Peritonsillar Abscess

@article{Klug2016PeritonsillarA,
  title={Peritonsillar Abscess},
  author={Tejs Ehlers Klug and Maria Rusan and Kurt Fuursted and Therese Ovesen},
  journal={Otolaryngology–Head and Neck Surgery},
  year={2016},
  volume={155},
  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… Expand
Complications of peritonsillar abscess
TLDR
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. Expand
The presence of minor salivary glands in the peritonsillar space
TLDR
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. Expand
Peritonsillar abscess: 46 years after tonsillectomy
TLDR
Peritonsillar abscess is rare after tonsillectomy, and every effort should be made to determine the cause, which can range from very simple to complex pathology. Expand
Post-operative haemorrhage after acute bilateral tonsillectomy in patients with peritonsillar abscess: prevalence, treatment, risk factors, and side of bleeding
TLDR
The findings question if unilateral QT is preferable to bilateral QT when the PTA does not respond to conservative treatment, especially in males with GAS-positive PTA. Expand
Recurrent paratonsillitis of odontogenic origin
TLDR
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. Expand
Infectious mononucleosis complicated by peritonsillar abscess and postural orthostatic tachycardia syndrome: A case report
TLDR
An unusual case of infectious mononucleosis complicated by both peritonsillar abscess and postural orthostatic tachycardia syndrome is reported, which was achieved over the course of approximately 1 year via conservative measures including graded exercise therapy, without resorting to pharmacotherapy. Expand
Evidence-Based Medicine Improves the Emergent Management of Peritonsillar Abscesses Using Point-of-Care Ultrasound.
TLDR
POCUS use has increased for PTA treatment, improves aspiration, and decreases consultations, CTs, return visits, and LOS. Expand
Lesser Palatine Nerve Block in Peritonsillar Abscess Drainage: a Prospective and Controlled Study
TLDR
The LPNB is a simple, safe, and efficacious anesthetic technique to reduce pain in patients undergoing surgical drainage of a peritonsillar abscess. Expand
Association of Air Pollution With Increased Risk of Peritonsillar Abscess Formation.
TLDR
Peritonsillar abscess formation was associated with high concentrations of NO2 and PM10, and the other meteorological conditions did not reach statistical significance. Expand
Peritonsillar abscess and concomitant COVID-19 in a 21-year-old male
TLDR
This case describes conservative management of peritonsillar abscess in a 21-year-old male with COVID-19. Expand
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References

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Bilateral peritonsillar abscesses and quinsy tonsillectomy.
TLDR
The possibility of a subclinical contralateral peritonsillar abscess being present is an additional indication for proceeding with a quinsy tonsillectomy, especially in patients who remain febrile after apparent satisfactory drainage of the clinically evident abscess. Expand
Pathogenesis of peritonsillar abscess
TLDR
Evidence has been presented to support the premise that the true cause for peritonsillar abscess is not necessarily an extension of an acute exudative tonsillitis, but an abscess formation of Weber's salivary glands in the supratonsillsar fossa. Expand
Bilateral peritonsillar abscesses
TLDR
The rate of almost 4% bilateral abscesses should be taken into consideration as dangerous complications such as mediastinitis could develop from the remaining abscess formation of the contralateral side. Expand
Significant pathogens in peritonsillar abscesses
TLDR
The findings suggest that FN is also of pathogenic importance in acute tonsillitis, and that FN growth is not a subsequent phenomenon once an abscess has formed, and further suggest that other factors influence the development of PTA. Expand
Peritonsillar abscess.
TLDR
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. Expand
Peritonsillar Abscess: Recurrence Rate and Treatment
TLDR
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. Expand
A review of the pathogenesis of adult peritonsillar abscess: time for a re-evaluation.
TLDR
PTA is clinically distinct from acute tonsillitis and occurs in people with a chronic underlying susceptibility, and Targeting host factors, including oral hygiene, antibiotic use and smoking, may prevent PTA. Expand
Peritonsillar abscess in children in the southern district of Israel.
TLDR
It is concluded that peritonsillar abscess in children can be effectively treated by the same methods used in the adult population. Expand
Peritonsillar abscess. I. Cases treated by incision and drainage: a follow-up investigation.
TLDR
The indication for tonsillectomy à chaud is discussed, and the method is recommended as a routine in peritonsillar abscess in patients under 30 years old, whereas conservative treatment with incision and drainage is recommended in patients older than 30 years if the patient has had no previous periton abscess or recurrent tonsillitis. Expand
Tonsillectomy à chaud.
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TLDR
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. Expand
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