Intratonsillar abscesses: 3 case reports and a review of the literature

Abstract

OBJECTIVES: Intratonsillar abscess (ITA) is a rarely diagnosed infection occurring in both children and adults. Our objective is to review the presentation and management of intratonsillar abscesses. Study Design: Retrospective chart review of three patients with ITA. Methods: Three case reports of intratonsillar abscess highlighting diagnostic, management and treatment strategies. We then present a review of the medical literature regarding ITAs. Results: Two children and one adult were found to have ITA. Treatments include needle aspiration, incision and drainage, and tonsillectomy. Conclusions: Intratonsillar abscesses are uncommon, but should be considered in the differential diagnosis of peritonsillar abscess and tonsillitis. CT scan may confirm the presence of an ITA. Management is similar to that of peritonsillar abscess.