Hostname: page-component-76fb5796d-dfsvx Total loading time: 0 Render date: 2024-04-25T17:15:46.851Z Has data issue: false hasContentIssue false

Peritonsillar abscess: Risk of disease in the remaining tonsil after unilateral tonsillectomy à chaud

Published online by Cambridge University Press:  29 June 2007

Jens Ahm SøRensen*
Affiliation:
Odense, Denmark
Christian Godballe
Affiliation:
Odense, Denmark
Niels Henrik Andersen
Affiliation:
Odense, Denmark
Karsten JøRgensen
Affiliation:
Odense, Denmark
*
Department of Otorhinolaryngology, Odense University Hospital, DK-5000 Odense C. Denmark.

Abstract

The occurrence of disease in the remaining tonsil after unilateral tonsillectomy à chaudin the treatment of peritonsillar abscess, was studied in 536 patients. No patient had a history of previous severe tonsillitis at the time of the unilateral tonsillectomy, 6.1 per cent of the patients were readmitted for surgery of the remaining tonsil during the follow-up period. Ninety-seven per cent of these patients were younger than 30 years of age. Previous investigations have shown increasing frequency by age of pharyngitis after bilateral tonsillectomy. We suggest bilateral tonsillectomy in all cases of patients younger than 30 years old who suffer from peritonsillar abscess irrespective of previous tonsillar disease. Patients older than 30 should be treated with unilateral ablation, unless there is a clear indication for bilateral tonsillectomy.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1991

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.)

References

Bonding, P. (1973) Tonsillectomy à chaud. Journal of Laryngology and Otology, 87: 11711182.CrossRefGoogle ScholarPubMed
Bonding, P. (1976) Routine abscess tonsillectomy. Laryngoscope, 86: 286290.CrossRefGoogle ScholarPubMed
Cachin, Y. (1979) Diseases of the oropharynx. In Clinical Otolaryngology. (Maran, A. G. D. and Stell, P. M., eds.), Blackwell Scientific Publications: Oxford, p. 328339.Google Scholar
Christensen, P. H., Schønsted-Madsen, U. (1983) Unilateral immediate tonsillectomy as the treatment of peritonsillar abscess: Results with special attention to pharyngitis. Journal of Laryngology and Otology, 97: 11051109.CrossRefGoogle ScholarPubMed
Falk, P., Maurer, H. (1963) Hals-Nasen-Ohren-Heilkunde BD. II, Teil I, Georg Thieme Verlag. Stuttgart, p. 172173.Google Scholar
Grahne, B. (1958) Abscess tonsillectomy. Archives of Otolaryngology, 67: 332336.CrossRefGoogle Scholar
Templer, J. W., Holinger, L. D., Wood, R. P., Tra, N. T., De Blanc, G. B. (1977) Immediate tonsillectomy for the treatment of peritonsillar abscess. American Journal of Surgery, 134: 596598.CrossRefGoogle ScholarPubMed
Virtanen, V. S. (1949) Tonsillectomy as treatment of acute peritonsillitis with clinical and statistical observations. Acta Otolaryngologica, Supplement 80: 144151.Google Scholar