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peritonsillar abscess

Nurdoğan Ata
No abstract text is available yet for this article.
March 14, 2019: Ear, Nose, & Throat Journal
Ron B Mitchell, Sanford M Archer, Stacey L Ishman, Richard M Rosenfeld, Sarah Coles, Sandra A Finestone, Norman R Friedman, Terri Giordano, Douglas M Hildrew, Tae W Kim, Robin M Lloyd, Sanjay R Parikh, Stanford T Shulman, David L Walner, Sandra A Walsh, Lorraine C Nnacheta
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...
February 2019: Otolaryngology—Head and Neck Surgery
S Kent, A Hennedige, C McDonald, A Henry, B Dawoud, R Kulkarni, G Logan, K Gilbert, R Exely, S Basyuni, P Kyzas, R Morrison, J McCaul
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...
February 12, 2019: British Journal of Oral & Maxillofacial Surgery
Allison G Chisholm, Benjamin D Little, Romaine F Johnson
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. The primary outcome was to determine the sensitivity, specificity, predictive values, receiver operating characteristics (ROC), and likelihood ratios of surgical drainage rates comparing the PHIS database to manual chart review of the same patients...
February 13, 2019: Laryngoscope
Mette Thrane Øhrstrøm, Christian Sander Danstrup, Tejs Ehlers Klug
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...
February 2019: Danish Medical Journal
Nurullah Seyhun, Zeynep Aslı Batur Çalış, Merve Ekici, Suat Turgut
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. Methods: This is a retrospective, observational study. We reviewed 221 patients, and together with 24 recurrent cases, 245 admissions were reviewed in total...
December 2018: Turkish Archives of Otorhinolaryngology
Andrew S Lau, David M Selwyn, Ding Yang, Liam Swainbank, Paul Ridley, Nicola Carmichael, Christopher Metcalfe, George Watson, Hannah Emerson
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. This would help to improve non-specialist colleagues' diagnostic certainty as well as to support ENT surgeons' triage of these referrals. DESIGN: Prospective, multi-centre observational study...
January 21, 2019: Clinical Otolaryngology
M Elise Graham, Abigail K Neal, Ian C Newberry, Matthew A Firpo, Albert H Park
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. SUBJECTS AND METHODS: Records for all pediatric patients (<18 years) treated for PTAs in the emergency department from 2005 to 2015 were reviewed and stratified into awake, CS, and GA groups for comparison...
January 1, 2019: Otolaryngology—Head and Neck Surgery
S Ahmed Ali, Kevin J Kovatch, Josh Smith, Emily L Bellile, John E Hanks, Paul T Hoff
OBJECTIVE: Peritonsillar abscess (PTA) is a common infectious complication of pharyngeal infection managed by otolaryngologists and emergency room physicians. Streptococcus and Fusobacterium (e.g., Fusobacterium necrophorum, FN) species are commonly isolated pathogens. The aim of this study was to determine the implication of culture results on abscess recurrence following drainage. METHODS: Single-institution retrospective review of patients treated at the University of Michigan between 2000 and 2017...
December 24, 2018: Laryngoscope
Antonios N Varelas, Phillip S LoSavio, Emily Misch, Paul E Casey, Jill S Jeffe
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...
February 2019: International Journal of Pediatric Otorhinolaryngology
S Ahmed Ali, Kevin J Kovatch, Josh Smith, Emily L Bellile, John E Hanks, Carl M Truesdale, Paul T Hoff
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. METHODS: This is a single-institution retrospective review of patients treated at the University of Michigan between 2000 and 2017...
December 19, 2018: Laryngoscope
Matthew R Klein
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.
February 2019: Emergency Medicine Clinics of North America
Cedric Piroulas, Louise Devillers, Cecile Souty, Jonathan Sicsic, Philippe Boisnault, Mathilde François
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. All patients consulting a GP from the Datalink network for pharyngitis have been included...
November 12, 2018: Family Practice
Robert D Simard, Steve Socransky, Jordan Chenkin
BACKGROUND: Parapharyngeal space abscesses (PPSA) are deep-space neck infections that are associated with significant morbidity and, rarely, mortality if not promptly diagnosed and treated. The diagnosis is often difficult, as the clinical presentation can mimic peritonsillar abscesses (PTA). Transoral point-of-care ultrasound (POCUS) may be a useful tool to help distinguish PTAs from other deep-space infections such as PPSAs. CASE REPORT: A woman presented to the Emergency Department (ED) with fever, sore throat, trismus, and unilateral tonsillar swelling from a walk-in clinic with a preliminary diagnosis of PTA for drainage...
January 2019: Journal of Emergency Medicine
Jonathan Fishman, Edward Fisher, Musheer Hussain
No abstract text is available yet for this article.
October 2018: Journal of Laryngology and Otology
Shori Tajima, Takashi Anzai, Rina Matsuoka, Hiroko Okada, Takuma Ide, Mitsuhisa Fujimaki, Shota Kaya, Shin Ito, Katsuhisa Ikeda
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. Although rarely, it can cause pharyngitis, tonsillitis, and peritonsillar abscess. Here, we report a case of a woman with parapharyngeal abscess caused by GGS. A 56-year-old woman presented to the emergency department with complaints of sore throat and cervical swelling, and a diagnosis of parapharyngeal abscess was established...
2018: Case Reports in Otolaryngology
Vishnu Parthasarathy, Brian Snyder, Robert Saddawi-Konefka
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. Computed tomography (CT) scan showed epiglottitis with a developing left PTA...
December 2018: Journal of Emergency Medicine
S Ahmed Ali, Kevin J Kovatch, Josh Smith, Emily L Bellile, John E Hanks, Carl M Truesdale, Paul T Hoff
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...
November 2018: International Journal of Pediatric Otorhinolaryngology
Catriona M Douglas, Ursula Altmyer, Laura Cottom, David Young, Penelope Redding, Louise J Clark
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. DESIGN: Retrospective nationwide cohort study. Data requested from Information Statistics Department (ISD) Scotland for tonsillectomy, tonsillitis admissions, peritonsillar abscess admissions and deep neck space infection (DNSI) admissions in Scotland, between 1993/94 and 2015/16...
January 2019: Clinical Otolaryngology
D Schwarz, P Wolber, M Balk, J C Luers
OBJECTIVE: Smoking is purported to increase the risk of peritonsillar abscess formation, but prospective data are needed to confirm this hypothesis. This prospective study aimed to identify this correlation. METHODS: Fifty-four patients with peritonsillar abscess were prospectively asked about their smoking behaviour using a questionnaire that was designed and approved by the Robert Koch Institute (Berlin, Germany) to analyse smoking behaviour in epidemiological studies...
October 2018: Journal of Laryngology and Otology
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