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

Abstract

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. 3 case reports of intratonsillar abscess highlighting diagnostic, management and treatment strategies. We then present a review of the medical literature regarding ITAs. 2 children and 1 adult were found to have ITA. Treatments include needle aspiration, incision and drainage, and tonsillectomy. 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. A full discussion of the clinical presentation, pathophysiology, management and a review of the current literature are presented.