PERITONSILLAR ABSCESS: CLINICAL PRESENTATION AND EFFICACY OF INCISION AND DRAINAGE UNDER LOCAL ANAESTHESIA
Abstract
Background: Peritonsillar abscess (PTA) is one of the most commonly encountered abscess in thehead and neck region. The aims of this study were to list the frequency of the disease by age, sex and
laterality, and to list the presentation of the disease by symptoms, signs and complications, and to
determine the efficacy of incision and drainage (I&D) procedure under local anaesthesia (LA) in terms
of hospital stay and recurrence. Methods: This descriptive study was conducted at the Department of
Otorhinolaryngology and Head & Neck Surgery, District Headquarters Hospital, Lakki Marwat, from
1st June 2007 to 30th May 2010. Adult patients (>15 years) of both sexes with unilateral peritonsillar
abscess were included sequentially. Children (15 years or less), patients with acute follicular tonsillitis
or peritonsillitis and those who refused incision and drainage under LA were excluded. All patients
received the same antibiotic Amoxicillin/Clavunate and underwent I&D procedure under LA. Results:
Sixty patients were included in the study, 42 male and 18 female. Mean age of the patients was
30.02±9.42 (range 16-50 years). It was more on the left side (35, 58.35%). Forty-four (73.35%)
patients gave an antecedent history of tonsillitis. Three (5%) patients presented with complications.
Mean hospital stay was 1.55±1.00 (range 1-5 days). All patients underwent I&D with no recurrence.
Interval tonsillectomy was performed in 38 selected cases after 6 weeks. Conclusion: Incision and
drainage under LA still remains the gold standard procedure for peritonsillar abscess in our setup.
Keywords: Peritonsillar abscess, incision and drainage, tonsillectomy
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