Peritonsillar Abscess: An Update on Diagnosis and Medical-Surgical Management. A Review of the Literature and Case Report



Diego Fonseca Escobar1*, Juan Mancilla Uribe2 and Maria Josee Perez Navarro3

1 Oral & Maxillofacial surgery resident, Universidad de los Andes, Chile.

2 DDS, Universidad Andrés Bello, Santiago, Chile.

3 Chief of emergency department, Rancagua hospital, Rancagua, Chile.

*Corresponding Author: Diego Fonseca Escobar, Oral & Maxillofacial surgery resident, Universidad de los Andes, Chile.

DOI: https://doi.org/10.58624/SVOADE.2024.05.0191

Received: August 27, 2024     Published: September 24, 2024

 

Abstract

Introduction: Peritonsillar abscess is an acute pharyngeal infection located between the tonsillar capsule and the aponeurosis of the superior constrictor muscle of the pharynx, being an important cause of consultation in emergency services. Its management includes antibiotic treatments and/or emptying of the abscess.

Objective: To describe the diagnosis and medical-surgical management of a 47-year-old male patient with peritonsillar abscess; Regarding the case, a review of the updated literature on the topic was carried out.

Method: Presentation of the case report: 47-year-old male patient, who attended the Libertador Bernardo O'Higgins Regional Hospital due to increased tonsillar volume. Sudden onset. Clinically, guttural voice, odynophagia, dysphagia, trismus and intermittent fever were notable.

Discussion: After the clinical, imaging and laboratory study, a diagnosis of peritonsillar abscess was reached, which underwent medical-surgical management, presenting satisfactory evolution of this case, a review of the literature was carried out in the last 10 years in Spanish. English in the search engines PubMed and Science Direct.

Conclusions: Surgical management of peritonsillar abscess continues to be the treatment of choice; however, based on the review of the literature that was carried out, medical management can also be chosen in some cases.

Keywords: Medical therapy; Peritonsillar abscess; Success; Failure; Complication; Surgical treatment

Citation: Escobar DF, Uribe JM, Navarro MJP. Peritonsillar Abscess: An Update on Diagnosis and Medical-Surgical Management. A Review of the Literature and Case Report. SVOA Dentistry 2024, 5:5, 196-201. doi:10.58624/ SVOADE.2024.05.0191