PERITONSILLAR ABSCESS: CLINICAL PRESENTATION AND EFFICACY OF INCISION AND DRAINAGE UNDER LOCAL ANAESTHESIA
AbstractBackground: 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 andlaterality, and to list the presentation of the disease by symptoms, signs and complications, and todetermine the efficacy of incision and drainage (I&D) procedure under local anaesthesia (LA) in termsof hospital stay and recurrence. Methods: This descriptive study was conducted at the Department ofOtorhinolaryngology and Head & Neck Surgery, District Headquarters Hospital, Lakki Marwat, from1st June 2007 to 30th May 2010. Adult patients (>15 years) of both sexes with unilateral peritonsillarabscess were included sequentially. Children (15 years or less), patients with acute follicular tonsillitisor peritonsillitis and those who refused incision and drainage under LA were excluded. All patientsreceived 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 was30.02±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 anddrainage 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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