TY - JOUR
T1 - Peritonsillar Abscess
T2 - A Prospective Evaluation of Outpatient Management by Needle Aspiration
AU - Ophir, Dov
AU - Bawnik, Joseph
AU - Poria, Yitzhak
AU - Porat, Moshe
AU - Marshak, Gabriel
PY - 1988/6
Y1 - 1988/6
N2 - Outpatient management of peritonsillar abscess by needle aspiration and oral antibiotic therapy was evaluated for its effectiveness in providing rapid symptom relief and cure and in preventing recurrence. Between 1984 and 1987, 124 patients with peritonsillar infection were treated in our department, and 115 were included in this prospective study. Needle aspiration was not carried out in 11 patients because of young age, noncooperation, or severe trismus. The other 104 patients underwent permucosal aspiration and were followed up for periods of four months to three years. Of these, findings of aspiration were positive in 75 (72%). Only nine (12%) of the 75 patients with positive aspirates had to be hospitalized. In 64 (85%) of the 75 patients, the abscess resolved without further therapy. Aspiration of pus, along with oral administration of antibiotics, thus appears to be a reasonable alternative to incision and drainage or “hot” tonsillectomy in patients with peritonsillar abscess. This conservative approach obviates the need for hospital admission in most patients, thus enabling a significant cost reduction. (Arch Otolaryngol Head Neck Surg 1988;114:661-663)
AB - Outpatient management of peritonsillar abscess by needle aspiration and oral antibiotic therapy was evaluated for its effectiveness in providing rapid symptom relief and cure and in preventing recurrence. Between 1984 and 1987, 124 patients with peritonsillar infection were treated in our department, and 115 were included in this prospective study. Needle aspiration was not carried out in 11 patients because of young age, noncooperation, or severe trismus. The other 104 patients underwent permucosal aspiration and were followed up for periods of four months to three years. Of these, findings of aspiration were positive in 75 (72%). Only nine (12%) of the 75 patients with positive aspirates had to be hospitalized. In 64 (85%) of the 75 patients, the abscess resolved without further therapy. Aspiration of pus, along with oral administration of antibiotics, thus appears to be a reasonable alternative to incision and drainage or “hot” tonsillectomy in patients with peritonsillar abscess. This conservative approach obviates the need for hospital admission in most patients, thus enabling a significant cost reduction. (Arch Otolaryngol Head Neck Surg 1988;114:661-663)
UR - http://www.scopus.com/inward/record.url?scp=0023937303&partnerID=8YFLogxK
U2 - 10.1001/archotol.1988.01860180075034
DO - 10.1001/archotol.1988.01860180075034
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AN - SCOPUS:0023937303
SN - 0886-4470
VL - 114
SP - 661
EP - 663
JO - JAMA Otolaryngology - Head and Neck Surgery
JF - JAMA Otolaryngology - Head and Neck Surgery
IS - 6
ER -