What is the role of surgery in the treatment of peritonsillar abscesses (PTAs)?

Updated: Sep 03, 2020
  • Author: Jorge Flores, MD; Chief Editor: Jeter (Jay) Pritchard Taylor, III, MD  more...
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Answer

Three options are available for acute surgical management of peritonsillar abscess: needle aspiration, incision and drainage, and quinsy tonsillectomy (eg, simultaneous tonsillectomy with open abscess drainage).

A systematic review by Johnson et al attempted to determine the best technique for acute surgical management. Forty-two articles were analyzed. Five level I clinical studies indicated that all 3 techniques were equally effective for initial management. [2]


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