Yung A K, Cantrell R W
Laryngoscope. 1976 Nov;86(11):1714-7. doi: 10.1288/00005537-197611000-00015.
The usual treatment for peritonsillar abscess in the United States is incision, drainage and antibiotic therapy followed by tonsillectomy several weeks later. Why this treatment began is not clear but it probably originated from fear of complications which might arise from operating during the acute stage. This therapy requires two hospitalizations and tonsillectomy after previous abscess can be difficult. Tonsillitis or peritonsillar abscess can recur any time after the initial abscess is treated. A series of 50 cases of peri-tonsillar abscesses treated by immediate tonsillectomy is presented and evaluated. The results show this operation has a low morbidity and no significantly greater complication rate than elective tonsellectomy.
在美国，扁桃体周围脓肿的常规治疗方法是切开引流、抗生素治疗，几周后再进行扁桃体切除术。这种治疗方法为何开始并不明确，但可能源于对急性期手术可能引发的并发症的担忧。这种治疗需要两次住院，而且在先前发生脓肿后进行扁桃体切除术可能会很困难。初次脓肿治疗后，扁桃体炎或扁桃体周围脓肿随时可能复发。本文展示并评估了一组50例接受即刻扁桃体切除术治疗的扁桃体周围脓肿病例。结果显示，该手术发病率低，与择期扁桃体切除术相比，并发症发生率并无显著升高。
