Peritonsillar Abscess

  title={Peritonsillar Abscess},
  author={Tejs Ehlers Klug and Maria Rusan and Kurt Fuursted and Therese Ovesen},
  journal={Otolaryngology–Head and Neck Surgery},
  pages={199 - 207}
Objective To review the literature concerning the 2 primary hypotheses put forth to explain the pathogenesis of peritonsillar abscess: “the acute tonsillitis hypothesis” (peritonsillar abscess is a complication of acute tonsillitis) and “the Weber gland hypothesis” (peritonsillar abscess is an infection of Weber’s glands). Data Sources PubMed, EMBASE. Review Methods Data supporting or negating one hypothesis or the other were elicited from the literature. Conclusions Several findings support… 
Complications of peritonsillar abscess
The current findings suggest that viridans group streptococci, S. aureus , Prevotella , and Bacteroides may also play occasional roles in the development of PTA as well as spread of infection.
The presence of minor salivary glands in the peritonsillar space
The majority of the 114 tonsillectomy specimens, collected from patients with AT, CT, or PTA, presented with infected minor salivary glands, and inflammation of the peritonsillar space glands was evident.
Minor salivary gland infection as origin of peritonsillitis – novel theory and preliminary results
Elevated S-Amyl in the PT/PTA group without tonsillar findings suggests that minor salivary glands are sometimes involved in the development of peritonsillar infections.
MRI Findings in Acute Tonsillar Infections
Emergency neck MR imaging can accurately describe the extent and nature of abscess formation in tonsillar infections, and has a high positive predictive value for both abscesses and deep extension.
Retropharyngeal, Parapharyngeal and Peritonsillar Abscesses
Despite relatively uncommon, pediatric DNIs deserve particular attention as they can have a very severe course and lead to hospitalization, admission to the intensive care unit and, although very rarely, death.
Peritonsillar Abscess Size as a Predictor of Medical Therapy Success
Abscesses ≥2 cm in size were more likely to fail in both groups and ST was not statistically superior, but Sole MT for uncomplicated PTA may help reduce unnecessary procedures and healthcare costs.
Isolated oropharyngeal abscess with hypopharyngeal extension recurring 12 years after initial surgical management: A case report and review of the literature
The case of an 83-year-old man presenting with an idiopathic, obstructive, oropharyngeal wall abscess, extending from the infratonsillar region to the hypopharynx, which recurred after initial surgical management 12 years prior for the same process is described.
Acute Bilateral Peritonsillar Abscesses
A 14-year-old male presented to an outside emergency department (ED) 2 days after starting penicillin for a 2-week history of intermittent sore throat with significant odynophagia and was unable to swallow the pills, believed to be the 21st case report in the English literature.
Recurrent paratonsillitis of odontogenic origin
A clinical case of recurrent paratonsillitis in a 22year-old man, his admission due to this condition was the third during the year, and the disease proceeded without signs of affection of the palatine tonsils.


Peritonsillar Abscess: Recurrence Rate and Treatment
Patients without previous throat symptoms had a lower incidence of new throat infections than patients with a history of throat infection before the peritonsillar abscess, which in itself might indicate the need for tonsillectomy.
Tonsillectomy à chaud
  • P. Bonding
  • Medicine
    The Journal of Laryngology & Otology
  • 1973
The purpose of this work is to investigate the advantages and disadvantages of the routine use of tonsillectomy a chaud for peritonsillar abscess in Scandinavia.
Changing face of treatment of peritonsillar abscess.
The authors conclude that treatment of peritonsillar abscess should consist of needle aspiration, intravenous antibiotics and supportive measures, and Interval tonsillectomy should be performed only when there is a history of recurrent tonsillitis or previous per itonsillars abscess.
Peritonsillar abscess: Tonsil antibiotic levels in patients treated by acute abscess surgery
Patients who had tonsillectomy in the acute phase of peritonsillar abscess were studied to find less antibiotic on the inflamed side and expected a low, satisfactory tissue level in patients under usual regimens of intravenous antibiotics.
Abscess tonsillectomy; seven hundred twenty-five cases.
  • B. Grahne
  • Medicine
    A.M.A. archives of otolaryngology
  • 1958
The first abscess tonsillectomy was performed nearly 100 years ago by Chassaignac, but interest in the treatment of peritonsillar abscess was stimulated by Chiari, who suggested a simple incision for opening "ripe" abscesses.
Microbiological aspects on peritonsillar abscesses.
In 37 patients with unilateral quinsy put data was collected with a syringe technique and bacteriologically examined, there was one case with beta-hemolytic streptococci in the abscess but negative serology, and a possible primary etiological role of anaerobes is suggested.
Immediate tonsillectomy for the treatment of peritonsillar abscess.
Quinsy tonsillectomy: a safe procedure
Immediate quinsy tonsillectomy under general anaesthesia at St Thomas’ Hospital has proved to be a safe, reliable and economical method of treatment for peritonsillar abscess.
Peritonsillar abscess.
An alternative theory suggests involvement of the Weber glands. [3]These are a group of salivary glands, immediately above the tonsillar area in the soft palate. They are thought to play a minor role
Quinsy tonsillectomy—a further report
It is felt that opponents of primary quinsy tonsillectomy are largely those who have little or no experience of this as a primary form of treatment and that their objections are based on its theoretical difficulties.