ppt

1. QUINSY
(Peritonsillar Abscess)
Manisha Mistry

2. INTRODUCTION :
• It’s a collection of pus in the
peritonsillar space which lies
between the capsule of
tonsil and the superior
constrictor muscle.

3. AETIOLOGY :
Acute tonsillitis.
•
• Tonsillar crypts - usually
crypta magna.
• Aerobic like Streptococcus
pyogens, S. aureus or
anaerobic organisms.

4. CLINICAL
FEATURES :
•
•
General.
Local

5. GENERAL :
• Fever (upto 104°F) with
chills.
Malaise.
Body aches.
Headache.
•
•
•
• Nausea and Constipation.

6. LOCAL :
Throat pain.
Odynophagia.
Hot potato voice.
Foul breath.
Ipsilateral ear ache.
•
•
•
•
•
• Trismus.

7. EXAMINATION :
• Tonsils, pillars and soft palate
- Congested and swollen.
• Uvula - swollen and
oedematous.
Bulging of the soft palate.
Mucopus - tonsillar region.
•
•
• Cervical lymphadenopathy -
jugulodigastric lymph nodes.
• Torticollis.

8. TREATMENT :
Hospitalisation.
Intravenous fluids.
Antibiotics.
Analgesics.
•
•
•
•
• Oral hygiene.
( Peritonsillitis )

9. INCISION
AND
DRAINAGE
OF ABSCESS
•
•
•
•
At the point of maximum
bulge above the upper pole
of tonsil.
Guarded knife - Incision.
Sinus forceps.
Suction.

10. INTERVAL
TONSILLECTOM
Y
• 4 - 6 weeks following the
attack of quinsy.

11. ABSCESS or HOT
TONSILLECTOMY
• Risk of rupture of the
abscess during anaesthesia
and excessive bleeding at the
time of operation.

12. COMPLICATIONS :
Parapharyngeal abscess.
•
• Oedema of larynx
(Tracheostomy).
Septicaemia.
•
• Pneumonitis or lung
abscess.
Jugular vein thrombosis.
•
• Spontaneous haemorrhage.

13. PREVENTION :
•
•
•
•
Do not smoke.
Good oral hygiene.
Oral infections.
Antibiotics.

14. THANK YOU