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Article
July 1935

BILATERAL ENCAPSULATED PERITONSILLAR ABSCESS IN A CHILD: REVIEW OF THE LITERATURE AND REPORT OF A CASE

Author Affiliations

ANN ARBOR, MICH.

Arch Otolaryngol. 1935;22(1):90-95. doi:10.1001/archotol.1935.00640030101007
Abstract

Prior to 1892 the terms tonsillitis and quinsy were generally used synonymously to denote all forms of acute, nonspecific lesions of the tonsils.1 The term quinsy is said to be a corruption of the Greek term cynanche, meaning "dog choke,"2 and was used to designate any angina or obstruction of the fauces. Other synonyms were esquinancy, squinancy, squinzy, quincy and amygdalitis.3

While in the majority of cases the condition resolved itself, it was recognized that in some suppuration occurred, although it was not appreciated that the source of the pus was outside the tonsil. On the theory of a tonsillar abscess scarification of the tonsil was advised and carried out, although admittedly with little success.4 It remained for Bosworth2 to demonstrate in 1892 that the pus formed not in the tonsil but in the peritonsillar areolar tissue, primarily above the tonsil, whence it spread laterally,

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