Ultrasound-Guided Needle Aspiration of Peritonsillar Abscesses: Utility of Transoral Pharyngeal Ultrasonography

A peritonsillar abscess is a common deep infection that is usually related to acute tonsillitis. Needle aspiration is often performed for diagnosis and treatment, but several complications, including puncture of the carotid artery, may occur, even when performed by properly trained physicians. The u...

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Main Authors: Yuta Hagiwara, Yoshimitsu Saito, Hana Ogura, Yuichiro Yaguchi, Takahiro Shimizu, Yasuhiro Hasegawa
Format: Article
Language:English
Published: MDPI AG 2019-10-01
Series:Diagnostics
Subjects:
Online Access:https://www.mdpi.com/2075-4418/9/4/141
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author Yuta Hagiwara
Yoshimitsu Saito
Hana Ogura
Yuichiro Yaguchi
Takahiro Shimizu
Yasuhiro Hasegawa
author_facet Yuta Hagiwara
Yoshimitsu Saito
Hana Ogura
Yuichiro Yaguchi
Takahiro Shimizu
Yasuhiro Hasegawa
author_sort Yuta Hagiwara
collection DOAJ
description A peritonsillar abscess is a common deep infection that is usually related to acute tonsillitis. Needle aspiration is often performed for diagnosis and treatment, but several complications, including puncture of the carotid artery, may occur, even when performed by properly trained physicians. The utility of transoral pharyngeal ultrasonography (TOPU) equipped with a biopsy adaptor for safe and full aspiration is presented. A 19-year-old man was admitted to our hospital because of a peritonsillar abscess. TOPU showed the abscess and a branch of the carotid artery, and an otolaryngologist performed puncture through the biopsy adaptor with the aid of the ultrasound image. Needle aspiration was accomplished by avoiding arterial puncture and monitoring the shrinkage of the abscess. TOPU-guided needle aspiration is useful in the safe drainage of peritonsillar abscesses.
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spelling doaj.art-024e5719fd514bacbceeb85c9cc480862022-12-22T04:01:03ZengMDPI AGDiagnostics2075-44182019-10-019414110.3390/diagnostics9040141diagnostics9040141Ultrasound-Guided Needle Aspiration of Peritonsillar Abscesses: Utility of Transoral Pharyngeal UltrasonographyYuta Hagiwara0Yoshimitsu Saito1Hana Ogura2Yuichiro Yaguchi3Takahiro Shimizu4Yasuhiro Hasegawa5Department of Neurology, St. Marianna University School of Medicine, Kawasaki 216-8511, JapanDepartment of Otorhinolaryngology, St. Marianna University School of Medicine, Kawasaki 216-8511, JapanDepartment of Neurology, St. Marianna University School of Medicine, Kawasaki 216-8511, JapanDepartment of Otorhinolaryngology, St. Marianna University School of Medicine, Kawasaki 216-8511, JapanDepartment of Neurology, St. Marianna University School of Medicine, Kawasaki 216-8511, JapanDepartment of Neurology, St. Marianna University School of Medicine, Kawasaki 216-8511, JapanA peritonsillar abscess is a common deep infection that is usually related to acute tonsillitis. Needle aspiration is often performed for diagnosis and treatment, but several complications, including puncture of the carotid artery, may occur, even when performed by properly trained physicians. The utility of transoral pharyngeal ultrasonography (TOPU) equipped with a biopsy adaptor for safe and full aspiration is presented. A 19-year-old man was admitted to our hospital because of a peritonsillar abscess. TOPU showed the abscess and a branch of the carotid artery, and an otolaryngologist performed puncture through the biopsy adaptor with the aid of the ultrasound image. Needle aspiration was accomplished by avoiding arterial puncture and monitoring the shrinkage of the abscess. TOPU-guided needle aspiration is useful in the safe drainage of peritonsillar abscesses.https://www.mdpi.com/2075-4418/9/4/141transoral ultrasonographyperitonsillar abscesspuncture drainage
spellingShingle Yuta Hagiwara
Yoshimitsu Saito
Hana Ogura
Yuichiro Yaguchi
Takahiro Shimizu
Yasuhiro Hasegawa
Ultrasound-Guided Needle Aspiration of Peritonsillar Abscesses: Utility of Transoral Pharyngeal Ultrasonography
Diagnostics
transoral ultrasonography
peritonsillar abscess
puncture drainage
title Ultrasound-Guided Needle Aspiration of Peritonsillar Abscesses: Utility of Transoral Pharyngeal Ultrasonography
title_full Ultrasound-Guided Needle Aspiration of Peritonsillar Abscesses: Utility of Transoral Pharyngeal Ultrasonography
title_fullStr Ultrasound-Guided Needle Aspiration of Peritonsillar Abscesses: Utility of Transoral Pharyngeal Ultrasonography
title_full_unstemmed Ultrasound-Guided Needle Aspiration of Peritonsillar Abscesses: Utility of Transoral Pharyngeal Ultrasonography
title_short Ultrasound-Guided Needle Aspiration of Peritonsillar Abscesses: Utility of Transoral Pharyngeal Ultrasonography
title_sort ultrasound guided needle aspiration of peritonsillar abscesses utility of transoral pharyngeal ultrasonography
topic transoral ultrasonography
peritonsillar abscess
puncture drainage
url https://www.mdpi.com/2075-4418/9/4/141
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