원저

편도주위농양 및 봉소염의 임상상

최정호1, 함형석1, 민헌기1, 박문서1
Jung Ho Choi1, Hyoung Seok Ham1, Hun Ki Min1, Moon Suh Park1
Author Information & Copyright
1한림대학교 의과대학 이비인후과학교실
1Department of Otorhinolaryngology, Hallym University School of Medicine

© Copyright 1997 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.

Published Online: May 31, 2020

ABSTRACT

Peritonsillar abscess and cellulitis usually occur in patient with recurrent tonsillitis or in those with chronic tonsillitis who have been inadequately treated. Distinguishing peritonsillar abscess from peritonsillar cellulitis has important clinical implications since cellulitis is managed with antibiotics alone whereas the optimal management of an abscess is drainage of pus.

73 patients with diagnosis of peritonsillar infection were retrospectively studied and statistically compared. Of the 73 patients, 53 had pus in aspiration, while 20 patients didn’t have.

This study suggests that [1] the presence of severe pharyngotonsillar swelling is more likely to be associated with peritonsillar abscess group, [2] peritonsillar abscess group was statistically were significant than peritonsillar cellulitis group, as regards body temperature change and decreased of WBC count after 24 hours, and [3] peritonsillar abscess cannot be differentiated from peritonsillar cellulitis on clinical parameter alone.

Keywords: Peritonsillar abscess; Peritonsillar cellulitis