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Diagnostics (Basel). 2018 Aug 2;8(3). pii: E50. doi: 10.3390/diagnostics8030050.

A Novel Technique for Intraoral Ultrasound-Guided Aspiration of Peritonsillar Abscess.

Author information

1
Department of Otorhinolaryngology, Head and Neck Surgery & Audiology, Rigshospitalet University Hospital, 2100 Copenhagen, Denmark. tobiastodsen@gmail.com.
2
Department of Otorhinolaryngology and Maxillofacial Surgery, Zealand University Hospital, 4600 K√łge, Denmark. tobiastodsen@gmail.com.
3
Department of Otorhinolaryngology, Head and Neck Surgery & Audiology, Rigshospitalet University Hospital, 2100 Copenhagen, Denmark. Mads.Georg.Stage.01@regionh.dk.
4
Department of Otorhinolaryngology, Head and Neck Surgery & Audiology, Rigshospitalet University Hospital, 2100 Copenhagen, Denmark. Christoffer.Holst.Hahn.01@regionh.dk.

Abstract

Peritonsillar abscess (PTA) is a common complication to acute tonsillitis. The treatment is drainage of the abscess, but many needle aspirations are unsuccessful due to a low diagnostic accuracy based on oral examination only. In this article, we describe how intraoral ultrasound can be added to improve the diagnostic work-up of PTA and present a novel technique for ultrasound-guided aspiration of PTA, using a small pencil-shaped transducer. We present our first clinical experiences with this technique and describe how it could be integrated in a clinical setting to guide safe and successful needle aspirations of PTA.

KEYWORDS:

intraoral ultrasound; peritonsillar abscess; point-of-care ultrasound; ultrasound-guided aspiration

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