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03-01-2024 | Peritonsillar Abscess | Original Article

Anatomical Factor for Formation of Peritonsillar Abscess in a Tertiary Care Centre

Authors: Divya Priya Gopalakrishnan, Saravanan Vivekanandan, Sivakumar Manickam, Nallasivam Marisamy

Published in: Indian Journal of Otolaryngology and Head & Neck Surgery | Issue 2/2024

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Abstract

Peritonsillar abscess is a polymicrobial infection with acute life threatening complications if not treated promptly. Primary objective is to find the anatomical factor for unilateral abscess formation and appropriate management protocols. Secondary objectives include the bacteriological study,antibiotic preference and comparison of crypt length of both tonsils post tonsillectomy to look for any significant association. A prospective study was carried out for one year in patients with peritonsillitis or peritonsillar abscess attending the Department of ENT in our hospital. Acute cases were treated by incision and drainage followed by IV antibiotics after taking pus or throat swab for culture and sensitivity. Patients further planned for interval tonsillectomy after 6 weeks followed by histopathological examination to compare the infected side and normal side. Crypt length measurements done to see any disparity which would have lead to the development of peritonsillar abscess unilaterally. In patients with peritonsillitis or peritonsillar abscess, histopathological examination of tonsils after interval tonsillectomy showed that risk of peritonsillitis or peritonsillar abscess were more on the tonsil with larger crypt length with more preponderance on left side and in males. This study concludes that deeper the crypt length,male sex, history of recurrent tonsillitis are main risk factors for development of peritonsillar abscess. Bacteriology showed Staphylococcus aureus against the most common Streptococcus Sp. Hence prompt use of antibiotics help in early recovery and reducing complications.
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Metadata
Title
Anatomical Factor for Formation of Peritonsillar Abscess in a Tertiary Care Centre
Authors
Divya Priya Gopalakrishnan
Saravanan Vivekanandan
Sivakumar Manickam
Nallasivam Marisamy
Publication date
03-01-2024
Publisher
Springer India
Published in
Indian Journal of Otolaryngology and Head & Neck Surgery / Issue 2/2024
Print ISSN: 2231-3796
Electronic ISSN: 0973-7707
DOI
https://doi.org/10.1007/s12070-023-04401-0