편도주위 농양의 치료를 위한 절개 배농법과 흡인법의 비교: 전향적 무작위 대조연구
Incision and Drainage Versus Needle Aspiration for Peritonsillar Abscess: A Prospective Randomized Controlled Trial
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Background and Objectives Peritonsillar abscess (PTA) is an accumulation of pus be-tween the palatine tonsil and pharyngeal constrictor muscle. It is a common cause of emer-gency on-call consultations among ENT doctors and occurs due to the possibility of sepsis,airway obstruction, and progression to deep neck infection. This study aims to compare theeffectiveness of needle aspiration (NA) to incision & drainage (I&D) for the treatment of PTA. Subjects and Method From September 2018 to March 2020, 58 patients with PTA were ad-mitted to our ENT Department. After a comprehensive diagnostic procedure, 38 patients wereenrolled in the study and they underwent either I&D (20 patients) or NA (18 patients) treat-ment. Patients were discharged when edema decreased on the endoscopic findings and theirsymptoms improved, with a visual analogue scale (VAS) score <3 points. For each patient, weevaluated the abscess volume, age, body mass index, hypertension, diabetes mellitus, smok-ing and drinking history, abscess size, and duration of hospitalization. White blood cell(WBC) count, C-reactive protein (CRP) level, and erythrocyte sedimentation rate (ESR) wereestimated on the 1st, 3rd, and 5th days of hospitalization. Results The mean age of participants was 42.8±15.5 years and 40.3±14.7 years in the I&Dand NA groups, respectively. Except for ESR, the mean hospitalization duration, initial vol-ume of abscess size, VAS pain score, WBC count and the CRP level were not different be-tween the groups. Conclusion Our study revealed no significant differences in hospital stay duration, VASscore, WBC counts or in the CRP level among patients admitted for PTA, whether they un-derwent I&D or NA.
Abstract
Background and Objectives Peritonsillar abscess (PTA) is an accumulation of pus be-tween the palatine tonsil and pharyngeal constrictor muscle. It is a common cause of emer-gency on-call consultations among ENT doctors and occurs due to the possibility of sepsis,airway obstruction, and progression to deep neck infection. This study aims to compare theeffectiveness of needle aspiration (NA) to incision & drainage (I&D) for the treatment of PTA. Subjects and Method From September 2018 to March 2020, 58 patients with PTA were ad-mitted to our ENT Department. After a comprehensive diagnostic procedure, 38 patients wereenrolled in the study and they underwent either I&D (20 patients) or NA (18 patients) treat-ment. Patients were discharged when edema decreased on the endoscopic findings and theirsymptoms improved, with a visual analogue scale (VAS) score <3 points. For each patient, weevaluated the abscess volume, age, body mass index, hypertension, diabetes mellitus, smok-ing and drinking history, abscess size, and duration of hospitalization. White blood cell(WBC) count, C-reactive protein (CRP) level, and erythrocyte sedimentation rate (ESR) wereestimated on the 1st, 3rd, and 5th days of hospitalization. Results The mean age of participants was 42.8±15.5 years and 40.3±14.7 years in the I&Dand NA groups, respectively. Except for ESR, the mean hospitalization duration, initial vol-ume of abscess size, VAS pain score, WBC count and the CRP level were not different be-tween the groups. Conclusion Our study revealed no significant differences in hospital stay duration, VASscore, WBC counts or in the CRP level among patients admitted for PTA, whether they un-derwent I&D or NA.
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