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Korean Journal of Otorhinolaryngology-Head and Neck Surgery > Volume 39(5); 1996 > Article
Korean Journal of Otorhinolaryngology-Head and Neck Surgery 1996;39(5): 866-9.
A Proposal of Treatment Modality in the First Episode of Peritonsillar Abscess
Moo Jin Chu, MD, Jeong Hwan Kim, MD, Young Seok Choi, MD, and See Ok Shin, MD
Department of Otolaryngology, College of Medicine, Chungbuk National University, Korea
초발편도주위농양의 천자흡인 및 절개배농 치료
추무진 · 김정환 · 최영석 · 신시옥
충북대학교 의과대학 이비인후과학교실
ABSTRACT

Thirty patients with the first episode of peritonsillar abscess who had been treated from January 1992 to December 1994 were analyzed retrospectively. The patients who had been treated with elective tonsillectomy were excluded. The patients were observed for a minimum of 6 months and they were devided two group : forteen patients in group I were treated with aspiration and sixteen patients in group II were treated with incision and drainage (I & D). All patients were initially given the same antibiotics. We compared the safty and effectiveness of the treatment between the two groups. The average hospital stay was 5.8 days (range : 2 to 7 days) in group I and 6.0 days (range : 2 to 7 days) in group II. The recurrence rate was 14.2% in two group. The recurred patients were also cured with these treatments. These results suggest that a needle aspiration with intravenous antibiotics is an easier procedure than I & D and the tonsillectomy may not be recommanded to the patient with the first episode of peritonsillar abscess.

Keywords: Peritonsillar abscessNeedle aspirationIncision and drainage.
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