{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T09:34:25Z","timestamp":1784194465011,"version":"3.55.0"},"reference-count":7,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2017,1,16]],"date-time":"2017-01-16T00:00:00Z","timestamp":1484524800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2017,8]]},"abstract":"Objectives<\/jats:title>1) To analyze clinical outcomes of children stratified by ultrasound into three diagnoses: acute tonsillitis, peritonsillar phlegmon, and abscess; and 2) To compare clinical outcomes and financial impact between children who underwent ultrasound protocol to those who did not.<\/jats:p><\/jats:sec>Study Design<\/jats:title>Retrospective analysis between two cohorts: ultrasound protocol group and control group.<\/jats:p><\/jats:sec>Methods<\/jats:title>Children with peritonsillar abscess (PTA) diagnosed in the emergency department (ED) were enrolled during a 2\u2010year period for transcervical ultrasound evaluation of bilateral tonsillar fossae. Data from a cohort of patients with PTA prior to ultrasound screening were also collected from retrospective chart review. Outcome variables were analyzed using multivariate logistic regression.<\/jats:p><\/jats:sec>Results<\/jats:title>Seventy\u2010eight children (mean 12.3 years) were enrolled in the ultrasound protocol, compared to 101 children (mean 13.6 years) evaluated using traditional methods of examination and\/or computed tomography (CT) imaging. Demographics between the two groups were not significantly different.<\/jats:p>Only one\u2010third of patients presumed to have PTA by ED staff had ultrasound findings consistent with abscess. Overall treatment failure rate was 8%, requiring readmission or surgical intervention for abscess. Length of stay, surgical drainage, and radiation exposure from CT scans were reduced significantly in the ultrasound group (P<\/jats:italic> < 0.006). Differences in readmission rates and mean charges between the two groups did not reach significance.<\/jats:p><\/jats:sec>Conclusion<\/jats:title>Peritonsillar abscess is a common infection in the pediatric population, but diagnosis can be challenging. Transcervical ultrasound is a safe, cost\u2010effective, and accurate modality to help stratify patients into medical and surgical treatment arms.<\/jats:p><\/jats:sec>Level of Evidence<\/jats:title>3b. Laryngoscope<\/jats:italic>, 127:1924\u20131929, 2017<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.26470","type":"journal-article","created":{"date-parts":[[2017,1,16]],"date-time":"2017-01-16T13:21:22Z","timestamp":1484572882000},"page":"1924-1929","source":"Crossref","is-referenced-by-count":25,"title":["Pediatric peritonsillar abscess: Outcomes and cost savings from using transcervical ultrasound"],"prefix":"10.1002","volume":"127","author":[{"given":"Zhen","family":"Huang","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology University of Texas\u2013Health Science Center at Houston Houston Texas U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William","family":"Vintzileos","sequence":"additional","affiliation":[{"name":"George Washington University School of Medicine and Health Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heather","family":"Gordish\u2010Dressman","sequence":"additional","affiliation":[{"name":"the Department of Integrative Systems Biology and Pediatrics"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anjum","family":"Bandarkar","sequence":"additional","affiliation":[{"name":"the Department of Radiology"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian K.","family":"Reilly","sequence":"additional","affiliation":[{"name":"the Department of Pediatric Otolaryngology , George Washington University School of Medicine and Health Sciences Children's National Health System Washington DC"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,1,16]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.pec.0000280525.44515.72"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100143634"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00247-015-3505-7"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.25354"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.25313"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2012.04.021"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.f2360"}],"container-title":["The Laryngoscope"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Flary.26470","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.26470","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,9]],"date-time":"2023-09-09T15:11:12Z","timestamp":1694272272000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lary.26470"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,1,16]]},"references-count":7,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2017,8]]}},"alternative-id":["10.1002\/lary.26470"],"URL":"https:\/\/doi.org\/10.1002\/lary.26470","archive":["Portico"],"relation":{},"ISSN":["0023-852X","1531-4995"],"issn-type":[{"value":"0023-852X","type":"print"},{"value":"1531-4995","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,1,16]]}}}