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Revista de otorrinolaringología y cirugía de cabeza y cuello

versión On-line ISSN 0718-4816

Resumen

ALVAREZ B, Matías; SANTANDER B, María Jesús; WAISSBLUTH A, Sofia  y  PALMA R, Soledad. Clinical experience and management of peritonsillar abscesses at the Dr. Sótero del Río Health Center. Rev. Otorrinolaringol. Cir. Cabeza Cuello [online]. 2019, vol.79, n.1, pp.59-66. ISSN 0718-4816.  http://dx.doi.org/10.4067/S0718-48162019000100059.

Introduction:

Peritonsillar abscesses are an important cause of emergency consults in the otorhinolaryngology department. Its management includes use of antibiotics and drainage of the abscess.

Aim:

To describe and analyze the clinical characteristics, epidemiology, and management of peritonsillar abscesses at the Dr. Sótero del Río Health Center.

Material and method:

Retrospective and descriptive study of all patients presenting with a peritonsillar abscess between the years 2013 and 2016. Variables analyzed include demographics, signs and symptoms, use of antibiotics, drainage, and persistence of the disease.

Results:

This series includes 122 patients, with a mean age of 29 years; 19.6% are pediatric patients. Clinically, patients presented mainly with odynophagia (62.7%), muffled voice (32%), fever (27%), and trismus (27%). On physical examination, swelling of the tonsillar pillar (67.2%), uvula deviation (41.8%), trismus (26.2%), and white patches on tonsil (18.9%) were observed. The latter finding was more common in children. Forty-six percent of the patients received an antibiotic treatment previous to consulting at the emergency department, and 35.7% received steroids at the emergency department. The majority (92%) had the abscess drained, mainly by incision (81.7%). Only 13.1% of the patients required a second drainage.

Conclusion:

Peritonsillar abscess is a common presentation at the emergency department, seen primarily in young adults. The prognosis is excellent with drainage of the abscess associated with an intravenous and/or oral antibiotic treatment.

Palabras clave : Peritonsillar abscess; infection; drainage; tonsil; quinsy.

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