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KMID : 0390220000110020262
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Journal of Clinical Otolaryngology, Head and Neck Surgery
2000 Volume.11 No. 2 p.262 ~ p.272
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A Clinical Study of Peritonsillar Abscess
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오영철/Young Chul Oh
신진근/강보승/심우영/이원용/김종애/Jin Gun Shin/Bo Sung Kang/Woo Young Shim/Won Yong Lee/Chong Ae Kim
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Abstract
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Background and Objectives : Peritonsillar abscess usually occurs in patients with recurrent tonsillitis or in those
with chronic tonsillitis who have inadequately treated. The abscess occures when the bacterial infection of the
tonsil spreads to the potential peritonsillar space deep behind the tonsil, and frequently encountered in clinical
field in spite of decreasing incidednce substantally since the advent of antibiotic therapy. Material and Methods :
We evaluated 111 cases with peritonsillar abscess who admitted to the department of Otorhinolaryngology,
WMBH during past 5 years from 1995 to 2000. Results : The sex ration of male to female was 2.1:1. Third
decade(33.4%) were most frequently affected. If was most frequently found in winter (31.5%). The duration
from onset to visit was 5.1 days in average and the mean duration of admission was 5.5 days. Left side was more
frequently affected. The major symptoms were sore throat, swallowing difficulty and trismus. Bacteriological
analysis was done in 83 cases and pathogenic organisms were isolated in 56 cases, consisting of 36 cases of single
infection and 20 cases of mixed infection and not isolated in 27 cases. Among the isolated strains, α-hemolytic
Streptococcus were 28 strains (36.8%) and β-hemoltic Streptococcus were 34 strains (44.8%). All patients were
treated with parenteral and oral antibiotics and incision and drainage were performed satisfactorily. Twelve
elective tonsillectomy and 2 immediate tonsilectomy were performed in recurrent peritonsillar abscess without
complication. Conclusion : Antibiotic and adequate incision and drainage can reduce the complaints of patients.
In recurrent cases, tonsillectomy is treatment of choice.
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