PERITONSILLAR ABSCESS -ETIOLOGY,MECHANISM,CLINICAL FEATURES,TREATMENT

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 PERITONSILLAR ABSCESS ( QUINSY)


1)INTRODUCTION:

TONSIL-Subepithelial aggregation of lymphoid tissue which forms a part of waldeyer's ring

  • Its ovoid in shape
  • Situated in lateral wall of oropharynx

QUINSY- Collection of pus in peritonsillar space between capsule and superior constrictor muscle


2)ETIOLOGY:

  • As a sequelae of acute tonsillitis
  • De novo 
Causative organism : 

  • Streptococcus pyogenes
  • Staphylococcus aureus 
  • Anaerobic organism  





3)MECHANISM :

One of the crypts or crypta magna gets filled 

With pus and gets sealed off

Intratonsillar abscess 

Burst through capsule

Peritonsillitis

Peritonsillar abscess 


4)CLINICAL FEATURES :

GENERAL;

  • High grade fever with chills
  • Malaise
  • Headache
  • Body ache
  • Nausea

LOCAL:

  • Foul breath
  • Trismus
  • Severe unilateral throat pain
  • Poor orodental hygiene
  • Hot potato speech


5)EXAMINATION:

  • UVULA:Swollen ,pushed to opposite side
  • Tonsil,soft palate :congested on involved side
  • Torticollis:head tilted to involved side
  • Mucopus covering the tonsil 





6)TREATMENT:

CONSERVATIVE :

  • Hospitalisation and IV fluids
  • Analgesic 
  • Oral hygiene : Warm saline saline gargle

SURGICAL ;

a)INCISION AND DRAINAGE: 

  • If frank ps is present incision is done 
  • Incision point : Point of maximum bulge 

b)INTERVAL TONSILLECTOMY:

  • 4-6 Weeks following quincy 
  • Abscess tonsillectomy:
  • Disadvantage: 
  • Increased bleeding 






7)COMPLICATION :

  • Septicaemia
  • Endocarditis
  • Laryngeal oedema
  • Pneumonitis
  • Parapharyngeal abscess 





AIM OF THIS POST :

Hello stencildent viewers , hope you all are doing great , today we started of with a small introduction about what a tonsil is ,where is it located then we moved on to the actual topic of discussion that is peritonsillar abscess its clinical features,etiology,mechanism,examination,treatment options that are available then finally complication of quinsy.hope this post would have been informative if this post helped you learn then do tell me in the comment section below as this would motivate me to post more such content ,do stay connected through instagram as well to receive instant post notification and much more ,for product review kindly contact below mail id .

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