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Objective: To compare the efficacy of needle aspiration with incision & drainage in the management of
Peritonsillarabscess.
Place and Duration of the Study: This study was carried out at Ear, Nose, Throat and Head & Neck Surgery
Department of Tertiary Care Teaching Hospital at Rawalpindi fromAugust 2007 to July 2009,
Materials and Methods: Total of 60 patients with diagnosed Peritonsillar abscesses were included in the study.
Theywere divided into two groups A & B, each consisting of 30 patients. Needle aspiration was done in group 'A'
whereas patinets in group B were treated with incision & drainage, All the patients received the same parenteral
antibiotics and analgesics. Patients were observed for reoccurrence of disease, fever, pain, oral intake, duration
Ofstay in hospital.
Results: The mean age of patients in both groups was 20.7 (SD±7.3) years. Four (13%) patients developed
reoccurrence in group A after needle aspiration and were subjected to incision & drainage. Two of them again
developed reoccurrence and required interval tonsillectomy. In group B, 3 (10%) patients developed
reoccurrence after incision and drainage and all Of them needed interval tonsillectomy. Twenty six (86.6%)
patients in group Awere afebrile at 24 hrs after treatment whereas in group B, 29 (96.9%) patients had no fever.
Twenty five (83.3%) patients in group A were pain free at 24 hours While in group B, the number Of pain free
patients were only 1 6 (53.3%). Seventeen patients (566%) in group A began to take solid diet at 24 hours while
none had taken solid diet in group B after that interval. The duration of hospital stay in group A was 27.6 hours
was 76.9 hours (SDt116_3) in group B.
Conclusion: Needle aspiration is as effective as Incision & drainage in the management of peritonsillar
abscess.
Nayyer Ayub, Mirza Nasheed Baig, Muhammad Azeem Aslam, Kashif Mehmood. (2013) Comparison of Needle Aspiration with Incision & Drainage in the Management of Patients Presenting with Peritonsillar Abscess, Journal of Islamic International Medical College, Volume-8, Issue-1.
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