Peritonsillar abscess: Pattern and treatment intervention in a tertiary health institution in Sokoto metropolis
Journal Title: International Journal of Medical and Health Research - Year 2018, Vol 4, Issue 10
Abstract
Background and Objectives: Peritonsillar abscess is the collection of pus between the capsule of the tonsil and the superior constrictor muscle of the pharynx. It is a common suppurative complication of acute tonsillitis. The peritonsillar abscess occurs worldwide and affects people of all ages. Medical treatment consists of fluid rehydration, analgesic, and antibiotic therapy. Surgical techniques of drainage of the peritonsillar abscess remained controversial. This study aims to describe the pattern and management of peritonsillar abscess in Sokoto metropolis. Methods: This study was a retrospective review of the patients managed for the peritonsillar abscess at the Ear, Nose and Throat Department of Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria from 2006 to 2018. The case files retrieved from the Medical Record Department and reviewed for the following variables: Biodata, symptoms, signs and the management. Data analyzed with SPSS version 21.0. Results: Of the 17 patients analyzed the mean age was 22.5 years (Range 5-43 years), 5 (29.4%) Males and 12 (70.6%) Females with a male to female ratio of 1:2.4. Right tonsil accounted for 7 (41.2%) and left tonsil 10 (58.8%). The peritonsillar abscess was most common between 11-40 years of age. All the patients hospitalized and given intravenous fluid rehydration, analgesic, and empirical antibiotic therapy. Surgical drainage comprised needle aspiration in 7 (41.2%), followed by incision and drainage in 4 (23.5%), incision and drainage plus interval tonsillectomy in 1 (5.9%) and spontaneous rupture in 5 (29.4%). One of the patients with spontaneous rupture had a parapharyngeal abscess. Interpretation and Conclusion: In this study, the peritonsillar abscess was most common in adolescent and young adults between 11-40 years of age. Complications observed were spontaneous rupture of the PTA and a parapharyngeal abscess. All the patients hospitalized, and Needle aspiration was the most frequent surgical drainage technique.
Authors and Affiliations
Stanley B Amutta, Mohammed Abdullahi, Daniel Aliyu, Joshua C Okoro
Keywords
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