Hostname: page-component-cd9895bd7-gbm5v Total loading time: 0 Render date: 2024-12-18T17:55:37.782Z Has data issue: false hasContentIssue false
  • English
  • Français

Computed tomographic findings in peritonsillar abscess and cellulitis

Published online by Cambridge University Press:  29 June 2007

Masanori Sakaguchi ,
Susumu Sato ,
Shiro Asawa  and
Kiichiro Taguchi
Masanori Sakaguchi*
Affiliation:
Department of Otolaryngology, Shinshu University School of Medicine, Japan.
Susumu Sato
Affiliation:
Department of Otolaryngology, Shinshu University School of Medicine, Japan.
Shiro Asawa
Affiliation:
Department of Otolaryngology, Shinshu University School of Medicine, Japan.
Kiichiro Taguchi
Affiliation:
Department of Otolaryngology, Shinshu University School of Medicine, Japan.
*
Address for correspondence: Dr Masanori Sakaguchi, Department of Otolaryngology, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto 390, Japan. Fax: 0263-36-9164
Get access Rights & Permissions [Opens in a new window]

Abstract

The differentiation of a peritonsillar abscess from peritonsillar cellulitis, although difficult on physical examination, is required in order to determine the appropriate treatment. Peritonsillar cellulitis can be treated with antibiotics alone, while a peritonsillar abscess should be drained. Computed tomography (CT) of the neck is often performed to identify the formation of a deep abscess in the neck, but is rarely used to diagnose peritonsillar infections. We report a patient in whom CT was a useful diagnostic tool for distinguishing peritonsillar abscess from peritonsillar cellulitis.

Keywords

Tomography scannersX-ray computedPeritonsillar abscess
Type
Radiology in Focus
Information
The Journal of Laryngology & Otology , Volume 109 , Issue 5 , May 1995 , pp. 449 - 451
Copyright
Copyright © JLO (1984) Limited 1995

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Boesen, T.Jensen, F (1992) Pre-operative ultrasonographic verification of peritonsillar abscesses in patients with severe tonsillitis European Archives of Otorhinolaryngology 249: 131–133.Google Scholar
Brodsky, L., Sobie, S. R., Korwin, D., Stanievich, J. F. (1988) A clinical prospective study of peritonsillar abscess in children. Laryngoscope 98: 780–783.Google Scholar
Buckley, A. R.Moss, E. H.Blokmanis, A. (1994) Diagnosis of peritonsillar abscess: value of intraoral sonography. American Journal of Roentgenology 162: 961–964.CrossRefGoogle ScholarPubMed
DeWeesc, D. D., Saunders, W. H. (1982) Textbook of Otolarvngology. 6th Edition, Mosby Co. St Louis, pp 58–61.Google Scholar
Fairbanks, D. N., Fairbanks, D. W. (1994) Peritonsillar abscess. In Current Therapy in Otolarvngology-Head and Neck Surgery. 5th Edition. (Gates, G. A., ed). Mosby Co., St Louis. pp 433–435.Google Scholar
Fried, M. P.. Forrest, J. L. (1981) Peritonsillitis Evaluation of current therapy. Archives of Otolarvngology 107: 283–286.Google Scholar
Haeggstrom, A., Gustafsson, O., Engquist, S., Engstrom, C. (1993) Intraoral ultrasonography in the diagnosis of peritonsillar abscess. Otolarvngology–Head and Neck Surgery 108: 243–247.CrossRefGoogle ScholarPubMed
Holt, G. R., McManus, K.Newman, R. K.Potter, J. L., Tinsley, P. P. (1982) Computed tomography in the diagnosis of deep-neck infections Archives of Otolaryngology 108: 693–696.Google Scholar
Klimek, L., Mosges, R., Wein, B.Schmelzer, B.Kuth, G. (1993) Surgical or medical treatment of questionable peritonsillar abscess? The use of B-mode ultrasonography. Acta Otorhinolaryngologica Belgica 47: 439–442.Google ScholarPubMed
Kornblut, A. D. (1987) Peritonsillar cellulitis and abscesses: current considerations in diagnosis and treatment. American Journal of Emergency Medicine 5: 258–260.Google Scholar
Mafee, M. F. (1988) Oral cavity, oropharynx, upper neck and salivary glands. In Head and Neck imaging. (Valvassori, G. E., Buckingham, R. A., Carter, B. L., Hanafee, W. N., Mafee, M. F, eds.) Georg Thieme Verlag, Stuttgart, pp251–309.Google Scholar
Maisel, R. H. (1982) Peritonsillar abscess: tonsil antibiotic levels in patients treated by acute abscess surgery. Laryngoscope 92: 80–87.CrossRefGoogle ScholarPubMed
Nyberg, D. A., Jeffrey, R. B., Brandt-Zawadzki, M., Federle, M., Dillon, W. (1985) Computed tomography of cervical infections Journal of Computer Assisted Tomography 9: 288–296.CrossRefGoogle Scholar
Ophir, D., Bawnik, J., Poria, Y, Porat, M., Marshak, G. (1988) Peritonsillar abscess A prospective evaluation of outpatient management by needle aspiration. Archives of Otolaryn go!ogy, Head and Neck Surgery 114: 661–663.Google Scholar
Otto, R. A., Noorily, A. D., Otto, P. M. (1994) Deep neck infections In The Neck. Diagnosis and Surgery. (Shockley, W. W., Pillsbury, H. C. III, eds.), Mosby Co., St Louis, pp 133–171.Google Scholar
Parker, G. S., Tami, T. A. (1992) The management of peritonsillar abscess in the 90s: an update. American Journal of Otolaryngology 13: 284–288.CrossRefGoogle ScholarPubMed
Passy, V. (1994) Pathogenesis of peritonsillar abscess Laryngoscope 104: 185–190.Google Scholar
Patel, K. S., Ahmad, S., O'Leary, G., Michel, M. (1992 a) The role of computed tomography in the management of peritonsillar abscess Otolaryngology–Head and Neck Surgery 107: 727–732.Google Scholar
Patel, K. S., Delis, V., Oyarzabel, M. (1992 b) Clinical differentiation of peritonsillar cellulitis from abscess. Advances in Otorhinolaryngology 47: 172–175.Google ScholarPubMed
Savolainen, S., Jousimies-Somer, H. R., Makitie, A. A., Ylikoski, J. s. (1993) Peritonsillar abscess. Clinical and microbiologic aspects and treatment regimens. Archives of Otolaryngology, Head and Neck Surgery 119: 521–524.Google Scholar
Schechter, G. L., Sly, D. E., Roper, A. L., Jackson, R. T. (1982) Changing face of treatment of peritonsillar abscess Laryngoscope 92: 657–659.Google Scholar
Shoemaker, M., Lampe, R. M., Weir, M. R. (1986) Peritonsillitis: abscess or cellulitis? Pediatric infectious Disease Journal 5: 435–439.Google ScholarPubMed
Snow, D. G., Campbell, J. B., Morgan, D. W. (1991) The management of peritonsillar sepsis by needle aspiration. Clinical Otolaryngology 16: 245–247.CrossRefGoogle ScholarPubMed