Peritonsillar Abscess Treatment under Local Anaesthesia: Incision and Drainage versus Needle Aspiration
Sajid Rashid Nagra, Ghulam Dastgir Khan, Salman Aftab Ahmed, Saleha Rashid, Anam Malik, Saad Rashid
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ABSTRACT
Background: Peritonsillar
abscess is usually complication of acute tonsillitis which itself is prevalent
in society. As a general surgical principle, abscess any were, has to be
drained so same applies for quinsy but methodology for this drainage is not
being agreed.
Aim: To find best
modality for drainage of this abscess and see its incidence in which age group
and sex.
Study design: Prospective study
Place and duration of the study: Department of ENT, Rai Medical College, Sargodha from 1st
Feb. 2017 to 31st Jan. 2019.
Methodology: One hundred and thirty five patients above 15 years of age and those in
need of hospital admission due to severity of symptoms were included.
Paediatric, immunocompromised, requiring general anesthesia and acute
tonsillitis patients were excluded.
Results: There
were 65.2% males and 34.8% females. Commonly affected age group was 21-40
years. Needle aspiration was found more effective for management of
peritonsillar abscess.
Conclusion: No consensus
for single modality and both needle aspiration and incision/drainage is
advocated and needle aspiration proved fruitful in management.
Keywords: Quinsy,
Peritonsillar abscess, needle aspiration