Injection of an abscess around the tonsil

The article is professionally consulted by Master, Doctor Huynh Bao Toan - Department of Pediatrics - Neonatology - Vinmec Nha Trang International General Hospital.

Peritonsillar abscess is an inflammatory, purulent, loose connective tissue around the tonsils - between the tonsils and the side wall of the throat, common in older children and adults, in the changing seasons and changing weather.

Common causes of peritonsillar abscess are acute tonsillitis, chronic tonsillitis, especially purulent tonsillitis, untreated or improperly treated.
In addition, there are pathogens such as:
Due to strong virulence bacteria or drug-resistant bacteria, antibiotic treatment has little or no effect. Common in people who have poor hygiene of their throat, mouth, teeth or are lazy. Polluted environment, dust, smoke or smoke often, especially people with poor resistance such as rickets, malnourished children, the elderly and weak. When the weather changes suddenly, rain, cold, tropical depression, northeast monsoon spills over to the tonsils, acute and chronic easily recurring, this is also a common cause of abscess around the tonsils. It may be due to complications of wisdom teeth growing misaligned, infected with tonsils, causing inflammation, then an abscess around the tonsils.

Peritonsillar abscess usually occurs after acute, chronic tonsillitis or purulent tonsillitis. Cream according to symptoms such as:
Moderate or high fever (38-39 degrees Celsius), rapid pulse, little urine, dark color often accompanied by pain, burning throat. Sore throat also spreads to the ear, jaw angle, especially when eating, swallowing and drooling a lot. Severe sore throat on the side of the abscess around the tonsils, sharp pain in the ear, when swallowing is more painful, so the patient does not dare to swallow and may feel pain in the corner of the jaw. Difficulty opening mouth, bad breath. If not detected early, the abscess will spread to the bite muscle area, causing jaw tightness, accompanied by difficulty breathing because the abscess fills the oropharynx. In addition, the symptoms of abscess around the tonsils are often dry lips, dirty tongue, fatigue (due to fever causing dehydration, electrolytes and bacterial toxins), bad breath, altered voice, difficulty hearing due to narrowing of the throat.

To effectively treat abscesses around the tonsils, patients need to go to medical facilities that specialize in otolaryngology. Depending on the stage and symptoms of abscess around the tonsils, there are different treatment methods.
Injecting the abscess around the tonsils is a method of injecting and draining pus. This method is widely applied in the treatment of abscesses around the tonsils.
Stage 1: Poke a needle to probe the abscess, poke the most bulging point 1-1.5cm deep while pushing and aspirating. If the puncture does not have pus, it is just inflammation, then medical treatment. If the puncture has pus, conduct a clean injection. Then 2: inject clean to remove pus. Use a small knife to make an incision at the point where the needle was inserted, then use a kocher needle to separate the abscess and widen it to drain the pus. Stage 3: The abscess can be washed with physiological saline or hydrogen peroxide, and then drained. Follow-up after injection of abscess around tonsils:
Systemic antibiotics. Anti-inflammatory, analgesic, anti-edema. Daily use of drugs: use together with Lube-Baccott to widen the incision, wash the abscess. Indications for tonsillectomy after 3-4 weeks to prevent recurrence. Possible complications:
Shock due to pain and too much fear: explain carefully to the patient about the procedure, use of heart medication, power assist, sedation. Small bleeding: Use a cotton swab soaked in hydrogen peroxide solution 12 units to put into the incision. When having purulent tonsillitis, it is necessary to treat it early to avoid progressing to an abscess around the tonsils, perform the correct treatment as prescribed by the doctor to quickly cure the disease. It is necessary to clean the throat, mouth and teeth daily by brushing after eating, before and after waking up, better, gargle with light salt water before brushing.
Vinmec International General Hospital examines and treats common nasopharyngitis diseases, head and neck tumors, congenital malformations of the ear, nose and throat area with the most optimal internal and surgical methods for patients, both children and adults. Coming to Vinmec International General Hospital, patients will receive a direct, dedicated and professional examination from a team of qualified and experienced medical staff.