Page C, Chassery G, Boute P, Obongo R, Strunski V
ENT and Head and Neck Surgery Department, Amiens University Hospital, Amiens, France.
J Laryngol Otol. 2010 Oct;124(10):1085-90. doi: 10.1017/S0022215110000903. Epub 2010 Apr 20.
This study was designed to evaluate the efficacy and morbidity of immediate tonsillectomy used to treat peritonsillar abscess (quinsy) and parapharyngeal abscess.
This four-year, retrospective study was based on 31 patients hospitalised in a university hospital ENT and head and neck surgery department for peritonsillar and/or parapharyngeal abscess. All patients underwent immediate, bilateral tonsillectomy. The length of hospital stay, duration of antibiotic therapy, microbiological findings, complications, and the time to complete recovery and oropharyngeal healing were recorded.
The patients' mean post-tonsillectomy hospital stay was 2.84 days (median: 3 days). No post-operative haemorrhage was observed. All patients were considered to be cured at the day 10 follow-up visit, and complete oropharyngeal healing was observed at the day 21 visit. The duration of antibiotic therapy ranged from 10 to 15 days (mean: 11.5 days; median: 10 days).
Immediate tonsillectomy appears to be a safe and effective surgical technique for the management of peritonsillar and parapharyngeal abscess; in particular, it markedly reduces patients' hospital stay (when performed early in the course of the disease) and duration of antibiotic therapy. Immediate tonsillectomy has become the first-line treatment for parapharyngeal abscess and several types of peritonsillar abscess in our department.
本研究旨在评估即刻扁桃体切除术治疗扁桃体周脓肿（咽旁脓肿）和咽旁间隙脓肿的疗效及发病率。
这项为期四年的回顾性研究基于31例因扁桃体周和/或咽旁间隙脓肿入住大学医院耳鼻喉科及头颈外科的患者。所有患者均接受了即刻双侧扁桃体切除术。记录住院时间、抗生素治疗持续时间、微生物学检查结果、并发症以及完全康复和口咽愈合的时间。
患者扁桃体切除术后的平均住院时间为2.84天（中位数：3天）。未观察到术后出血。在第10天的随访中，所有患者均被视为治愈，在第21天的随访中观察到口咽完全愈合。抗生素治疗持续时间为10至15天（平均：11.5天；中位数：10天）。
即刻扁桃体切除术似乎是治疗扁桃体周和咽旁间隙脓肿的一种安全有效的手术技术；特别是，它显著缩短了患者的住院时间（在疾病早期进行时）和抗生素治疗持续时间。即刻扁桃体切除术已成为我们科室治疗咽旁间隙脓肿和几种类型扁桃体周脓肿的一线治疗方法。
