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PeritonsillarAbscess Outcomes with and Without Computed Tomography: A Retrospective Cohort Study. Peritonsillarabscess (PTA) is a common deep space head and neck infection, which can be diagnosed with or without computed tomography (CT). CT poses a risk for false positives, leading to unnecessary abscess drainage attempts without benefit, whereas needle or open aspiration without imaging could
Conscious sedation for the management of peritonsillarabscess in pediatric patients: A prospective case series and literature review. Peritonsillarabscess (PTA) is a common pediatric infection requiring drainage. Conscious Sedation (CS) can facilitate drainage in uncooperative children. However, it carries risks, especially if the airway is compromised. Moreover, evidence on its safety
A Reproducible PeritonsillarAbscess Incision and Drainage Model for Junior Trainees. To describe the design and construction of a reproducible, low-cost, peritonsillarabscess (PTA) incision and drainage simulator and assess its impact on trainees' confidence. The 2-part simulator we developed consisted of a manikin head with a fixed, partially open mouth and a modular PTA mold. The mold
Use of Needle Guide for Dynamic Real-Time Ultrasound-Directed Aspiration of PeritonsillarAbscess in the Emergency Department: A Case Series. Needle aspiration is a common treatment of peritonsillarabscess (PTA). Point-of-care ultrasound (POCUS) can be used to guide this procedure. We describe our experience using a commercially available needle guide attached to an endocavitary ultrasound
Assessment of YouTube as an educational tool in teaching flexible nasendoscopy and peritonsillarabscess drainage. Partly as a result of coronavirus disease 2019, YouTube has become a more frequent educational source for otolaryngology trainees. This study sought to assess the quality of flexible nasendoscopy and peritonsillarabscess drainage videos. YouTube was systematically searched using 13 terms related to flexible nasendoscopy and peritonsillarabscess drainage. Two independent reviewers assessed the quality of each video using the Laparoscopic Video Educational Guidelines. Twenty-seven videos were deemed suitable. The mean total Laparoscopic Video Educational Guidelines scores for videos on flexible nasendoscopy (18 videos) and peritonsillarabscess drainage (9 videos) were 10.3
Impact of the COVID-19 era on clinical presentation, management and microbiology in paediatric peritonsillarabscess: A case-control study. Peritonsillarabscess (PTA) is the most common soft-tissue infection of the head and neck. This potential complication of tonsillitis has demonstrated unique microbial trends during the COVID-19 pandemic. This era has resulted in a major shift in the hygiene with a diagnosis of Peritonsillarabscess. We analyzed the clinical and microbiologcal features of all cases of pediatric peritonsillarabscess during the COVID-19 era (03/2020-02/2022) and compared them to a pre and post control cases. A total of 96 PTA cases were included (35 pre-COVID, 35 COVID and 26 post-COVID). The means of procedural treatment shifted in favour of incision and drainage versus needle
The impact of social restrictions on the incidence and microbiology of peritonsillarabscess: a retrospective cohort study. We aimed to explore the impact of social distancing on the incidence and microbiology of peritonsillarabscess (PTA). We performed a cross-sectional analysis of all PTA patients and their microbiological findings in the two years preceding versus the two years following
Predicting failure of detection of peritonsillarabscess with ultrasound in pediatric populations. Some patients require additional imaging following ultrasound (US) to definitively diagnose a peritonsillarabscess (PTA), delaying intervention and disease resolution. We seek to evaluate patient characteristics which may predispose to a secondary imaging requirement to diagnose PTA, in order
Peritonsillarabscess on NSQIP: Safety of indicated quinsy tonsillectomy. To compare surgical outcomes for children with peritonsillarabscess (PTA) who are taken to the operating room (OR) for incision and drainage (I&D) or quinsy tonsillectomy. This is a multicenter retrospective study of pediatric patients who underwent I&D of a PTA between 2012 and 2017 included in the American College
Peritonsillarabscess: an 8-year retrospective, culture based evaluation of 208 cases. Peritonsillarabscess (PTA) is a common infection which requires surgical intervention and suitable antibiotic therapy. Beside and several other mostly anaerobic bacteria can be cultured from the properly taken pus samples of PTA, the clinical significance of which is still not fully understood. This study
Risk Factors for Recurrence of PeritonsillarAbscess. This study aimed to investigate the risk factors associated with peritonsillarabscess (PTA) recurrence in adult patients. This retrospective cohort study used a nationwide insurance claims database in Japan. Adult patients (aged ≥ 20 years) who received intravenous antibiotics or surgical therapy within 5 days of their first PTA diagnosis
A Low-Cost Ultrasound Phantom for PeritonsillarAbscess Drainage Training. Peritonsillarabscesses (PTAs) are encountered routinely in clinical practice. Ultrasound-guided aspiration has been proven both safe and effective in treating this condition. However, to date, there are no easily produced, low-cost models that enable the practice of point-of-care ultrasound-guided PTA aspiration and PTA
Seasonal Variation of PeritonsillarAbscess Presentation to an Emergency Department in an Atlantic Canadian Climate: A Retrospective Review. Patients with a peritonsillarabscess (PTA) often present to emergency departments as the first point of medical contact. Upper respiratory tract infections (URTIs) are more frequent in the winter. Therefore, we hypothesize that the incidence of PTAs
Ultrasound for the diagnosis and drainage of suspected peritonsillarabscess BestBets: Ultrasound for the diagnosis and drainage of suspected peritonsillarabscess * * Ultrasound for the diagnosis and drainage of suspected peritonsillarabscess * Report By: David Swenson, MD; Matt Flannigan, DO, RDMS - Emergency Medicine Resident Physicians * Search checked by JS Jones, MD - Research Director * Institution: Grand Rapids Medical Education Research Partners/Michigan State University, USA * Date Submitted: 9th June 2014 * Date Completed: 5th January 2015 * Last Modified: 5th January 2015 * Status: Green (complete)Three Part QuestionIn [adults presenting to the emergency department with a suspected peritonsillarabscess (PTA)] is [intraoral ultrasound and guided needle aspiration better than
Smoking and Alcohol Consumption Are Associated With the Increased Risk of PeritonsillarAbscess. The purpose of this study was to evaluate the relationship among smoking, alcohol consumption, and peritonsillarabscess in a Korean population. Individuals ≥40 years old from the Korean National Health Insurance Service-Health Screening Cohort were assessed from 2002 to 2013. In total, 1,285 peritonsillarabscess participants were matched with 5,140 controls at a ratio of 1:4 with respect to age group, sex, income group, region of residence, hypertension, diabetes, and dyslipidemia. We analyzed the participants' previous histories of smoking (current smokers vs. nonsmokers or past smokers) and alcohol consumption (drinkers vs. nondrinkers) in the peritonsillarabscess and control groups
A prospective, multi-centre external validation study of the Liverpool Peritonsillarabscess Score (LPS) with a no-examination Covid-19 modification. Our primary aim was to validate the Liverpool Peritonsillarabscess Score (LPS) externally in a new patient cohort. Our secondary aim was to modify the LPS in the light of the COVID-19 pandemic to produce a no-examination variant for use in this instance. Prospective multicentre external validation study. Six different secondary care institutions across the United Kingdom. Patients over 16 years old who were referred to ENT with any uncomplicated sore throat such a tonsillitis or peritonsillarabscess (PTA). Sensitivity, specificity, positive predictive value and negative predictive value for both the original LPS model and the modified model
Evidence-Based Medicine Improves the Emergent Management of PeritonsillarAbscesses Using Point-of-Care Ultrasound. Physical examination for peritonsillarabscess (PTA) has limited sensitivity. Traditional management involves blind needle aspiration, which has a false negative rate of 10-24%. A randomized controlled trial by Costantino et al. demonstrated that point-of-care ultrasound (POCUS
PeritonsillarAbscess We value your privacyWe and our partners store and/or access information on a device, such as cookies and process personal data, such as unique identifiers and standard information sent by a device for personalised ads and content, ad and content measurement, and audience insights, as well as to develop and improve products. With your permission we and our partners may use organismsHistoryExaminationInvestigationsManagementComplicationsPrognosisPreventionSynonym: quinsyPeritonsillar abscess is a complication of acute tonsillitis. Tonsillitis is inflammation of the pharyngeal tonsils (see the separate Tonsillitis article)[1]. In peritonsillarabscess, there is pus trapped between the tonsillar capsule and the lateral pharyngeal wall[2].PathophysiologyIt usually starts with acute follicular tonsillitis, progresses to peritonsillitis and results