for Peritonsillar Abscess Drainage Training.

J Emerg Med 2022 May 10. Epub 2022 May 10.

Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.

Background: Peritonsillar abscesses (PTAs) are encountered routinely in clinical practice. Ultrasound-guided aspiration has been proven both safe and effective in treating this condition. However, to date, there are no easily produced, low-cost models that enable the practice of point-of-care ultrasound-guided PTA aspiration and PTA diagnosis. Read More

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Reprint of: Needle aspiration for confirmation and treatment of peritonsillar abscess.

Dis Mon 2022 Apr 27:101390. Epub 2022 Apr 27.

From the Departments of Otolaryngology - Head & Neck Surgery and Pediatrics, Lewis Katz School of Medicine at Temple University, 1077 Rydal Road, Suite 201, 19046 Rydal, PA, USA.

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A Terrible Sore Throat: Pharyngitis in an Emergency Department Patient With a Final Diagnosis of Acute Myelogenous Leukemia.

Cureus 2022 Mar 18;14(3):e23306. Epub 2022 Mar 18.

Emergency Medicine, Allegheny Health Network, Saint Vincent Hospital, Erie, USA.

Acute pharyngitis is a common complaint in emergency department (ED), urgent care, and primary care settings. Most cases are due to bacterial or viral infections easily treated with antibiotics or supportive care. However, serious pathologies in the pharyngitis differential include Ludwig's angina, peritonsillar abscess, retropharyngeal abscess, and bacterial tracheitis. Read More

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Analysis of Smoking Behavior in Patients With Peritonsillar Abscess: A Rural Community Hospital's Experience.

Cureus 2022 Mar 18;14(3):e23300. Epub 2022 Mar 18.

Emergency Medicine, Kingman Regional Medical Center, Kingman, USA.

Background Peritonsillar abscesses (PTA) are the most common deep space infection of the head and neck. They appear to have an association with a patient's smoking history but data showing this relationship is sparse and controversial. Currently, no data on this association exists for those who seek care at a rural community emergency department (ED). Read More

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Isolated oropharyngeal abscess with hypopharyngeal extension recurring 12 years after initial surgical management: A case report and review of the literature.

SAGE Open Med Case Rep 2022 4;10:2050313X221089119. Epub 2022 Apr 4.

Department of Otolaryngology-Head and Neck Surgery, The Ottawa Hospital, University of Ottawa, Ottawa, ON, Canada.

Pharyngeal abscesses require urgent management as they have the propensity to cause severe and life-threatening complications. The introduction of antibiotics has led to a dramatic decline in the incidence of these infections. Regardless, abscess formation continues to be observed in the peritonsillar, parapharyngeal, and retropharyngeal spaces. Read More

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Complications of dental infections due to diagnostic delay during COVID-19 pandemic.

Authors:
Emel Altıntaş

BMJ Case Rep 2022 Apr 8;15(4). Epub 2022 Apr 8.

Department of Emergency Medicine, Ankara Training and Research Hospital, Ankara, Turkey

We present three cases who presented to the emergency department with severe complications of dental infections: Ludwig's angina, necrotising fasciitis and peritonsillar abscess. All of our cases presented at the beginning of COVID-19 pandemic, with complications of dental infections. They delayed their dental treatment due to the pandemic. Read More

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Recurrent Peritonsillar Abscess in Post-tonsillectomy Patient.

Cureus 2022 Feb 16;14(2):e22271. Epub 2022 Feb 16.

Internal Medicine, Comprehensive Care Group of South Florida, Plantation, USA.

Peritonsillar abscess (PTA) is a common deep tissue infection of the head and neck. In the literature, most cases demonstrate PTA following acute tonsillitis; however, less documented are cases arising in post-tonsillectomy patients. Here, we report a 45-year-old woman with a history of tonsillectomy 16 years prior, who presented to the emergency department with signs and symptoms consistent with PTA, including sore throat and the presence of a right-sided abscess in the posterolateral oropharynx with apparent pus. Read More

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February 2022

Systemic Steroids for Otolaryngology-Head and Neck Surgery Disorders: An Evidence-Based Primer for Clinicians.

Otolaryngol Head Neck Surg 2022 Mar 29:1945998221087664. Epub 2022 Mar 29.

Department of Otolaryngology-Head and Neck Surgery, University of Michigan Medical School, Ann Arbor, Michigan, USA.

Objective: To offer pragmatic, evidence-informed guidance on the use of systemic corticosteroids (SCS) for common otolaryngologic disorders.

Data Sources: PubMed, Cochrane Library, and American Academy of Otolaryngology-Head and Neck Surgery Foundation clinical practice guidelines.

Review Methods: A comprehensive search of published literature through November 2021 was conducted on the efficacy of SCS, alone or in combination with other treatments, for managing disorders in otolaryngology and the subdisciplines. Read More

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Immediate or interval abscess tonsillectomy?

Eur Arch Otorhinolaryngol 2022 05 17;279(5):2713-2716. Epub 2022 Mar 17.

Department of Otorhinolaryngology Head and Neck Surgery, Zhongshan Hospital of Traditional Chinese Medicine, Affiliated to Guangzhou University of Chinese Medicine, Zhongshan, 528400, Guangdong, China.

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Concurrent Peritonsillar Abscess and Uvular Hydrops in a Pediatric Patient.

Cureus 2022 Jan 28;14(1):e21701. Epub 2022 Jan 28.

Pediatrics, University of Arizona College of Medicine - Tucson, Tucson, USA.

Although peritonsillar abscesses (PTAs) are a common presentation in pediatric patients, there are very few reports on a pediatric patient with both a PTA and uvular hydrops. Our patient presented to the emergency room after being unsuccessfully treated for pharyngitis, with odynophagia, dyspnea, muffled voice, drooling, and trismus. On physical examination, we observed a PTA as well as an edematous and erythematous uvula. Read More

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January 2022

Impact of the COVID-pandemic on the incidence of tonsil surgery and sore throat in Germany.

Eur Arch Otorhinolaryngol 2022 Feb 26. Epub 2022 Feb 26.

AOK Research Institute, Berlin, Germany.

Purpose: To longitudinally evaluate the impact of the COVID-19-pandemic on the incidence of inpatient tonsil surgery and outpatient primary care of sore throat in Germany.

Methods: A retrospective interrupted time-series analysis was conducted. The national database of the Hospital Remuneration System was used to retrieve the number of operations performed between January 2019 and September 2021 including elective and non-elective cases with the exception of malign diseases. Read More

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February 2022

Extracranial Internal Carotid Aneurysm Manifesting With Tinnitus: A Rare Presentation.

Cureus 2022 Jan 17;14(1):e21349. Epub 2022 Jan 17.

Department of Emergency Medicine, All India Institute of Medical Sciences, Rishikesh, IND.

A 19-year-old male presented with a history of pulsatile tinnitus on the left side after he underwent drainage for a tonsillar swelling. He had noticed a painless neck swelling one month ago that was associated with difficulty in swallowing. His physician had made a diagnosis of peritonsillar abscess, and drainage had been performed. Read More

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January 2022

Magnetic resonance imaging findings in pediatric neck infections-a comparison with adult patients.

Pediatr Radiol 2022 05 20;52(6):1158-1166. Epub 2022 Feb 20.

Diagnostic Radiology, University of Turku, Kiinamyllynkatu 4-8, 20520, Turku, Finland.

Background: Differences in the functioning of the immune system and the anatomical proportions of the neck between children and adults lead to different manifestations of deep neck infections. Magnetic resonance imaging (MRI) may serve as an alternative to computed tomography (CT) as the primary imaging modality.

Objective: To study characteristic MRI findings and the diagnostic accuracy of MRI in pediatric deep neck infections. Read More

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Immediate or interval abscess tonsillectomy? A systematic review and meta-analysis.

Eur Arch Otorhinolaryngol 2022 May 15;279(5):2245-2257. Epub 2022 Feb 15.

1st Department of Otorhinolaryngology-Head and Neck Surgery, AHEPA University General Hospital, Aristotle University of Thessaloniki, Kiriakidi 1, 546 21, Thessaloniki, Greece.

Objectives: Peritonsillar abscess is a common complication of acute tonsillitis. However, no consensus has been reached yet on the optimal treatment of this condition. Therefore, this study aimed to compare clinical outcomes of immediate and interval abscess tonsillectomy. Read More

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Fusobacterium necrophorum oral infections - A need for guidance.

Anaerobe 2022 Jun 2;75:102532. Epub 2022 Feb 2.

Department of Pediatrics, School of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.

F. necrophorum, a gram-negative obligate anaerobe, causes pharyngotonsillitis, peritonsillar abscess and the Lemierre Syndrome as well as other significant infections. Clinical information on this bacterium has increased dramatically over the past 20 years, yet no standard guidance exists for treating these infections. Read More

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[Sonographic diagnosis of tonsillar abscesses: Our experience and a systematic review].

Laryngorhinootologie 2022 Feb 2. Epub 2022 Feb 2.

Hals-Nasen-Ohren-Klinik, Kopf- und Halschirurgie, Friedrich-Alexander University Erlangen-Nuremberg, Deutschland.

Background: Transcutaneous sonography has been an integral part of imaging diagnostics in the head and neck region for several decades. Especially in the imaging of abscesses of the tonsillar fossa, sonography is a fast, safe, and cost-effective diagnostic method. This paper aims to provide an overview of the currently published studies in terms of diagnostic value. Read More

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February 2022

[Pseudoaneurysm of internal carotid artery secondary to paracentesis of peritonsillar abscess:a case report].

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2022 Jan;57(1):62-64

Department of Otorhinolaryngology Head and Neck Surgery, China-Japan Union Hospital of Jilin University, Changchun 130033, China.

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January 2022

Intraoral Approach for Parapharyngeal Branchial Cleft Cysts.

Ear Nose Throat J 2022 Jan 28:1455613211067846. Epub 2022 Jan 28.

Department of Otolaryngology-HNS, Research Institute for Clinical Medicine of Jeonbuk National University- Biomedical Research Institute of 90158Jeonbuk National University Hospital, Jeonbuk, Korea.

Branchial cleft cyst (BCC) most frequently arises from the second branchial cleft and is located anterior to the sternocleidomastoid muscle at the mandibular angle. However, very rarely, this may occur in the parapharyngeal space. Interestingly, the parapharyngeal BCC is frequently misdiagnosed as a peritonsillar abscess. Read More

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January 2022

Minor salivary gland infection as origin of peritonsillitis - novel theory and preliminary results.

Acta Otolaryngol 2022 Feb 24;142(2):182-186. Epub 2022 Jan 24.

Department of Otorhinolaryngology-Head and Neck Surgery, Helsinki University Hospital, Helsinki, Finland.

Background: Peritonsillitis (PT) is defined as cellulitis in peritonsillar tissue without pus. The pathogenesis of peritonsillar infections is controversial.

Objective: To explore whether minor salivary glands are involved in the development of PT and to identify clinical findings that predict the evolution of PT to peritonsillar abscess (PTA). Read More

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February 2022

Variability in advanced imaging of pediatric neck infections in US emergency departments.

Am J Emerg Med 2022 Mar 10;53:140-143. Epub 2022 Jan 10.

Division of Emergency Medicine, Children's National Health System, Washington, D.C, United States of America; Department of Pediatrics and Emergency Medicine, George Washington University School of Medicine and Health Sciences, Washington, D.C, United States of America.

Objectives: To describe the use of computed tomography (CT) and ultrasound (US) imaging for the evaluation of neck infections in pediatric patients in United States emergency departments (EDs).

Methods: This is a cross-sectional analysis, using the National Emergency Department Sample database, of pediatric patients evaluated for common neck infections between 2012 and 2018. We used bivariable analysis to assess for differences in US and CT use by ED type. Read More

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