Bilateral tonsillectomy for peritonsillar abscess

Volk, Benjamin M.; Brandow, Edward C.

doi:10.1288/00005537-196006000-00008

Cited by 6 publications

(3 citation statements)

References 2 publications

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“…Volk and Brandow's report in 1960 paved the way for a change in management of PTA to an "abscess," or "quinsy" tonsillectomy. 8 Although quinsy tonsillectomy became the favored practice on the basis of the impression that it led to the quickest recovery, subsequent studies suggested that antibiotic therapy with abscess aspiration or incision and drainage were equally effective as quinsy tonsillectomy and antibiotic therapy. 5 A corollary of these studies was that needle aspiration of PTA yielded equivalent results to incision and drainage.…”

Section: Discussionmentioning

confidence: 99%

“…Incision and drainage of PTA was the most common form of management in the United States before 1960 because of the hypothetical risk of producing rheumatic fever or glomerulonephritis from septicemia after abscess tonsillectomy. Volk and Brandow's report in 1960 paved the way for a change in management of PTA to an “abscess,” or “quinsy” tonsillectomy 8 . Although quinsy tonsillectomy became the favored practice on the basis of the impression that it led to the quickest recovery, subsequent studies suggested that antibiotic therapy with abscess aspiration or incision and drainage were equally effective as quinsy tonsillectomy and antibiotic therapy 5 .…”

Section: Discussionmentioning

confidence: 99%

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Selection of Antibiotics after Incision and Drainage of Peritonsillar Abscesses

Kieff¹,

Bhattacharyya²,

Siegel³

et al. 1999

Otolaryngol.--head neck surg.

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Despite the fact that peritonsillar abscess is the most common complication of acute tonsillitis, the treatment of peritonsillar abscess remains controversial. One element of controversy is the choice of antibiotics after drainage of the abscess. In an attempt to assess the effect of antibiotic choice on the treatment of peritonsillar abscess, we conducted a retrospective review of records from patients with peritonsillar abscess treated with incision and drainage. Our review identified 103 patients, comprising two groups: 58 patients treated with broad-spectrum intravenous antibiotics and 45 patients treated with intravenous penicillin alone. These patients were hospitalized after incision and drainage, and therefore their clinical courses and responses to therapy could be rigorously assessed. Characterization of illness based on patient age, temperature, and white blood cell count revealed similar severity of illness between the two groups. Comparison of clinical outcomes with respect to hours hospitalized (mean 44.3 +/- 6.6 and 38.3 +/- 7.1 hours, 95% confidence interval, for broad-spectrum and penicillin groups, respectively) and mean hours febrile (16.9 +/- 5.0 and 13.3 +/- 4.2 hours, 95% confidence interval) were not statistically significantly different (p = 0.222 and 0.269, respectively) between groups, indicating that broad-spectrum antibiotics failed to show greater efficacy than penicillin in the treatment of these patients. The microbiologic characteristics of these infections, failures of therapy, and complication rates were similar to those reported in the literature. These results suggest that intravenous penicillin remains an excellent choice for therapy in cases of peritonsillar abscess requiring parenteral antibiotics after drainage.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Selection of Antibiotics after Incision and Drainage of Peritonsillar Abscesses

Kieff¹,

Bhattacharyya²,

Siegel³

et al. 1999

Otolaryngol.--head neck surg.

View full text Add to dashboard Cite

show abstract

“…In different studies, TAC turned out to be a safe measure that leads with only one single inpatient stay (later even performed on an outpatient basis) to the definitive problem solution in adults and children [261], [262], [263], [264], [377], [379], [391], [392], [393], [394] and to less disease-related losses of earnings in comparison to ITE [264]. A disadvantage of TAC is the waiting time from the diagnosis to perform surgery (6–72 hours) [302], [376], [377], [382].…”

Section: Resultsmentioning

confidence: 99%