Pediatric peritonsillar abscess: Management guidelines

Herzon, Fred S.; Nicklaus, Pamela J.

doi:10.1016/s0045-9380(96)80007-7

Cited by 20 publications

(13 citation statements)

References 42 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…On examination, there is trismus, foul smelling breath, cervical adenopathy and edematous uvula pushed to one side. Apart from airway stabilization, these children are managed with needle aspiration or incision and drainage of abscess or tonsillectomy coupled with IV antibiotics [19]. Most commonly employed antibiotics are a combination of 3rd generation cephalosporin with Clindamycin, with other alternatives being Meropenem, Imipenem and Piperacillin-Tazobactam [20].…”

Section: Peritonsillar Abscessmentioning

confidence: 99%

Upper Airway Obstruction in Children

2015

View full text Add to dashboard Cite

Children with upper airway obstruction are both unique and variable in their presentation and management, often posing a challenge to the pediatrician. Several anatomical and physiologic peculiarities make a child vulnerable to develop an obstruction of upper airways. The characteristic finding in upper airway obstruction is stridor-inspiratory, biphasic or expiratory. The etiologies vary widely throughout the age groups and according to the mode of presentation. The approach starts with suspicion, mandates careful clinical evaluation of the degree of obstruction and many a times emergency measures precede any investigation or even precise diagnosis. Maintaining an open and stable airway is of the utmost importance, often requiring a team approach of emergency physician, pediatrician, otorhinolaryngologist and pediatric pulmonologist. The commonest condition presenting with upper airway obstruction in pediatric population is viral croup. Croup is a clinical diagnosis in a febrile child, with barking cough and stridor preceded by upper respiratory infection. It is treated with systemic or inhaled steroids and nebulized epinephrine. Epiglottitis and bacterial tracheitis are acute bacterial infections of upper airways, presenting as true airway emergencies. Though the mainstay of therapy is IV antibiotics, the prime concern is maintenance of airway, which frequently requires endotracheal intubation. Rigid bronchoscopy is the procedure of choice for airway foreign bodies, a common cause of upper airway obstruction in children below 3 y of age. Airway malacias are the commonest cause of chronic stridor and are mostly managed conservatively.

show abstract

Section: Peritonsillar Abscessmentioning

confidence: 99%

Upper Airway Obstruction in Children

2015

View full text Add to dashboard Cite

show abstract

“…NA is suggested as first-line therapy for PTA, alternatively ID. Abscesstonsillectomy is indicated in patients with a history of recurrent tonsillitis or PTA [13], [263], [301], [349], [364], [398], [492], [493], [494] (grade A), [307], [386], [495] (grade B). …”

Section: Resultsmentioning

confidence: 99%

Indications for tonsillectomy stratified by the level of evidence

Windfuhr

2016

GMS Current Topics in Otorhinolaryngology - Head and Neck Surgery; 15:Doc09

View full text Add to dashboard Cite

“…Peritonsillar space Peritonsillar abscess, or quinsy, is one of the most common abscesses of the head and neck in all age groups [19]. Peritonsillar abscess originates as acute tonsillitis that extends through the fibrous capsule of the tonsil into the peritonsillar space.…”

Section: Spaces Above the Hyoid Bonementioning

confidence: 99%

“…The three primary surgical modalities include needle aspiration, incision and drainage, and acute quinsy tonsillectomy. Recently, Herzon [8,19] published a proposal for treatment guidelines of peritonsillar abscess based on a cohort study, national survey, and meta-analyses of various components of the treatment regimen. He recommends needle aspiration of all patients with uncomplicated peritonsillar abscess for immediate relief of symptoms.…”

Section: Spaces Above the Hyoid Bonementioning

confidence: 99%

Deep neck infections

Nicklaus

1999

Curr Infect Dis Rep

View full text Add to dashboard Cite

Deep neck infections are less common in the antibiotic era, but when they do occur they remain serious infections. Historically, these infections carried significant morbidity and mortality due to the proximity of the airway, mediastinum, and other vital structures. Deep neck infections were once routinely treated with penicillin, and if infection progressed to abscess, surgical drainage was performed. In recent years the standard medical, surgical, and diagnostic approaches to deep neck infection have changed, and they continue to evolve. Physicians must be aware of these changes to optimally manage patients with deep neck infections.

show abstract

Pediatric peritonsillar abscess: Management guidelines

Cited by 20 publications

References 42 publications

Upper Airway Obstruction in Children

Upper Airway Obstruction in Children

Indications for tonsillectomy stratified by the level of evidence

Deep neck infections

Contact Info

Product

Resources

About