Aspiration Puncture in theTreatment of Peritonsillar Abscesses I (General)
P. Komínek; V. Janušková; P. Vantuch; R. Lenert; D. Mainerová *
ORL oddělení Nemocnice ve Frýdku Místku, primář MUDr. P. KomínekORL ambulance Valašské Meziříčí
Otorinolaryng. a Foniat. /Prague/, , 1999, No. 3, pp. 172-174.
Incision is in this country so far the most frequent approach in peritonsillar abscesses(PTA). In western countries in recent years in the treatment of PTA aspiration puncture (AP)combined with antibiotic treatment is preferred. AP is performed at the site of maximum bulgingof the abscess, if necessary, several punctures are made. In the majority of patients one puncture issufficient. AP can be repeated or supplemented, as required, by incision or tonsillectomy. Theadvantage of AP is very good tolerance by the patients, high effectiveness (cure in 80 - 95 %) andvery low costs of treatment. Patients treated by AP do not require hospital admission. Due to thesimplicity of the procedure it can, if necessary, be performed also by general practitioners (westerncountries). A first PTA is usually not an indication for tonsillectomy. Relapsing PTA or PTA inpatients with frequent tonsillopharyngitis in the case-history are indicated for bilateral tonsillec-tomy, hot tonsillectomy being best.
peritonsillar abscess, aspiration puncture, incision, tonsillectomy.
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