Korean Journal of Bronchoesophagology (대한기관식도과학회지)
- Volume 13 Issue 1
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- Pages.19-22
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- 2007
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- 1226-0916(pISSN)
Treatment of Peritonsillar Abscess: Needle Aspiration versus Incision and Drainage
- Cho, Seung-Hyun (Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Korea University) ;
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Kwon, Soon-Young
(Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Korea University) ;
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Lee, Seung-Hoon
(Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Korea University) ;
- Cho, Jae-Hoon (Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Korea University) ;
- Choi, Ji-Ho (Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Korea University) ;
- Baik, Seung-Hoon (Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Korea University) ;
- Yoo, Chan-Kee (Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Pochen CHA University)
- Published : 2007.06.30
Abstract
Background and Objectives: The Objective of this study was to compare the effectiveness of the needle aspiration method and the I&D method in the treatment of peritonsillar abscess. Materials and Methods: A prospective clinical study was performed on 83 patients. All the patients were hospitalized after random treatment with either I&D or needle aspiration alone, received the same intravenous antibiotic therapy. Among the 83 patients, 73 patients who could be observed for longer than 6 months and had not undergone a tonsillectomy during the follow-up period, were analyzed for treatment outcomes. Results: There was no statistically significant difference in the initial failure rate(p=0.572), the hospitalized days(p=0.956), the recurrence rate(p=0.531) for the needle aspiration(35 patients) and I&D groups(38 patients). But, The mean duration of fever were statistically different in the needle aspiration(1.51 hours) and I&D groups(3.05 hours) (p=0.031). Conclusion: Two methods are thought to be similar in effectiveness, except that duration of fever was longer in the I&D group than in the needle aspiration group. However, taking advantages of the needle aspiration method into consideration, the needle aspiration of peritonsillar abscess may be more appropriate than I&D as an initial method for peritonsillar abscess