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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

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
Pediatric peritonsillar abscess: management guidelines.
Herzon FS, Nicklaus P
Curr Probl Pediatr 1996 Sep;26(8):270-8. doi: 10.1016/s0045-9380(96)80007-7. PMID: 8899288

Recent clinical studies

Etiology

Recognizing a Peritonsillar Abscess in Pediatric Patients.
Adv Emerg Nurs J 2023 Apr-Jun 01;45(2):E5. doi: 10.1097/TME.0000000000000464. PMID: 37106497
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
Pharyngitis and epiglottitis.
Alcaide ML, Bisno AL
Infect Dis Clin North Am 2007 Jun;21(2):449-69, vii. doi: 10.1016/j.idc.2007.03.001. PMID: 17561078Free PMC Article

Diagnosis

Peritonsillar abscess.
Black DL, Sears R
JAAPA 2024 Jan 1;37(1):1-2. doi: 10.1097/01.JAA.0000995688.96837.65. PMID: 38128143
Infections of the Neck.
Li RM, Kiemeney M
Emerg Med Clin North Am 2019 Feb;37(1):95-107. doi: 10.1016/j.emc.2018.09.003. PMID: 30454783
Peritonsillar Abscess.
Galioto NJ
Am Fam Physician 2017 Apr 15;95(8):501-506. PMID: 28409615
Infections and edema.
Linkov G, Soliman AM
Anesthesiol Clin 2015 Jun;33(2):329-46. doi: 10.1016/j.anclin.2015.02.005. PMID: 25999006
Pediatric ENT emergencies.
Stoner MJ, Dulaurier M
Emerg Med Clin North Am 2013 Aug;31(3):795-808. Epub 2013 Jun 14 doi: 10.1016/j.emc.2013.04.005. PMID: 23915604

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
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
Sore throat.
Banting J, Meriano T
J Spec Oper Med 2014 Winter;14(4):124-128. doi: 10.55460/7KVU-PP2L. PMID: 25399381

Prognosis

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
Do corticosteroids improve outcomes in peritonsillar abscess?
Hardman JC, McCulloch NA, Nankivell P
Laryngoscope 2015 Mar;125(3):537-8. Epub 2014 Sep 24 doi: 10.1002/lary.24936. PMID: 25251371
Descending mediastinitis.
Vural FS, Girdwood RW, Patel AR, Zigiriadis E
Asian Cardiovasc Thorac Ann 2012 Jun;20(3):304-7. doi: 10.1177/0218492311434088. PMID: 22718719
Pediatric otolaryngologic emergencies.
Verghese ST, Hannallah RS
Anesthesiol Clin North Am 2001 Jun;19(2):237-56, vi. doi: 10.1016/s0889-8537(05)70227-3. PMID: 11469063

Clinical prediction guides

Potential Causal Association between Depression and Oral Diseases: A Mendelian Randomization Study.
Zhang X, Jiang H, Zhang L, Li C, Chen C, Xing M, Ma Y, Ma Y
Genes (Basel) 2023 Dec 8;14(12) doi: 10.3390/genes14122191. PMID: 38137013Free PMC Article
Prospective observational study evaluating the C-MAC Video Stylet for awake tracheal intubation: a single-center study.
Nabecker S, Ottenhausen T, Theiler L, Braun M, Greif R, Riva T
Minerva Anestesiol 2021 Aug;87(8):873-879. Epub 2021 Feb 17 doi: 10.23736/S0375-9393.21.15302-7. PMID: 33594877
Post-tonsillectomy hemorrhage: cost-benefit analysis of prolonged hospitalization.
Vyskocil E, Baumgartner WD, Ch Grasl M, Grasl S, Arnoldner C, Steyrer J, Erovic BM
Acta Otolaryngol 2020 Jul;140(7):597-602. Epub 2020 Apr 11 doi: 10.1080/00016489.2020.1746829. PMID: 32281464
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
Descending mediastinitis.
Vural FS, Girdwood RW, Patel AR, Zigiriadis E
Asian Cardiovasc Thorac Ann 2012 Jun;20(3):304-7. doi: 10.1177/0218492311434088. PMID: 22718719

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
Corticosteroids as standalone or add-on treatment for sore throat.
de Cassan S, Thompson MJ, Perera R, Glasziou PP, Del Mar CB, Heneghan CJ, Hayward G
Cochrane Database Syst Rev 2020 May 1;5(5):CD008268. doi: 10.1002/14651858.CD008268.pub3. PMID: 32356360Free PMC Article
Systematic review of the role of corticosteroids in cervicofacial infections.
Kent S, Hennedige A, McDonald C, Henry A, Dawoud B, Kulkarni R, Logan G, Gilbert K, Exely R, Basyuni S, Kyzas P, Morrison R, McCaul J
Br J Oral Maxillofac Surg 2019 Apr;57(3):196-206. Epub 2019 Feb 13 doi: 10.1016/j.bjoms.2019.01.010. PMID: 30770139
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

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