Hostname: page-component-8448b6f56d-qsmjn Total loading time: 0 Render date: 2024-04-19T17:24:17.802Z Has data issue: false hasContentIssue false
  • English
  • Français

Peritonsillar abscess drainage: using oropharyngeal endoscopy as a therapeutic adjunct and training tool

Published online by Cambridge University Press:  18 February 2021

A Sawhney ,
R Bidaye  and
A Khanna
A Sawhney*
Affiliation:
Department of Ear, Nose and Throat Surgery, Heartlands Hospital, University Hospitals Birmingham, Birmingham, UK
R Bidaye
Affiliation:
Department of Ear, Nose and Throat Surgery, Heartlands Hospital, University Hospitals Birmingham, Birmingham, UK
A Khanna
Affiliation:
Department of Ear, Nose and Throat Surgery, Heartlands Hospital, University Hospitals Birmingham, Birmingham, UK
*
Author for correspondence: Mr Akshat Sawhney, Department of Ear, Nose and Throat Surgery, Heartlands Hospital, University Hospitals Birmingham, Birmingham, UK E-mail: Akshat.sawhney@nhs.net
Get access Rights & Permissions [Opens in a new window]

Abstract

Background

Peritonsillar abscess, or quinsy, is one of the most common emergency presentations to ENT departments, and is the most common deep tissue infection of the head and neck. In the UK, junior members of the ENT team are regularly required to independently assess, diagnose and treat patients with peritonsillar aspiration or incision and drainage.

Issue

Inexperienced practitioners can stumble at several obstacles: poor access due to trismus; poor lighting; difficulty in learning the therapeutic procedure; and difficulty in accurately documenting findings and treatment.

Solution

To counter these and other difficulties, the authors describe the routine use of video endoscopy as a training tool and therapeutic adjunct in the management of quinsy.

Keywords

Peritonsillar AbscessEndoscopyLaryngoscopyTeachingCOVID-19
Type
Short Communications
Information
The Journal of Laryngology & Otology , Volume 135 , Issue 2 , February 2021 , pp. 176 - 178
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Mr A Sawhney takes responsibility for the integrity of the content of the paper

References

Galioto, NJ. Peritonsillar abscess. Am Fam Physician 2017;15:501–6Google Scholar
Maharaj, D, Rajah, V, Hemsley, S. Management of peritonsillar abscess. J Laryngol Otol 1991;105:743–5CrossRefGoogle ScholarPubMed
Bakir, S, Tanriverdi, MH, Gün, R, Yorgancilar, AE, Yildirim, M, Tekbaş, G et al. Deep neck space infections: a retrospective review of 173 cases. Am J Otolaryngol 2012;33:56–63CrossRefGoogle ScholarPubMed
Braude, DA, Shalit, M. A novel approach to enhance visualization during drainage of peritonsillar abscess. J Emerg Med 2008;35:297–8CrossRefGoogle ScholarPubMed
Prokofieva, A, Modayil, V, Chiricolo, G, Ash, A, Raio, C. Ultrasound-guided drainage of peritonsillar abscess: shoot with your hockey-stick. Intern Emerg Med 2016;11:883–4CrossRefGoogle ScholarPubMed
Kataria, G, Saxena, A, Bhagat, S, Singh, B, Kaur, M, Kaur, G. Deep neck space infections: a study of 76 cases. Iran J Otorhinolaryngol 2015;27:293–9Google ScholarPubMed
Givi, B, Bradley, A, Chinn, SB, Clayburgh, D, Iyer, NG, Jalisi, S et al. Safety recommendations for evaluation and surgery of the head and neck during the COVID-19 pandemic. JAMA Otolaryngol Head Neck Surg 2020;146:579–84CrossRefGoogle ScholarPubMed
Couloigner, V, Schmerber, S, Nicollas, R, Coste, A, Barry, B, Makeieff, M et al. COVID-19 and ENT surgery. Eur Ann Otorhinolaryngol Head Neck Dis 2020;137:161–6CrossRefGoogle ScholarPubMed
ENT UK. Nasal endoscopy and laryngoscopy examination of ENT patients. In: www.entuk.org/sites/default/files/Nasal%20endoscopy%20and%20laryngoscopy%20examination%20of%20ENT%20patients_compressed%20%281%29.pdf [23 March 2020]Google Scholar