Source:http://linkedlifedata.com/resource/pubmed/id/17978829
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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
1
|
| pubmed:dateCreated |
2007-11-20
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| pubmed:abstractText |
In a prospective study involving 16 patients over a 12 month period, we determined whether tonsillectomy à chaud is an acceptable alternative to interval tonsillectomy for patients with quinsy. Guidelines for the acute surgical management of quinsy (or peritonsillar abscess) were established following a departmental audit. Sixteen patients were admitted with a quinsy plus an indication for tonsillectomy; 12 were evaluated prospectively. Each was treated either by incision and drainage or needle aspiration, rehydration, analgesia and intravenous antibiotic therapy, followed by a tonsillectomy à chaud (immediate tonsillectomy) within 30 h of the acute admission. Despite initial drainage, a high incidence of pus was detected intra-operatively. A much larger group of patients had peritonsillitis rather than peritonsillar abscess. Of the 16 patients admitted with a quinsy and indication for tonsillectomy over a 12 month period, 12 consented to tonsillectomy à chaud. Aspiration was used to confirm the presence of a quinsy in seven patients (58%), and incision and drainage in the remaining five. There were no complications, and further hospitalisations were avoided thus reducing patient morbidity and costs. We propose that tonsillectomy à chaud remains a justifiable alternative to interval tonsillectomy for such patients when personnel and theatre facilities permit.
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| pubmed:language |
eng
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| pubmed:journal | |
| pubmed:citationSubset |
IM
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| pubmed:status |
MEDLINE
|
| pubmed:month |
Jan
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| pubmed:issn |
0937-4477
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| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
265
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| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
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| pubmed:pagination |
31-3
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| pubmed:meshHeading |
pubmed-meshheading:17978829-Adult,
pubmed-meshheading:17978829-Child,
pubmed-meshheading:17978829-Female,
pubmed-meshheading:17978829-Humans,
pubmed-meshheading:17978829-Male,
pubmed-meshheading:17978829-Peritonsillar Abscess,
pubmed-meshheading:17978829-Tonsillectomy,
pubmed-meshheading:17978829-Young Adult
|
| pubmed:year |
2008
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| pubmed:articleTitle |
Tonsillectomy à chaud for quinsy: revisited.
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| pubmed:affiliation |
Department Of Otolaryngology and Head and Neck Surgery, Singleton Hospital, Swansea, UK. DOCSN@aol.com
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| pubmed:publicationType |
Journal Article
|