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Analysis of smoking behaviour in patients with peritonsillar abscess: a prospective, matched case–control study

Published online by Cambridge University Press:  13 September 2018

D Schwarz ,
P Wolber ,
M Balk  and
J C Luers
D Schwarz*
Affiliation:
Department of Otorhinolaryngology, Head and Neck Surgery, Medical Faculty, University of Cologne, Germany
P Wolber
Affiliation:
Department of Otorhinolaryngology, Head and Neck Surgery, Medical Faculty, University of Cologne, Germany
M Balk
Affiliation:
Department of Otorhinolaryngology, Head and Neck Surgery, Medical Faculty, University of Cologne, Germany
J C Luers
Affiliation:
Department of Otorhinolaryngology, Head and Neck Surgery, Medical Faculty, University of Cologne, Germany
*
Author for correspondence: Dr David Schwarz, Department of Otorhinolaryngology, Head and Neck Surgery, Medical Faculty, University of Cologne, Cologne 50924, Germany E-mail: david.schwarz@uk-koeln.de Fax: +49 221 478 4793
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Abstract

Objective

Smoking is purported to increase the risk of peritonsillar abscess formation, but prospective data are needed to confirm this hypothesis. This prospective study aimed to identify this correlation.

Methods

Fifty-four patients with peritonsillar abscess were prospectively asked about their smoking behaviour using a questionnaire that was designed and approved by the Robert Koch Institute (Berlin, Germany) to analyse smoking behaviour in epidemiological studies. Afterwards, a consecutive control group (without peritonsillar abscess), matched in terms of age and gender, was surveyed using the same questionnaire. A classification of smoker, former smoker and non-smoker was made, and the numbers of pack-years were calculated and compared.

Results

Statistical analysis of both groups revealed a significant correlation between peritonsillar abscess and smoking experience (p = 0.025). Moreover, there were significantly fewer non-smokers in the non-peritonsillar abscess group (p = 0.04). The number of pack-years was higher in the peritonsillar abscess group (p = 0.037).

Conclusion

There is a statistically significant association between peritonsillar abscess and smoking.

Keywords

SmokingTobaccoPeritonsillar AbscessTonsillitisEpidemiologic Studies
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 132 , Issue 10 , October 2018 , pp. 872 - 874
Copyright
Copyright © JLO (1984) Limited, 2018 

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Footnotes

Dr D Schwarz takes responsibility for the integrity of the content of the paper

References

1Klug, TE, Rusan, M, Clemmensen, KK, Fuursted, K, Ovesen, T. Smoking promotes peritonsillar abscess. Eur Arch Otorhinolaryngol 2013;270:3163–7Google Scholar
2Sowerby, LJ, Hussain, Z, Husein, M. The epidemiology, antibiotic resistance and post-discharge course of peritonsillar abscesses in London, Ontario. J Otolaryngol Head Neck Surg 2013;42:5Google Scholar
3Risberg, S, Engfeldt, P, Hugosson, S. Incidence of peritonsillar abscess and relationship to age and gender: retrospective study. Scand J Infect Dis 2008;40:792–6Google Scholar
4Tachibana, T, Orita, Y, Abe-Fujisawa, I, Ogawara, Y, Matsuyama, Y, Shimizu, A et al. Prognostic factors and effects of early surgical drainage in patients with peritonsillar abscess. J Infect Chemother 2014;20:722–5Google Scholar
5Dilkes, MG, Dilkes, JE, Ghufoor, K. Smoking and quinsy. Lancet 1992;339:1552Google Scholar
6Kilty, SJ, Gaboury, I. Clinical predictors of peritonsillar abscess in adults. J Otolaryngol Head Neck Surg 2008;37:165–8Google Scholar
7Klug, TE. Peritonsillar abscess: clinical aspects of microbiology, risk factors, and the association with parapharyngeal abscess. Dan Med J 2017;64:B5333Google Scholar
8Hidaka, H, Kuriyama, S, Yano, H, Tsuji, I, Kobayashi, T. Precipitating factors in the pathogenesis of peritonsillar abscess and bacteriological significance of the Streptococcus milleri group. Eur J Clin Microbiol Infect Dis 2011;30:527–32Google Scholar
9Field, A. Discovering Statistics Using SPSS. London: Sage, 2014Google Scholar
10Lehnerdt, G, Senska, K, Fischer, M, Jahnke, K. Smoking promotes the formation of peritonsillar abscesses [in German]. Laryngorhinootologie 2005;84:676–9Google Scholar
11Matsuda, A, Tanaka, H, Kanaya, T, Kamata, K, Hasegawa, M. Peritonsillar abscess: a study of 724 cases in Japan. Ear Nose Throat J 2002;81:384–9Google Scholar
12Uhler, M, Schrom, T, Knipping, S. Peritonsillar abscess - smoking habits, preoperative coagulation screening and therapy [in German]. Laryngorhinootologie 2013;92:589–93Google Scholar