1,207 results match your criteria Tonsillitis and Peritonsillar Abscess


The seventh nationwide surveillance of six otorhinolaryngological infectious diseases and the antimicrobial susceptibility patterns of the isolated pathogens in Japan.

J Infect Chemother 2020 Jul 1. Epub 2020 Jul 1.

Otorhinolaryngological Sub-committee and the Surveillance Committee of Japanese Society of Chemotherapy (JSC), The Japanese Association for Infectious Diseases (JAID), The Japanese Society for Clinical Microbiology (JSCM), Tokyo, Japan.

The Japanese Three Academic Societies Joint Antimicrobial Susceptibility Surveillance Committee conducted a nationwide surveillance on six otorhinolaryngological diseases and investigated the antimicrobial susceptibility patterns and isolation rates of the causative pathogens. The surveillance program was conducted in the otorhinolaryngological departments of 12 universities, and 36 affiliated hospitals and clinics. Patients with acute otitis media (children under six years old), chronic otitis media, acute nasal sinusitis, chronic nasal sinusitis, acute tonsillitis, and peritonsillar abscess (over 20 years old) between December 2015 and June 2017 were investigated. Read More

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http://dx.doi.org/10.1016/j.jiac.2020.05.020DOI Listing

Epidemiological and Microbiological Aspects of the Peritonsillar Abscess.

Int J Environ Res Public Health 2020 Jun 5;17(11). Epub 2020 Jun 5.

Department of Immunochemistry Diagnostics, University Hospital in Pilsen, Faculty of Medicine in Pilsen, Charles University, 300 00 Pilsen, Czech Republic.

Peritonsillar abscess (PTA) is the most common complication of tonsillitis. Cultivation usually reveals a wide spectrum of aerobic and anaerobic microbiota. This retrospective study compared PTA incidence and the spectrum of individual microbial findings in groups of patients divided by gender, age, and season. Read More

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http://dx.doi.org/10.3390/ijerph17114020DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7312574PMC

[Tonsillectomy and tonsillotomy].

HNO 2020 Jul;68(7):543-552

Klinik für Hals‑, Nasen‑, Ohrenheilkunde, Kliniken Maria Hilf, Viersener Str. 450, 41063, Mönchengladbach, Deutschland.

The number of operations for tonsillectomy have been significantly decreasing for many years in Germany. In children the number of adenotonsillectomies has decreased by two thirds within a decade. This phenomenon is mirrored by a significant increase in the number of annually performed tonsillotomies, a surgical procedure which is preferably performed for volume reduction in cases of tonsillar hypertrophy. Read More

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http://dx.doi.org/10.1007/s00106-020-00884-3DOI Listing

Peritonsillar abscess may not always be a complication of acute tonsillitis: A prospective cohort study.

PLoS One 2020 3;15(4):e0228122. Epub 2020 Apr 3.

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

The present study aimed to specify diagnostics for peritonsillar abscesses (PTAs) and to clarify the role of minor salivary glands. This prospective cohort study included 112 patients with acute tonsillitis (AT) and PTA recruited at a tertiary hospital emergency department between February and October 2017. All patients completed a questionnaire concerning their current disease. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0228122PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7122714PMC

Multi-Institutional Regional Otolaryngology Bootcamp.

Ann Otol Rhinol Laryngol 2020 Jun 29;129(6):605-610. Epub 2020 Jan 29.

Department of Otolaryngology, Division of Head and Neck Surgery, University of California, Davis, Sacramento, CA, USA.

Introduction: In order to increase junior resident physician proficiency and improve patient safety, simulation-based procedural training courses, or bootcamps, have been become an emerging educational tool.

Objectives: To compare pre- and post-course confidence levels and to assess station efficacy after completion of our single day bootcamp.

Methods: We developed the University of California (UC) Davis otolaryngology bootcamp, a single day course including six cadaveric task trainer stations and four simulations. Read More

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http://dx.doi.org/10.1177/0003489420903067DOI Listing

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

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

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

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

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

Deep cervical and paratracheal drainage for descending necrotizing mediastinitis.

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

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

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

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

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

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

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

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

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

Dan Med J 2019 Nov;66(11)

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

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November 2019
0.612 Impact Factor

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

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

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

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

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

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

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

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

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

Low rate of co-infection in complicated infectious mononucleosis.

Dan Med J 2019 Sep;66(9)

Introduction: It remains unclarified if bacterial co-infection is common in patients with infectious mononucleosis (IM) and acute tonsillitis and/or peritonsillar abscess (PTA). Recent studies suggest that Fusobacterium necrophorum is a prevalent pathogen in acute tonsillitis and PTA. We hypothesised that this anaerobe may play a significant role for the aggravated infection and the development of PTA among teenagers and young adults with IM. Read More

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September 2019
2 Reads

Machine Learning Diagnosis of Peritonsillar Abscess.

Otolaryngol Head Neck Surg 2019 11 20;161(5):796-799. Epub 2019 Aug 20.

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

Peritonsillar abscess (PTA) is a difficult diagnosis to make clinically, with clinical examination of even otolaryngologists showing poor sensitivity and specificity. Machine learning is a form of artificial intelligence that "learns" from data to make predictions. We developed a machine learning classifier to predict the diagnosis of PTA based on patient symptoms. Read More

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http://dx.doi.org/10.1177/0194599819868178DOI Listing
November 2019
1 Read
1.721 Impact Factor

Pain on the first postoperative day after tonsillectomy in adults: A comparison of metamizole versus etoricoxib as baseline analgesic.

PLoS One 2019 14;14(8):e0221188. Epub 2019 Aug 14.

Department of Otorhinolaryngology, Jena University Hospital, Jena, Germany.

Objective: To compare the effect of metamizole versus etoricoxib as baseline analgesic for treating postoperative pain after tonsillectomy.

Design: Single centre prospective cohort study.

Setting: Two consecutive cohorts of tonsillectomy patients. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0221188PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6693748PMC
March 2020
2 Reads

[Peritonsillar abscess due to Actinomyces marseillensis].

Rev Esp Quimioter 2019 08 16;32(4):398-399. Epub 2019 Jul 16.

Sara Gómez de Frutos, Servicio de Microbiología, Instituto de Investigación Sanitaria Princesa, Hospital Universitario La Princesa, Madrid, Spain.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6719657PMC
August 2019
1 Read

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

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

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

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

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

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

Smoking or poor oral hygiene do not predispose to peritonsillar abscesses changes in oral flora.

Acta Otolaryngol 2019 Sep 26;139(9):798-802. Epub 2019 Jun 26.

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

The purpose of this prospective study was to determine if there is a difference in number and distribution of salivary bacteria between patients with tonsillar infection and healthy volunteers. The etiology of peritonsillar abscess (PTA) is unclear. Smoking, periodontal disease, and infection of minor salivary glands have been suggested as predisposing factors for PTA. Read More

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http://dx.doi.org/10.1080/00016489.2019.1631479DOI Listing
September 2019
6 Reads

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

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

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

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

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

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

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

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

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

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

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

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

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

Private Practice, Bad Honnef, Germany.

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

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

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

Peritonsillar abscess in an infant with congenital bone marrow failure.

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

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

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

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

[Recurrent infections of the upper aerodigestive tract in patients with primary immunodeficiency].

HNO 2019 Nov;67(11):819-824

Klinik und Poliklinik für Hals‑, Nasen- und Ohrenkrankheiten, plastische und ästhetische Operationen, Universitätsklinikum Würzburg, Josef-Schneider-Str. 11, 97080, Würzburg, Deutschland.

Background: Primary immunodeficiency is a rare disease of humoral and cellular immune defense, which can lead to severe and recurrent infections of different organs. The diagnosis of this disease is often difficult, and its early identification is necessary for adequate treatment and control.

Objective: This study aimed to analyze ear, nose, and throat (ENT) infections in adults and children with a primary immunodeficiency. Read More

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http://link.springer.com/10.1007/s00106-019-0683-x
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http://dx.doi.org/10.1007/s00106-019-0683-xDOI Listing
November 2019
9 Reads

Role of Phosphorylcholine-Specific Immunoglobulin M in Acute Upper Respiratory Tract Infections.

Ann Otol Rhinol Laryngol 2019 Jun;128(6_suppl):111S-116S

1 Department of Otorhinolaryngology, Head and Neck Surgery, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan.

Objectives: The aim of this study was to clarify the role of serum phosphorylcholine (PC)-specific immunoglobulin M (IgM) as a natural antibody against infectious diseases.

Methods: The relationship between serum PC-specific IgM level and C-reactive protein level or white blood cell counts was examined in patients with severe upper respiratory tract infections (ie, acute epiglottitis and peritonsillar abscess).

Results: PC-specific IgM level was significantly negatively correlated with C-reactive protein level and white blood cell count. Read More

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http://dx.doi.org/10.1177/0003489419835568DOI Listing
June 2019
12 Reads

Comparison of inpatient versus outpatient management of pediatric peritonsillar abscess outcomes.

Int J Pediatr Otorhinolaryngol 2019 Aug 25;123:47-50. Epub 2019 Apr 25.

Department of Pediatric Otolaryngology - Head and Neck Surgery, Nationwide Children's Hospital, Columbus, OH, USA. Electronic address:

Introduction: Peritonsillar abscess (PTA) in pediatric patients is a challenging condition to diagnose and treat, and recurrence can occur in up to 15% of patients. This condition can be managed in various settings and there may be outcome differences depending on the choice of inpatient/outpatient management. The objective of this study was to evaluate immediate and long-term outcomes, specifically recurrence, after PTA management in the inpatient versus outpatient setting as well as specific patient characteristics leading to hospital management decisions. Read More

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http://dx.doi.org/10.1016/j.ijporl.2019.04.025DOI Listing
August 2019
5 Reads

[Bilateral peritonsillar abscess in children: case report].

Arch Argent Pediatr 2019 06;117(3):e297-e300

Hospital Policial Churruca Visca, Ciudad de Buenos Aires, Argentina.

Peritonsillar abscess is the most common complication of acute bacterial tonsillitis, defined as the presence of purulent exudate between the peritonsillar capsule and the superior constrictor muscle of the pharynx. Usually, its presentation is unilateral; its bilateral involvement is rare. It is more common in adults, being uncommon in children. Read More

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http://dx.doi.org/10.5546/aap.2019.e297DOI Listing
June 2019
9 Reads

Computed tomography use patterns for pediatric patients with peritonsillar abscess.

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

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

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

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

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

Association of Air Pollution With Increased Risk of Peritonsillar Abscess Formation.

JAMA Otolaryngol Head Neck Surg 2019 06;145(6):530-535

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

Importance: Several studies reported an association between peritonsillar abscess formation and climate conditions, including seasonal changes; however, the results were inconsistent.

Objective: To evaluate the association between meteorological conditions and/or air pollution and peritonsillar abscess formation.

Design, Setting, And Participants: In this nested case-control study, 3819 participants with peritonsillar abscesses were matched (1:4) for age, sex, income, region of residence, hypertension, diabetes, and dyslipidemia with 15 276 control participants. Read More

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http://dx.doi.org/10.1001/jamaoto.2019.0742DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6488010PMC
June 2019
7 Reads

Peritonsillar abscess is frequently accompanied by sepsis symptoms.

Eur Arch Otorhinolaryngol 2019 Jun 16;276(6):1721-1725. Epub 2019 Apr 16.

Institute of Clinical Medicine, University of Tartu, Tartu, Estonia.

Purpose: To evaluate how many patients with peritonsillar abscess (PTA) fulfill sepsis criteria and if there is any difference in risk factors and treatment results between patients with and without sepsis symptoms. We also aimed to evaluate the utility of several clinical and laboratory markers for diagnosing PTA.

Methods: Study group consisted of 92 patients with PTA undergoing bilateral emergency tonsillectomy. Read More

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http://dx.doi.org/10.1007/s00405-019-05424-6DOI Listing
June 2019
24 Reads

Ten years of deep neck space abscesses.

J Laryngol Otol 2019 Apr 29;133(4):324-328. Epub 2019 Mar 29.

Department of Otolaryngology,Royal Gwent Hospital,Newport,Wales,UK.

Background: The incidence of deep neck space abscesses, which can result in significant morbidity and mortality, is rising. The aetiology is thought to be dental. However, this study suggests a reduction in tonsillectomies may be associated with the rise. Read More

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http://dx.doi.org/10.1017/S0022215119000458DOI Listing
April 2019
12 Reads

Clinical Practice Guideline: Tonsillectomy in Children (Update)-Executive Summary.

Otolaryngol Head Neck Surg 2019 02;160(2):187-205

15 Department of Research and Quality, American Academy of Otolaryngology-Head and Neck Surgery Foundation, Alexandria, Virginia, USA.

Objective: This update of a 2011 guideline developed by the American Academy of Otolaryngology-Head and Neck Surgery Foundation provides evidence-based recommendations on the pre-, intra-, and postoperative care and management of children 1 to 18 years of age under consideration for tonsillectomy. Tonsillectomy is defined as a surgical procedure performed with or without adenoidectomy that completely removes the tonsil, including its capsule, by dissecting the peritonsillar space between the tonsil capsule and the muscular wall. Tonsillectomy is one of the most common surgical procedures in the United States, with 289,000 ambulatory procedures performed annually in children <15 years of age, based on the most recent published data. Read More

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http://dx.doi.org/10.1177/0194599818807917DOI Listing
February 2019
33 Reads

Giant Fistula of the Peritonsillar Abscess.

Authors:
Nurdoğan Ata

Ear Nose Throat J 2019 Mar 14;98(3):126-127. Epub 2019 Mar 14.

1 Department of Otorhinolaryngology, Gaziantep 25 Aralık State Hospital, Gaziantep, Turkey.

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http://dx.doi.org/10.1177/0145561319836598DOI Listing
March 2019
5 Reads
0.881 Impact Factor

Clinical Practice Guideline: Tonsillectomy in Children (Update).

Otolaryngol Head Neck Surg 2019 02;160(1_suppl):S1-S42

15 Department of Research and Quality, American Academy of Otolaryngology-Head and Neck Surgery Foundation, Alexandria, Virginia, USA.

Objective: This update of a 2011 guideline developed by the American Academy of Otolaryngology-Head and Neck Surgery Foundation provides evidence-based recommendations on the pre-, intra-, and postoperative care and management of children 1 to 18 years of age under consideration for tonsillectomy. Tonsillectomy is defined as a surgical procedure performed with or without adenoidectomy that completely removes the tonsil, including its capsule, by dissecting the peritonsillar space between the tonsil capsule and the muscular wall. Tonsillectomy is one of the most common surgical procedures in the United States, with 289,000 ambulatory procedures performed annually in children <15 years of age based on the most recent published data. Read More

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http://dx.doi.org/10.1177/0194599818801757DOI Listing
February 2019
15 Reads

Systematic review of the role of corticosteroids in cervicofacial infections.

Br J Oral Maxillofac Surg 2019 04 13;57(3):196-206. Epub 2019 Feb 13.

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
April 2019
8 Reads

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

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

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

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

Study Design: Retrospective analysis.

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

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

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
57 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
11 Reads

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

Clin Otolaryngol 2019 05 14;44(3):293-298. Epub 2019 Feb 14.

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
May 2019
18 Reads

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

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

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

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

Study Design: Case series with chart review.

Setting: Tertiary pediatric hospital. Read More

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

Implication of Fusobacterium necrophorum in recurrence of peritonsillar abscess.

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

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

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

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

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
27 Reads

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

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

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

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

Study Design: Case-control series. Read More

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

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
39 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
19 Reads

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

Fam Pract 2019 07;36(4):425-430

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
July 2019
41 Reads

Parapharyngeal Abscesses Caused by Group G Streptococcus.

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

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

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

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

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
57 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
Publisher Site
http://dx.doi.org/10.1016/j.mcna.2018.06.015DOI Listing
November 2018
38 Reads

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

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

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

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

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

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

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

Clin Otolaryngol 2019 01 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
Publisher Site
http://dx.doi.org/10.1111/coa.13233DOI Listing
January 2019
11 Reads