원저

편도주위농양에 관한 임상적 고찰

오영철1, 신진근1, 강보승1, 심우영1,*, 이원용1, 김종애1
Young-Chul Oh1, Jin-Gun Shin1, Bo-Sung Kang1, Woo-Young Shim1,*, Won-Yong Lee1, Chong-Ae Kim1
Author Information & Copyright
1부산침례병원 이비인후과
1Department of Otorhinolaryngology, Wallace Memorial Baptist Hospital, Pusan, Korea
*교신저자: 심우영, 609-728 부산광역시 금정구 남산동 374-75 부산침례병원 이비인후과 전화: (051) 580-1343·전송: (051) 514-2864 E-mail: entshim@wmbh.co.kr

© Copyright 2000 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Oct 15, 2000; Accepted: Nov 09, 2000

Published Online: May 31, 2020

ABSTRACT

Background and Objectives: Peritonsillar abscess usually occurs in patients with recurrent tonsillitis or in those with chronic tonsillitis who have inadequately treated. The abscess occurs when the bacterial infection of the tonsil spreads to the potential peritonsillar space deep behind the tonsil, and frequently encountered in clinical field in spite of decreasing incidence substantially since the advent of antibiotic therapy. Material and Methods: We evaluated 111 cases with peritonsillar abscess who admitted to the department of Otorhinolaryngology, WMBH during past 5 years from 1995 to 2000. Results: The sex ratio of male to female was 2.1: 1. Third decade (33.4 %) were most frequently affected. It was most frequently found in winter (31.5%). The duration from onset to visit was 5.1 days in average and the mean duration of admission was 5.5 days. Left side was more frequently affected. The major symptoms were sore throat, swallowing difficulty and trismus. Bacteriological analysis was done in 83 cases and pathogenic organisms were isolated in 56 cases, consisting of 36 cases of single infection and 20 cases of mixed infection and not isolated in 27 cases. Among the isolated strains, α-hemolytic Streptococcus were 28 strains (36.8%) and β-hemolytic Streptococcus were 34 strains (44.8%). All patients were treated with parenteral and oral antibiotics and incision and drainage were performed satisfactorily. Twelve elective tonsillectomy and 2 immediate tonsillectomy were performed in recurrent peritonsillar abscess without complication. Conclusion: Antibiotic and adequate incision and drainage can reduce the complaints of patients. In recurrent cases, tonsillectomy is treatment of choice. (J Clinical Otolaryngol 2000;11:267-272)

Keywords: 편도주위농양; 절개배농; 편도선절제술
Keywords: Peritonsillar abscess; Incision and drainage; Tonsillectomy