{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T01:13:20Z","timestamp":1792631600719,"version":"4.5.0"},"reference-count":30,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2021,9,13]],"date-time":"2021-09-13T00:00:00Z","timestamp":1631491200000},"content-version":"vor","delay-in-days":74,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2021,7,1]],"date-time":"2021-07-01T00:00:00Z","timestamp":1625097600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["OTO Open"],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>The management of peritonsillar abscess (PTA) has evolved over time. We sought to define contemporary practice patterns for the diagnosis and treatment of PTA.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Cross\u2010sectional survey.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>The 15\u2010question survey was distributed to members of the Canadian Society of Otolaryngology\u2013Head and Neck Surgery (CSO) and the American Academy of Otolaryngology\u2013Head and Neck Surgery (AAO\u2010HNS).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>An iterative, consensus\u2010based process was used for survey development. Primary outcomes were to determine methods of diagnosis and first\u2010line treatments for PTA. Exploratory, secondary outcomes were analyzed using multivariable logistic regression models.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The survey response rate was 12.6% (n = 1176). Most participants were attending staff (86%) in a community hospital setting (60%) and had been in practice for more than 20 years (38%). Most respondents (78%) indicated that at least half of the time, cross\u2010sectional imaging had already been performed before they were consulted. Half of respondents (49%) indicated that they perform incision and drainage of the abscess as first\u2010line treatment, while few (16%) provide medical management alone. In exploratory analysis, participants from the AAO\u2010HNS had higher odds of imaging already being performed before consultation (odds ratio [OR], 11.7; 95% CI, 4.6\u201029.4) and increased odds of using medical management alone as a first\u2010line treatment (OR, 2.4; 95% CI, 1.3\u20104.2) compared to respondents from the CSO.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>There is wide practice variation in the diagnosis and management of acute, uncomplicated PTA among otolaryngologists in Canada and the United States. The use of cross\u2010sectional imaging and medical management alone may differ between countries of practice.<\/jats:p><\/jats:sec>","DOI":"10.1177\/2473974x211044081","type":"journal-article","created":{"date-parts":[[2021,9,13]],"date-time":"2021-09-13T18:07:22Z","timestamp":1631556442000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Management of Peritonsillar Abscesses in Adults: Survey of Otolaryngologists in Canada and the United States"],"prefix":"10.1002","volume":"5","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1014-3545","authenticated-orcid":false,"given":"David","family":"Forner","sequence":"first","affiliation":[{"name":"Division of Otolaryngology\u2013Head &amp; Neck Surgery Queen Elizabeth II Health Sciences Centre and Dalhousie University Halifax Nova Scotia Canada"},{"name":"Maritime SPOR (Strategy for Patient\u2010Oriented Research) Support Unit (MSSU) Halifax Nova Scotia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6625-0809","authenticated-orcid":false,"given":"Christopher W.","family":"Noel","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head &amp; Neck Surgery University of Toronto Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy","family":"Grant","sequence":"additional","affiliation":[{"name":"Maritime SPOR (Strategy for Patient\u2010Oriented Research) Support Unit (MSSU) Halifax Nova Scotia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Hong","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology\u2013Head &amp; Neck Surgery Queen Elizabeth II Health Sciences Centre and Dalhousie University Halifax Nova Scotia Canada"},{"name":"Maritime SPOR (Strategy for Patient\u2010Oriented Research) Support Unit (MSSU) Halifax Nova Scotia Canada"},{"name":"IWK Health Center Halifax Nova Scotia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Corsten","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology\u2013Head &amp; Neck Surgery Queen Elizabeth II Health Sciences Centre and Dalhousie University Halifax Nova Scotia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vincent","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head &amp; Neck Surgery University of Toronto Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S. 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