Objectives: To evaluate the surgical timing for chronic tonsillitis, peritonsillitis, and peritonsillar abscess.
Subjects and Methods: We report the clinicopathological features of 67 patients with tonsillitis and 113 patients with peritonsillitis and peritonsillar abscess. We examined the indications for a bilateral tonsillectomy in patients with chronic tonsillitis. We considered which surgical care we chose in puncture and incision and abscess tonsillectomy in a peritonsillar abscess.
Results: A bilateral tonsillectomy was necessary in patients with more than 4 episodes of tonsillitis. The hospital stay was significantly shorter for the puncture group than for the incision group about patients with peritonsillar abscess. For the reason, an incision might be necessary if sufficient drainage cannot be obtained using a puncture.
Conclusion: Accurate evaluations are needed for patients with chronic tonsillitis, and a quick response might be necessary to prevent airway obstruction in cases with peritonsillar abscess.
