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| UDK 616.322-002.3-053.2-07/-08 |
ISSN 0350-2899, 34(2009) br 2 p.96-103 |
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Original paper Etiopathogenesis and therapy for peritonsillar abscess in children Vesna Stojanović Kamberović (1), Snežana Babac (2), Goran Bjelogrlić (3), Marija Mihajlović (1), Milica Tatović (2) (1) Dom zdravlja "Zvezdara", Beograd; (2) Klinika za ortorinolaringologiju KBC "Zvezdara", Beograd; (3) Institut za ORL i MFC KC Srbije, Beograd |
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| Summary: INTRODUCTION: Peritonsillar abscess is the most common complication of acute tonsillitis. It is caused by the penetration of pyogene bacteria into the connective tissue between the tonsills and m.constrictor pharyngis superior. PAPER OBJECTIVE: Overview of etiopathogenesis and therapy for peritonsillar abscess. METHODS: 39 patients were included in the retrospective study in the period 2000-2008. The average age was 14.51±3.76 (7-20 years of age). The diagnosis was based on the symptoms, clinical ORL examination, laboratory blood analysis, bacteriological isolate of pharynx/tonsills and the adequate therapy was applied. RESULTS: Of 39 patients, 87.18% of them were aged ≥ 10. The youngest patient was 7 years old. Gender related statistics was not significant (χ2=2.077; DF=1; p>0.05). The disease was much more common in the fall/winter/spring seasons (χ2=21.564; DF=1; p<0.01). Left-sided peritonsillar abscess was dominant (χ2=5.769; DF=1; p<0.05). According to statistics, β-hemolytic streptococcus was mostly isolated in the pharyngeal swab (χ2=8.779; DF=2; p<0.05). Of all antibiotics, penicillin had the widest application – 53.8% (χ2=24.897; DF=3; p<0.01), followed by cephalosporins 33.3%, tetracyclines 7.7% and macrolides 5.1%. Surgical treatments - incision was applied in 69.23% of cases. The average healing period was 10.51 days. Interval tonsillectomy was applied in 11 patients - one month after the treatment of the disease. CONCLUSION: Peritonsillar abscess can be expected in a small number of patients after adequate and timely treatment of acute tonsillopharyngitis. The therapy for peritonsillar abscess included surgical and/or medicamentous treatment. Key words: peritonsillar abscess, etiopathogenesis, therapy
Napomena: kompletan tekst rada na
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Corresponding Address: Vesna Stojanović Kamberović Dom zdravlja "Zvezdara" Olge Jovanović 11, 11000 Beograd e-mail: vesnanbgd@yahoo.com |
Paper received: 13.04.2009. Paper accepted: 23.04.2009. Published online: 06.08.2009. |
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