Hostname: page-component-cd9895bd7-dk4vv Total loading time: 0 Render date: 2024-12-29T06:57:15.479Z Has data issue: false hasContentIssue false
  • English
  • Français

The management of quinsy—a prospective study

Published online by Cambridge University Press:  29 June 2007

C. R. Chowdhury  and
M. C. M. Bricknell
C. R. Chowdhury
Affiliation:
BMH, Rinteln, Germany
M. C. M. Bricknell*
Affiliation:
BMH, Rinteln, Germany
*
British Military Hospital, Rinteln, British Forces Post Office 29.
Get access Rights & Permissions [Opens in a new window]

Abstract

A prospective study for the treatment of quinsy was undertaken between January 1989 and September 1991. This was to determine whether abscess tonsillectomy reduces inpatient stay without increasing operative risk compared to incision and drainage combined with interval tonsillectomy. Fifty-three patients were entered into the study. Twenty-one had abscess tonsillectomy and 32 had incision and drainage. This study showed that there is a 95 per cent probability that abscess tonsillectomy reduces hospital stay by between 2.04 and 4.84 (Student's t test t = 5.01; df = 31, p<0.001) days compared to incision and drainage followed by interval tonsillectomy. This is a significant saving in time and resources. Abscess tonsillectomy reduces patients lost to follow-up, avoids the social inconvenience of a second admission, effectively relieves symptoms, treats a contralateral abscess and is the only method of treating children with a quinsy. We recommend abscess tonsillectomy should be performed for quinsy where expertise and facilities are available.

Keywords

Peritonsillar AbscessTonsillectomy
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 106 , Issue 11 , November 1992 , pp. 986 - 988
Copyright
Copyright © JLO (1984) Limited 1992

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Bateman, G. H., Kodicek, J. (1959) Primary quinsy tonsillectomy. Annals of Otology, Rhinology and Laryngology, 68, 315–321.CrossRefGoogle ScholarPubMed
Bonding, P. (1973) Tonsillectomy á chaud. Journal of Laryngology and Otology, 87, 1171–1181.CrossRefGoogle ScholarPubMed
Dalton, R. E., Abedi, E., Sismanis, A. (1985) Bilateral peritonsillar abscess and quinsy tonsillectomy. Journal of the National Medical Association, 11, 807–812.Google Scholar
Gardner, M. J., Altman, D. G. (1986) Confidence intervals rather than P values: estimation rather than hypothesis testing. British MedicalJournal, 292, 746–759.CrossRefGoogle Scholar
Harris, W. E. (1991) Is a single quinsy an indication for tonsillectomy: Clinical Otolaryngology, 16, 271–273.CrossRefGoogle ScholarPubMed
Hibbert, J. (1987) Acute infections of the pharynx and tonsils. In Scott-Brown's Otolaryngology. Volume 5. Laryngology (Stell, P. M. ed.) Butterworths, London, p. 78–79.Google Scholar
Kronenberg, J., Wolf, M., Leventon, G. (1987) Peritonsillar abscess: recurrence rate and indication for tonsillectomy. American Journal of Otolaryngology, 8, 82–84.CrossRefGoogle ScholarPubMed
Sumner, E. (1973) Quinsy tonsillectomy: a safe procedure. Anaesthesia, 28, 558–568.CrossRefGoogle ScholarPubMed
Yung, A. K., Cantrell, R. W. (1976) Quinsy tonsillectomy. Laryngoscope, 86, 1714–1717.CrossRefGoogle ScholarPubMed