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Peritonsillar Abscess in Children

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Pediatric ENT Infections

Abstract

Peritonsillar abscess (PTA) is a suppurative infection that leads to a collection of purulent material between the capsule of the palatine tonsil and pharyngeal muscles and is the most common abscess of the head and neck region. It is usually unilateral but can rarely be bilateral. Peritonsillar abscess (also known as quinsy) is the commonest of all deep neck infections.

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References

  1. Millar KR, Johnson DW, Drummond D, Kellner JD. Suspected peritonsillar abscess in children. Pediatr Emerg Care. 2007;23:431–8.

    Article  Google Scholar 

  2. Powell J, Wilson JA. An evidence-based review of peritonsillar abscess. Clin Otolaryngol. 2012;37:136–45.

    Article  CAS  Google Scholar 

  3. Hromadkova P. Peritonsillar abscess in children. Bratislavskelekarskelisty. 2006;107:272.

    CAS  Google Scholar 

  4. Klug TE, Rusan M, Fuursted K, Ovesen T. Peritonsillar abscess: complication of acute tonsillitis or Weber’s glands infection? Otolaryngol Head Neck Surg. 2016;155:199–207.

    Article  Google Scholar 

  5. Brook I, Frazier EH, Thompson DH. Aerobic and anaerobic microbiology of peritonsillar abscess. Laryngoscope. 1991;101:289–92.

    CAS  PubMed  Google Scholar 

  6. Brook I. Role of methicillin-resistant Staphylococcus aureus in head and neck infections. J Laryngol Otol. 2009;123:1301–7.

    Article  CAS  Google Scholar 

  7. Tom LWC, Jacobs IN. Diseases of the oral cavity, oropharynx, and nasopharynx. In: Ballenger’s otorhinolaryngology, head and neck surgery. 16th ed. Hamilton: BC Decker Inc.; 2003. p. 1039–40.

    Google Scholar 

  8. Brodsky L, Sobie SR, Korwin D, Stanievich JF. A clinical prospective study of peritonsillar abscess in children. Laryngoscope. 1988;98:780–3.

    CAS  PubMed  Google Scholar 

  9. Maroldi R, Farina D, Ravanelli M, Lombardi D, Nicolai P. Emergency imaging assessment of deep neck space infections. In: Seminars in Ultrasound, CT and MRI. New York: Elsevier; 2012. p. 432–42.

    Google Scholar 

  10. Scott PMJ, Loftus WK, Kew J, Ahuja A, Yue V, Van Hasselt CA. Diagnosis of peritonsillar infections: a prospective study of ultrasound, computerized tomography and clinical diagnosis. J Laryngol Otol. 1999;113:229–32.

    Article  CAS  Google Scholar 

  11. Schraff S, McGinn JD, Derkay CS. Peritonsillar abscess in children: a 10-year review of diagnosis and management. Int J Pediatr Otorhinolaryngol. 2001;57:213–8.

    Article  CAS  Google Scholar 

  12. Souza DLS, Cabrera D, et al. Comparison of medical versus surgical management of peritonsillar abscess: a retrospective observational study. Laryngoscope. 2016;126:1529–34.

    Article  Google Scholar 

  13. Prior A, Montgomery P, Mitchelmore I, Tabaqchali S. The microbiology and antibiotic treatment of peritonsillar abscesses. Clin Otolaryngol. 1995;20:219–23.

    Article  CAS  Google Scholar 

  14. Plum AW, Mortelliti AJ, Walsh RE. Microbial flora and antibiotic resistance in peritonsillar abscesses in upstate New York. Ann Otol Rhinol Laryngol. 2015;124:875–80.

    Article  Google Scholar 

  15. Côrte FC, Firmino-Machado J, Moura CP, Spratley J, Santos M. Acute pediatric neck infections: outcomes in a seven-year series. Int J Pediatr Otorhinolaryngol. 2017;99:128–34.

    Article  Google Scholar 

  16. Lamkin RH, Portt J. An outpatient medical treatment protocol for peritonsillar abscess. Ear Nose Throat J. 2006;85:658.

    Article  Google Scholar 

  17. Ozbek C, Aygenc E, Unsal E, Ozdem C. Peritonsillar abscess: a comparison of outpatient IM clindamycin and inpatient IV ampicillin/sulbactam following needle aspiration. Ear Nose Throat J. 2005;84:366.

    Article  Google Scholar 

  18. Savolainen S, Jousimies-Somer HR, Mäkitie AA, Ylikoski JS. Peritonsillar abscess: clinical and microbiologic aspects and treatment regimens. Arch Otolaryngol Head Neck Surg. 1993;119:521–4.

    Article  CAS  Google Scholar 

  19. Weinberg E, Brodsky L, Stanievich J, Volk M. Needle aspiration of peritonsillar abscess in children. Arch Otolaryngol Head Neck Surg. 1993;119:169–72.

    Article  CAS  Google Scholar 

  20. Qureshi H, Ference E, Novis S, Pritchett CV, Smith SS, Schroeder JW. Trends in the management of pediatric peritonsillar abscess infections in the US, 2000–2009. Int J Pediatr Otorhinolaryngol. 2015;79:527–31.

    Article  Google Scholar 

  21. Lehnerdt G, Senska K, Jahnke K, Fischer M. Post-tonsillectomy haemorrhage: a retrospective comparison of abscess-and elective tonsillectomy. Acta Otolaryngol. 2005;125:1312–7.

    Article  CAS  Google Scholar 

  22. Simon LM, Matijasec JW-D, Perry AP, Kakade A, Walvekar RR, Kluka EA. Pediatric peritonsillar abscess: quinsy ie versus interval tonsillectomy. Int J Pediatr Otorhinolaryngol. 2013;77:1355–8.

    Article  Google Scholar 

  23. Scheidemandel HHE. Did George Washington die of quinsy? Arch Otolaryngol. 1976;102:519–21.

    Article  CAS  Google Scholar 

  24. Bulgurcu S, Arslan IB, Demirhan E, Kozcu SH, Cukurova I. Neck abscess: 79 cases. Northern Clin Istanbul. 2015;2:222.

    Google Scholar 

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Songu, M., Kilavuz, A.E., Manole, F. (2022). Peritonsillar Abscess in Children. In: Cingi, C., Arısoy, E.S., Bayar Muluk, N. (eds) Pediatric ENT Infections. Springer, Cham. https://doi.org/10.1007/978-3-030-80691-0_46

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  • DOI: https://doi.org/10.1007/978-3-030-80691-0_46

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-80690-3

  • Online ISBN: 978-3-030-80691-0

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