Quinsy, also known as peritonsillar abscess, is a collection of pus in the space between the tonsil capsule and the superior constrictor muscle, usually caused by acute tonsillitis. Symptoms include fever, throat pain, difficulty swallowing, and ear pain on the affected side. On examination, the tonsils and surrounding areas will be swollen and red with mucopus visible. Treatment involves hospitalization, IV fluids, antibiotics, analgesics, and incision and drainage of the abscess.

1. QUINSY
(Peritonsillar Abscess)

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