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Peritonsillar abscess management needle aspiration versus incision and drainage comparison of outcomes

Authors:Sufian A Alroud, Qais M Aljfout, Sohaib Almomani, Eyad L Abu Nahleh, Sufian T Alnawaiseh, Mohammad I Alrawashdeh.
Int J Biol Med Res. 2012; 3(4): 2545-2547  |  PDF File

Abstract

To evaluate and compare needle aspiration versus incision and drainage in the management of peritonsillar abscess with regard to clinical outcome. Methods: Retrospective analysis of clinical records of 103 patients admitted with peritonsillar abscess. Medical records abstract form was designed to collect data which include: age, gender, side of abscess, duration of symptoms prior to admission, previous history of peritonsillar abscess, method of drainage used, history of usage of antibiotics prior to admission and length of hospital stay. The drainage procedure in our practice is either incision & drainage or needle aspiration. Patients were divided into two groups according to the drainage procedure used; group A if incision & drainage was done and group B if needle aspiration was done. Results: Group A were 41 patients who underwent incision and drainage, 29 patients (71%) were males and 12 (29%) were females. Group B included 62 patients, 42 patients (68%) were males and 20 (32%) were females. Both groups have comparable demographic data. There was no statistical difference regarding which side affected in both groups and both sides were affected almost equally. Previous history of quinsy was present in 3 patients (7%) of group A and 5 (8%) of group B. The length of hospital stay was comparable between our study groups; 3.9 ± 1.7 days for group A and 3.7 ±2.1 days for group B. Conclusion: Needle - aspiration is as effective as incision and drainage in the management of peritonsillar abscess in most cases and it can be used as the first step in treatment plan.