Abstract • Needle aspiration for the treatment of peritonsillar abscess was assessed in 43 consecutive children aged 7 to 18 years (mean age, 13.9±2.5 years) during the 3-year period from 1988 through 1991. A positive aspirate was obtained in 31 (76%) of the 41 patients who cooperated for needle aspiration; a mean of 2.9±1.9 mL of pus was withdrawn. Of the 31 children with a positive aspirate, in 27 (87%) the abscess resolved, two (6%) required a second aspiration for resolution, and two (6%) underwent immediate tonsillectomy for persistent abscess. Of the 10 children (24%) with negative aspirations, in six (60%) the abscess resolved with antibiotic treatment alone, three (30%) underwent immediate (quinsy) tonsillectomy, and in one (10%) the abscess spontaneously drained. No bleeding, airway obstruction, or anesthetic complications occurred. Needle aspiration of peritonsillar abscess in children, with tonsillectomy reserved for nonresponders, appears to be an efficacious and safe method of treatment. (Arch Otolaryngol Head Neck Surg. 1993;119:169-172) References 1. McCurdy MJA. Peritonsillar abscess: a comparison of treatment by immediate tonsillectomy and interval tonsillectomy . Arch Otolaryngol . 1977; 103:414-415.Crossref 2. Richardson KA, Brick H. Peritonsillar abscess in the pediatric population . Otolaryngol Head Neck Surg . 1981;89:907-909. 3. Holt GR, Tinsley PP. Peritonsillar abscesses in children . Laryngoscope . 1981;91:1226-1230.Crossref 4. Strome M. Peritonsillar abscess: a different approach . J Med Assoc Ga . 1973;62:4-6. 5. Herzon FS. Perimucosal needle drainage of peritonsillar abscesses . Arch Otolaryngol . 1984;110:104-105.Crossref 6. Ophir D, Bauenik J, Poria Y, Porat M, Marshak G. Peritonsillar abscess: a prospective evaluation of outpatient management by needle aspiration . Arch Otolaryngol Head Neck Surg . 1988;114:661-663.Crossref 7. Schechter GL, Sly DE, Roper AL, Jackson RT. Changing face of treatment of peritonsillar abscess . Laryngoscope . 1982;92:657-659. 8. Stringer SP, Schaefer SD, Close LG. A randomized trial of outpatient management of peritonsillar abscess . Arch Otolaryngol Head Neck Surg . 1988;14:296-298.Crossref 9. Brodsky L, Sobie SR, Korwin D, Stanievich JF. A clinical prospective study of peritonsillar abscess in children . Laryngoscope . 1988;98:780-783. 10. Herzon FS, Aldridge JH. Peritonsillar abscess: needle aspiration . Otolaryngol Head Neck Surg . 1981;89:910-911. 11. Yung AK, Cantrell BW. Quinsy tonsillectomy . Laryngoscope . 1976; 86:1714-1717.Crossref 12. Tolczynski B. Tonsillectomy: its hazards and their prevention . Eye Ear Nose Throat Mon . 1969;48:71-80.
Archives of Otolaryngology - Head & Neck Surgery – American Medical Association
Published: Feb 1, 1993