Hot or Immediate Tonsillectomy: A Safe and Effective Method for Treatment of Acute Tonsillitis’ Complications.
The aim of this study was retrospective analysis
of indications to hot tonsillectomy, its
effectiveness and safety. Peritonsillar abscess is one
of the most common complications
of acute tonsillitis and the cause of emergency
laryngological counselling. In some cases, it is
necessary to perform hot tonsillectomy.
In between 2009-2015, 21 patients with
an initial diagnosis of peritonsillar abscess were
admitted. Among them, 11 were women and
10 were men. All underwent hot tonsillectomy.
Most of the patients were between 20-40 years old. The
most common symptoms were
pain in the throat, trismus and dysphagia. In all
cases incision of an abscess was made, in 9
patients purulent discharge was present. In all patients
there was no relief of symptoms after incision and antibiotic therapy.
In 12 cases without drainage after initial incision, pus was drained
after tonsillectomy. In the remaining 9 cases there
were additional reservoirs of pus, which
were drained after surgery in 6 patients.
Peritonsillar abscess is one of the most common
complications of acute tonsillitis and
cause of emergency laryngological counselling. It is also
the most common deep neck infection.
The incidence is estimated to be 30 out of 100,000
people per year. Factors predisposing to the development of peritonsillar abscess described in the literature are bad periodontal status
and smoking.
In some cases, it is necessary to
perform immediate tonsillectomy. Otherwise
infection may spread into surrounding tissues
such as parapharyngeal space.
This procedure is potentially connected with an increased risk of
complications, such as problems with intubation,
intra- and post-operative haemorrhage and
spread of the infection to surrounding tissues especially to the parapharyngeal space.
Otolaryngol Open J. 2016; 2(4): 105-108. doi: 10.17140/OTLOJ-2-123
