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February 1985

Peritonsillar Abscess

Author Affiliations

Roswell, NM

Arch Otolaryngol. 1985;111(2):135. doi:10.1001/archotol.1985.00800040099017

To the Editor.—I read, with some objectivism, the article by Dr Herzon1 and the comments by Dr Cantrell2 concerning the treatment of peritonsillar abscess.

I have never, in 35 years of practice, hospitalized a patient for incision or drainage of a peritonsillar abscess. It is my feeling that needle aspiration would be fully as painful as the routine incision and drainage.

I think the paramount thing to consider is that the sore throat must have been going on for five days before the incision and drainage can occur. Anything less than that will result in a negative production of pus and the administration of antibiotics preoperatively will retard the formation thereof.

I simply paint the area with tincture of iodine, inject the site of incision with 2% xylocaine, and after sufficient waiting time, incise with a gauge blade in the customary fashion toward the uvula and over

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