| Peritonsillar abscess after tonsillectomy: a review of the literature. | |
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MedLine Citation:
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PMID: 21943456 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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INTRODUCTION: Peritonsillar abscess (PTA) is a common condition with a complicated aetiology. PTA after tonsillectomy is rare. This literature review of PTA in the absence of tonsil tissue aims to collate experience of these cases and examine the wider implications for understanding the aetiology of PTA formation. METHODS: A structured literature review was performed using Ovid MEDLINE®. Keywords 'quinsy' or 'peritonsillar abscess' were combined with 'tonsillectomy'. RESULTS: The search resulted in 212 citations and the identification of 11 cases of PTA formation in the absence of tonsil tissue. The most common indication for tonsillectomy was recurrent tonsillitis or PTA. Nine patients had no interval peritonsillar infection (ie a peritonsillar infection after a tonsillectomy) prior to presenting with the PTA. The mean interval between tonsillectomy and PTA was 16 years. All patients were managed either by incision and drainage or by needle aspiration with or without antibiotics. CONCLUSIONS: PTA in the absence of tonsil tissue is rare. Potential sources of infection include congenital branchial fistulas, Weber's glands and dental disease. These alternatives should also be considered in patients presenting with PTA formation in the absence of concurrent tonsillitis and may influence management decisions. |
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Authors:
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S E J Farmer; M A Khatwa; H M M Zeitoun |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Annals of the Royal College of Surgeons of England Volume: 93 ISSN: 1478-7083 ISO Abbreviation: Ann R Coll Surg Engl Publication Date: 2011 Jul |
Date Detail:
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Created Date: 2011-09-28 Completed Date: 2011-11-18 Revised Date: 2012-05-23 |
Medline Journal Info:
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Nlm Unique ID: 7506860 Medline TA: Ann R Coll Surg Engl Country: England |
Other Details:
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Languages: eng Pagination: 353-5 Citation Subset: IM |
Affiliation:
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Department of Otolaryngology - Head and Neck Surgery, Glan Clwyd Hospital, Rhyl, UK. sejfarmer@aol.com |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Anti-Bacterial Agents / therapeutic use Drainage Female Humans Male Middle Aged Peritonsillar Abscess / drug therapy, etiology*, surgery Pharyngitis / surgery Time Factors Tonsillectomy / adverse effects* Young Adult |
| Chemical | |
Reg. No./Substance:
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0/Anti-Bacterial Agents |
| Comments/Corrections | |
Comment In:
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Ann R Coll Surg Engl. 2012 Apr;94(3):215; author reply 215
[PMID:
22507737
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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