Seyhun Nurullah, Çalış Zeynep Aslı Batur, Ekici Merve, Turgut Suat
Department of Otorhinolaryngology and Head & Neck Surgery, Şişli Hamidiye Eftal Training and Research Hospital, İstanbul, Turkey.
Turk Arch Otorhinolaryngol. 2018 Dec;56(4):221-225. doi: 10.5152/tao.2018.3362. Epub 2018 Dec 1.
Peritonsillar abscess (PTA) is defined as pus accumulation between the tonsillar capsule and constrictor pharyngeal muscle. It can be seen as a complication of acute tonsillitis, but other mechanisms have also been proposed. In this study we aimed to reveal the seasonal variations and epidemiologic features of PTA.
This is a retrospective, observational study. We reviewed 221 patients, and together with 24 recurrent cases, 245 admissions were reviewed in total. Age, gender, the duration of admission, seasonal and monthly distribution of cases, diabetes and smoking status, white blood cell count, and C-reactive protein (CRP) levels were recorded. Monthly and seasonal incidences of PTA were reviewed to see if there is any association of climate variations and PTA incidence rate. Features associated with the length of hospitalization and recurrence were also analyzed.
A total of 245 PTA cases were admitted to our clinic between June 2014 and June 2017. The highest amount of cases was observed in spring and winter. The C-reactive protein and white blood cell count (WBC) levels were found to be positively correlated with the length of hospitalization. There was no statistically significant correlation with recurrence and smoking, the WBC levels, CRP levels, and length of prior hospitalization. Diabetes status was not found to be associated with length of hospitalization and CRP levels.
The present study reflects the epidemiologic and clinical features of PTA in İstanbul. Our findings showed that seasonal variation was not significant, consistent with previous studies. The highest incidence rate was observed in spring and winter. Length of hospitalization was found to be positively correlated with C-reactive protein and white blood cell count (WBC) levels. Recurrence was not statistically correlated with and smoking, the WBC levels, CRP levels, and length of hospitalization. More studies are recommended to reveal the different epidemiologic factors affecting the incidence of PTA.
扁桃体周围脓肿（PTA）定义为扁桃体被膜与咽缩肌之间的脓液积聚。它可被视为急性扁桃体炎的一种并发症，但也有人提出了其他机制。在本研究中，我们旨在揭示PTA的季节变化和流行病学特征。
这是一项回顾性观察研究。我们回顾了221例患者，连同24例复发病例，共审查了245例入院病例。记录了年龄、性别、住院时间、病例的季节和月度分布、糖尿病和吸烟状况、白细胞计数以及C反应蛋白（CRP）水平。审查了PTA的月度和季节发病率，以查看气候变化与PTA发病率之间是否存在任何关联。还分析了与住院时间长短和复发相关的特征。
2014年6月至2017年6月期间，共有245例PTA病例入住我们的诊所。病例数最多的季节是春季和冬季。发现C反应蛋白和白细胞计数（WBC）水平与住院时间呈正相关。复发与吸烟、WBC水平、CRP水平以及既往住院时间之间无统计学显著相关性。未发现糖尿病状况与住院时间长短和CRP水平相关。
本研究反映了伊斯坦布尔PTA的流行病学和临床特征。我们的研究结果表明，季节变化不显著，与先前的研究一致。发病率最高的季节是春季和冬季。发现住院时间与C反应蛋白和白细胞计数（WBC）水平呈正相关。复发与吸烟、WBC水平、CRP水平以及住院时间无统计学相关性。建议进行更多研究以揭示影响PTA发病率的不同流行病学因素。
