Risk factors for recurrence of peritonsillar abscess.
BACKGROUND
Additional high-quality evidence for predictors of peritonsillar abscess recurrence could lead to better-informed treatment decisions regarding tonsillectomy.


METHODS
In this study, 172 patients, who had been diagnosed and treated for peritonsillar abscess, were evaluated at follow up. A retrospective review of medical records and a telephone survey were performed. The clinical characteristics analysed included underlying disease, laboratory findings and computed tomography findings. Cox proportional hazard models were used to identify risk factors for peritonsillar abscess recurrence.


RESULTS
The recurrence rate of peritonsillar abscess was 13.9 per cent. Univariate analysis indicated that extraperitonsillar spread of the abscess (beyond the peritonsillar area) on computed tomography and a history of recurrent tonsillitis were associated with recurrence. Multivariate analysis also indicated that extraperitonsillar spread (p = 0.007; hazard ratio = 3.399) and recurrent tonsillitis history (p < 0.001; hazard ratio = 11.953) were significant risk factors for recurrence.


CONCLUSIONS
Our results suggest that tonsillectomy may be indicated as a treatment for peritonsillar abscess in patients with a history of recurrent tonsillitis or extraperitonsillar spread on computed tomography.
Department of Otolaryngology-Head and Neck Surgery,Kyung Hee University School of Medicine,Seoul,Korea.
J H
JH
Chung
Department of Otolaryngology-Head and Neck Surgery,Kyung Hee University School of Medicine,Seoul,Korea.
Y C
YC
Lee
Department of Otolaryngology-Head and Neck Surgery,Kyung Hee University School of Medicine,Seoul,Korea.
S Y
SY
Shin
Department of Otolaryngology-Head and Neck Surgery,Kyung Hee University School of Medicine,Seoul,Korea.
Y G
YG
Eun
D000328:Adult; D003625:Data Collection; D005260:Female; D006801:Humans; D053208:Kaplan-Meier Estimate; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D000039:Peritonsillar Abscess / Q000473:pathology* / Q000601:surgery*; D012008:Recurrence; D012189:Retrospective Studies; D012307:Risk Factors; D014057:Tomography, X-Ray Computed; D014068:Tonsillectomy / Q000379:methods