Pediatric peritonsillar abscess: Quinsy ie versus interval tonsillectomy

• Published in: International journal of pediatric otorhinolaryngology 2013-08, Vol.77 (8), p.1355-1358
• Main Authors: Simon, Lawrence M, Matijasec, Jackie West-Denning, Perry, Alvin P, Kakade, Anagha, Walvekar, Rohan R, Kluka, Evelyn A
• Format: Article
• Language: English
• Subjects: Adolescent; Anti-Bacterial Agents - therapeutic use; Blood Loss, Surgical; Child; Child, Preschool; Drainage; Female; Humans; Infant; Length of Stay; Male; Operative Time; Otolaryngology; Patient Readmission; Pediatrics; Peritonsillar abscess; Peritonsillar Abscess - drug therapy; Peritonsillar Abscess - surgery; Quinsy tonsillectomy; Retrospective Studies; Tonsillectomy; Tonsillectomy - adverse effects; Tonsillectomy - methods; Young Adult
• ISSN: 0165-5876; 1872-8464
• DOI: 10.1016/j.ijporl.2013.05.034

Abstract Peritonsillar abscess Quinsy versus interval tonsillectomy. Objectives (1) Compare operative time and intraoperative blood loss in patients receiving either Quinsy or interval tonsillectomy for peritonsillar abscess. (2) Compare post-operative bleeding and readmission rates between patients receiving either Quinsy or interval tonsillectomy for peritonsillar abscess. Study design Case series with chart review. Methods We reviewed the records of children treated for peritonsillar abscess between 2007 and 2011 at an academic tertiary pediatric hospital. We identified patients by searching the hospital database for all children treated for the ICD-9 code 475 (peritonsillar abscess). Data points extracted included length of stay, intraoperative blood loss, operative time, and incidence of complications. Statistical analysis was performed to identify significant differences between treatment categories. Children who never received a tonsillectomy (CPT codes 42820/42821/42825/42826) were excluded. Results 34 children received tonsillectomy for peritonsillar abscess from 2007 to 2011. Of these: 23 received a Quinsy tonsillectomy, and 11 received antibiotics with or without incision and drainage, followed by tonsillectomy a minimum of 2 weeks later. Total hospital days in treatment course was 2.2 days for Quinsy tonsillectomy group and 2.3 days for the interval tonsillectomy group. Estimated blood loss was less than 20 ml for both groups. Operative time was 38 min for Quinsy tonsillectomy and 39 min for interval tonsillectomy. There were no post-tonsillectomy hemorrhages. One patient in the interval tonsillectomy group required readmission for dehydration. Conclusion There were no significant differences in total hospital days, blood loss, operative time, or post-operative complications between Quinsy tonsillectomy and interval tonsillectomy in the treatment of pediatric peritonsillar abscess.