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Peritonsillar abscess

MedGen UID:
45819
•Concept ID:
C0031157
•
Disease or Syndrome
Synonyms: Abscess, Peritonsillar; Abscesses, Peritonsillar; Peritonsillar Abscess; Peritonsillar Abscesses
SNOMED CT: Peritonsillar abscess (15033003); Quinsy (15033003); Angina tonsillaris (15033003)
 
Monarch Initiative: MONDO:0005906

Definition

An abscess that develops in the space surrounding one or both palatine tonsils. [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVPeritonsillar abscess

Professional guidelines

PubMed

Abscess Management: An Evidence-Based Review for Emergency Medicine Clinicians.
Menegas S, Moayedi S, Torres M
J Emerg Med 2021 Mar;60(3):310-320. Epub 2020 Dec 6 doi: 10.1016/j.jemermed.2020.10.043. PMID: 33298356
Clinical Practice Guideline: Tonsillectomy in Children (Update)-Executive Summary.
Mitchell RB, Archer SM, Ishman SL, Rosenfeld RM, Coles S, Finestone SA, Friedman NR, Giordano T, Hildrew DM, Kim TW, Lloyd RM, Parikh SR, Shulman ST, Walner DL, Walsh SA, Nnacheta LC
Otolaryngol Head Neck Surg 2019 Feb;160(2):187-205. doi: 10.1177/0194599818807917. PMID: 30921525
Clinical Practice Guideline: Tonsillectomy in Children (Update).
Mitchell RB, Archer SM, Ishman SL, Rosenfeld RM, Coles S, Finestone SA, Friedman NR, Giordano T, Hildrew DM, Kim TW, Lloyd RM, Parikh SR, Shulman ST, Walner DL, Walsh SA, Nnacheta LC
Otolaryngol Head Neck Surg 2019 Feb;160(1_suppl):S1-S42. doi: 10.1177/0194599818801757. PMID: 30798778

Recent clinical studies

Etiology

Complications of peritonsillar abscess.
Klug TE, Greve T, Hentze M
Ann Clin Microbiol Antimicrob 2020 Jul 30;19(1):32. doi: 10.1186/s12941-020-00375-x. PMID: 32731900Free PMC Article
Clinical Practice Guideline: Tonsillectomy in Children (Update)-Executive Summary.
Mitchell RB, Archer SM, Ishman SL, Rosenfeld RM, Coles S, Finestone SA, Friedman NR, Giordano T, Hildrew DM, Kim TW, Lloyd RM, Parikh SR, Shulman ST, Walner DL, Walsh SA, Nnacheta LC
Otolaryngol Head Neck Surg 2019 Feb;160(2):187-205. doi: 10.1177/0194599818807917. PMID: 30921525
Peritonsillar Abscess.
Galioto NJ
Am Fam Physician 2017 Apr 15;95(8):501-506. PMID: 28409615
Peritonsillar abscess: clinical aspects of microbiology, risk factors, and the association with parapharyngeal abscess.
Klug TE
Dan Med J 2017 Mar;64(3) PMID: 28260599
Deep neck infection.
Vieira F, Allen SM, Stocks RM, Thompson JW
Otolaryngol Clin North Am 2008 Jun;41(3):459-83, vii. doi: 10.1016/j.otc.2008.01.002. PMID: 18435993

Diagnosis

Clinical Practice Guideline: Tonsillectomy in Children (Update)-Executive Summary.
Mitchell RB, Archer SM, Ishman SL, Rosenfeld RM, Coles S, Finestone SA, Friedman NR, Giordano T, Hildrew DM, Kim TW, Lloyd RM, Parikh SR, Shulman ST, Walner DL, Walsh SA, Nnacheta LC
Otolaryngol Head Neck Surg 2019 Feb;160(2):187-205. doi: 10.1177/0194599818807917. PMID: 30921525
Infections of the Oropharynx.
Klein MR
Emerg Med Clin North Am 2019 Feb;37(1):69-80. doi: 10.1016/j.emc.2018.09.002. PMID: 30454781
Peritonsillar Abscess.
Galioto NJ
Am Fam Physician 2017 Apr 15;95(8):501-506. PMID: 28409615
Peritonsillar abscess: clinical aspects of microbiology, risk factors, and the association with parapharyngeal abscess.
Klug TE
Dan Med J 2017 Mar;64(3) PMID: 28260599
Deep neck infection.
Vieira F, Allen SM, Stocks RM, Thompson JW
Otolaryngol Clin North Am 2008 Jun;41(3):459-83, vii. doi: 10.1016/j.otc.2008.01.002. PMID: 18435993

Therapy

Clinical Practice Guideline: Tonsillectomy in Children (Update)-Executive Summary.
Mitchell RB, Archer SM, Ishman SL, Rosenfeld RM, Coles S, Finestone SA, Friedman NR, Giordano T, Hildrew DM, Kim TW, Lloyd RM, Parikh SR, Shulman ST, Walner DL, Walsh SA, Nnacheta LC
Otolaryngol Head Neck Surg 2019 Feb;160(2):187-205. doi: 10.1177/0194599818807917. PMID: 30921525
Infections of the Oropharynx.
Klein MR
Emerg Med Clin North Am 2019 Feb;37(1):69-80. doi: 10.1016/j.emc.2018.09.002. PMID: 30454781
Comparison of Medical Therapy Alone to Medical Therapy with Surgical Treatment of Peritonsillar Abscess.
Battaglia A, Burchette R, Hussman J, Silver MA, Martin P, Bernstein P
Otolaryngol Head Neck Surg 2018 Feb;158(2):280-286. Epub 2017 Nov 7 doi: 10.1177/0194599817739277. PMID: 29110574
Peritonsillar Abscess.
Galioto NJ
Am Fam Physician 2017 Apr 15;95(8):501-506. PMID: 28409615
Peritonsillar abscess: clinical aspects of microbiology, risk factors, and the association with parapharyngeal abscess.
Klug TE
Dan Med J 2017 Mar;64(3) PMID: 28260599

Prognosis

MRI Findings in Acute Tonsillar Infections.
Heikkinen J, Nurminen J, Velhonoja J, Irjala H, Soukka T, Happonen T, Nyman M, Mattila K, Hirvonen J
AJNR Am J Neuroradiol 2022 Feb;43(2):286-291. Epub 2021 Dec 16 doi: 10.3174/ajnr.A7368. PMID: 34916205Free PMC Article
Multi-Institutional Regional Otolaryngology Bootcamp.
Cervenka BP, Hsieh TY, Lin S, Bewley A
Ann Otol Rhinol Laryngol 2020 Jun;129(6):605-610. Epub 2020 Jan 29 doi: 10.1177/0003489420903067. PMID: 31994404
Clinical Practice Guideline: Tonsillectomy in Children (Update)-Executive Summary.
Mitchell RB, Archer SM, Ishman SL, Rosenfeld RM, Coles S, Finestone SA, Friedman NR, Giordano T, Hildrew DM, Kim TW, Lloyd RM, Parikh SR, Shulman ST, Walner DL, Walsh SA, Nnacheta LC
Otolaryngol Head Neck Surg 2019 Feb;160(2):187-205. doi: 10.1177/0194599818807917. PMID: 30921525
Peritonsillar abscess: clinical aspects of microbiology, risk factors, and the association with parapharyngeal abscess.
Klug TE
Dan Med J 2017 Mar;64(3) PMID: 28260599
Peritonsillar abscess.
Herbild O, Bonding P
Arch Otolaryngol 1981 Sep;107(9):540-2. PMID: 6944034

Clinical prediction guides

Immediate or interval abscess tonsillectomy? A systematic review and meta-analysis.
Tsikopoulos A, Fountarlis A, Tsikopoulos K, Dilmperis F, Garefis K, Tsikopoulos I, Skoulakis C, Karkos P, Triaridis S
Eur Arch Otorhinolaryngol 2022 May;279(5):2245-2257. Epub 2022 Feb 15 doi: 10.1007/s00405-022-07294-x. PMID: 35169892
MRI Findings in Acute Tonsillar Infections.
Heikkinen J, Nurminen J, Velhonoja J, Irjala H, Soukka T, Happonen T, Nyman M, Mattila K, Hirvonen J
AJNR Am J Neuroradiol 2022 Feb;43(2):286-291. Epub 2021 Dec 16 doi: 10.3174/ajnr.A7368. PMID: 34916205Free PMC Article
Multi-Institutional Regional Otolaryngology Bootcamp.
Cervenka BP, Hsieh TY, Lin S, Bewley A
Ann Otol Rhinol Laryngol 2020 Jun;129(6):605-610. Epub 2020 Jan 29 doi: 10.1177/0003489420903067. PMID: 31994404
Peritonsillar abscess: epidemiology and relationship with climate variations.
Freire GSM, Dos Santos JHZ, Rolón PA, Pinheiro GB, Sampaio ALL
J Laryngol Otol 2017 Jul;131(7):627-630. Epub 2017 May 2 doi: 10.1017/S0022215117000895. PMID: 28462728
Peritonsillar abscess: clinical aspects of microbiology, risk factors, and the association with parapharyngeal abscess.
Klug TE
Dan Med J 2017 Mar;64(3) PMID: 28260599

Recent systematic reviews

Test characteristics of ultrasound for the diagnosis of peritonsillar abscess: A systematic review and meta-analysis.
Kim DJ, Burton JE, Hammad A, Sabhaney V, Freder J, Bone JN, Ahn JS
Acad Emerg Med 2023 Aug;30(8):859-869. Epub 2023 Jan 30 doi: 10.1111/acem.14660. PMID: 36625850
Immediate or interval abscess tonsillectomy? A systematic review and meta-analysis.
Tsikopoulos A, Fountarlis A, Tsikopoulos K, Dilmperis F, Garefis K, Tsikopoulos I, Skoulakis C, Karkos P, Triaridis S
Eur Arch Otorhinolaryngol 2022 May;279(5):2245-2257. Epub 2022 Feb 15 doi: 10.1007/s00405-022-07294-x. PMID: 35169892
Adjunct steroids in the treatment of peritonsillar abscess: A systematic review.
Hur K, Zhou S, Kysh L
Laryngoscope 2018 Jan;128(1):72-77. Epub 2017 May 31 doi: 10.1002/lary.26672. PMID: 28561258
Needle aspiration versus incision and drainage for the treatment of peritonsillar abscess.
Chang BA, Thamboo A, Burton MJ, Diamond C, Nunez DA
Cochrane Database Syst Rev 2016 Dec 23;12(12):CD006287. doi: 10.1002/14651858.CD006287.pub4. PMID: 28009937Free PMC Article
Corticosteroids as standalone or add-on treatment for sore throat.
Hayward G, Thompson MJ, Perera R, Glasziou PP, Del Mar CB, Heneghan CJ
Cochrane Database Syst Rev 2012 Oct 17;10:CD008268. doi: 10.1002/14651858.CD008268.pub2. PMID: 23076943

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