Podcast 761: Peritonsillar Abscess: To Stab or Not to Stab?

<p><strong>Contributor: Jared Scott, MD</strong></p> <p><strong>Educational Pearls:</strong></p> <ul> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">Often present with complaints of sore throat, pain with swallowing, difficulty swallowing, voice change, and possible fever</span></li> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">Retrospective study from 2018 evaluated outcomes of peritonsillar abscess with two management arms, surgical vs. non-surgical treatment</span></li> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">Non-surgical treatment only included IV fluids as well as IV ceftriaxone + clindamycin; Surgical treatment included either needle aspiration or incision and drainage of the abscess as well as the medical treatment from the non-surgical arm</span></li> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">Failure rate in both arms were statistically equivalent, but patients in the surgical arm had more days missed from work and more use of opioid medications for pain</span></li> </ul> <p><strong>References</strong></p> <p><span style="font-weight: 400;">Battaglia A, Burchette R, Hussman J, Silver MA, Martin P, Bernstein P. Comparison of Medical Therapy Alone to Medical Therapy with Surgical Treatment of Peritonsillar Abscess. Otolaryngol Head Neck Surg. 2018;158(2):280-286. doi:10.1177/0194599817739277</span></p> <p><em><span style="font-weight: 400;">Summarized by John Spartz, MS4 | Edited by Erik Verzemnieks, MD</span></em></p> <p> </p> <p><span style="font-weight: 400;">The Emergency Medical Minute is excited to announce that we are now offering</span> <em><span style="font-weight: 400;">AMA PRA Category 1 credits™</span></em> <span style="font-weight: 400;">via online course modules. To access these and for more information, visit our website at</span> <a href= "https://emergencymedicalminute.org/cme-courses/"><span style= "font-weight: 400;">https://emergencymedicalminute.org/c