Comparison of Treatment Outcome between Needle Aspiration and Incision and Drainage in Management of Peritonsillar Abscess
Keywords:
Peritonsillar abscess, Needle aspiration, Incision and drainage, Length of stayAbstract
Background: Peritonsillar abscess is a common non-odontogenic deep neck infection and drainage is an effective treatment. Objective: To compare treatment outcome between needle aspiration and incision and drainage under local anesthesia. Method: Retrospective chart review of patients diagnosed peritonsillar abscess who were admitted to Chumphon Khet Udomsak Hospital between 1st January 2020 to 31st December 2024. Result: 67 patients were recruited, with 25 patients in the aspiration group and 42 patients in the incision group. The average length of stay was 2.52 days (1-5 days) in the aspiration group while 1.55 days (1-4 days) in the incision group (p < .001). Overall additional drainage in this study accounted for 7/67 (10.45%), with 4/25 (16%) in aspiration group and 3/42 (7.14%) in the incision group. No significant difference in the additional intervention was found between two groups (p = .411) Conclusion: Incision and drainage under local anesthesia for peritonsillar abscess provide the better result for decreasing hospital stay.
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