Needle aspiration versus incision and drainage for the treatment of peritonsillar abscess

Abstract

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

Renewal of peritonsillar abscess: Impact of the bacterial species of the infection and clinical features of the patient—A prospective comparative aetiological study

“…), however, are similar between studies . Most patients recover well on per‐oral antibiotics after incision and drainage or needle aspiration of the PTA . However, 10%‐22% of PTA patients suffer from a renewal of the symptoms, depending on the definition of renewal and duration of the follow‐up period .…”

Experiencia clínica y manejo de los abscesos periamigdalinos en el Complejo Asistencial Dr. Sótero del Río

“…Se describe una tasa de recurrencia mayor para los drenajes por punción con un riesgo relativo de 3,74 (1,63-8,59), sin embargo, con elevada heterogeneidad, siendo interpretado como de muy baja calidad de la evidencia, del mismo modo que para el dolor posprocedimiento. Por lo tanto, actualmente no existe consenso sobre si existe superioridad entre estos dos procedimientos quedando a preferencia del tratante la elección de la técnica a utilizar 10 . En este estudio, los drenajes fueron principalmente por incisión (81,7%), resultados similares a otro centro hospitalario del país (84,4%) 17 .…”

Quinsy in Adult: Clinical Profile and Management Challenges in Two Tertiary Hospitals Northwest Nigeria

“…It is the most common deep neck space abscess and a common cause of ENT admissions worldwide, with significant morbidities and occasionally mortality [3][4][5]. Complications that could arise from peritonsillar abscess are; aspiration of purulent material, extension to contiguous deep neck spaces with eventual mediastinitis, septicemia and airway obstruction [6][7][8]. The later can rapidly lead to death if left unattended.…”

“…Medical management, Needle aspiration (NA), Incision and drainage (I&D) and Quinsy tonsillectomy can all be employed in treating PTA [8,[21][22][23][24]. Over time the trend has moved from the more aggressive methods like quinsy tonsillectomy to more conservative methods such as treatment with medications alone [2,7]. Quinsy tonsillectomy is removal of the tonsils at the time of PTA [8,21].…”