{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T19:31:45Z","timestamp":1792697505920,"version":"4.5.0"},"reference-count":51,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2012,4,20]],"date-time":"2012-04-20T00:00:00Z","timestamp":1334880000000},"content-version":"vor","delay-in-days":19,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Otolaryngology"],"published-print":{"date-parts":[[2012,4]]},"abstract":"<jats:p>\n                    <jats:italic>Clin. Otolaryngol.<\/jats:italic>\n                    2012,\n                    <jats:bold>37<\/jats:bold>\n                    , 136\u2013145\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Objective of review:\u00a0<\/jats:bold>\n                    We present the current literature surrounding peritonsillar abscess management highlighting areas of controversy.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Type of review and search strategy:\u00a0<\/jats:bold>\n                    Literature review using Medline and Embase databases (search terms \u2018peritonsillar abscess\u2019, \u2018peritonsillar infection\u2019 and \u2018quinsy\u2019) limited to articles published from 1991 to 2011 (English language).\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Results:\u00a0<\/jats:bold>\n                    (i) Investigations: Intraoral ultrasound has a sensitivity and specificity of between 89\u201395% and 79\u2013100%, respectively, for correctly diagnosing peritonsillar abscess and is underutilised currently. (ii) Medical management: Steroids can effectively aid recovery, reducing hospitalisation time and improving symptom relief; however, further study is needed, especially related to risk and cost benefit. Penicillin and metronidazole are an effective combination in 98\u201399% of cases of peritonsillar abscess. (iii) Surgical management: Overall, there is no convincing evidence in favour of either aspiration or incision &amp; drainage. Quinsy tonsillectomy is subject to great geographical variation, however, is a safe procedure and reduces overall recovery time when compared with interval tonsillectomy. (iv) Admission: peritonsillar abscess can be effectively managed as an outpatient in many cases. (v) Further management: Overall, the recurrence rate of peritonsillar abscess is poorly defined but estimated as 9\u201322% based on current evidence. Interval tonsillectomy may be indicated in selected groups of patients at high risk of recurrence.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Conclusions:\u00a0<\/jats:bold>\n                    Peritonsillar abscess is a common condition with increasing incidence. We demonstrate the potential for evidence\u2010based modifications in clinical management. However, lack of national consensus may mean that this evidence base is not being adequately exploited in current practice. A national audit of peritonsillar abscess management, in particular looking at recurrence rates and patient experience with different management strategies, appears indicated.\n                  <\/jats:p>","DOI":"10.1111\/j.1749-4486.2012.02452.x","type":"journal-article","created":{"date-parts":[[2012,2,9]],"date-time":"2012-02-09T11:23:55Z","timestamp":1328786635000},"page":"136-145","source":"Crossref","is-referenced-by-count":137,"title":["An evidence\u2010based review of peritonsillar abscess"],"prefix":"10.1111","volume":"37","author":[{"given":"J.","family":"Powell","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.A.","family":"Wilson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2012,4,20]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1136\/pmj.78.923.545"},{"key":"e_1_2_6_3_2","doi-asserted-by":"crossref","first-page":"362","DOI":"10.1258\/002221504323086552","article-title":"Role of screening for infectious mononucleosis in patients admitted with isolated, unilateral peritonsillar abscess","volume":"118","author":"Ryan C.","year":"2004","journal-title":"J. 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