Abscess around the tonsil

Abscess around the tonsil
Tonsillar infections can spread to surrounding tissues causing an abscess called peri tonsillar abscess.Patient presents with severe pain, difficulty in opening mouth,ear ache,muffled speech,dysphagia and drooling.On examination, throat shows swollen displaced uvula. Patient may or may not have recurrent tonsillitis.Causative organisms are different from acute tonsillitis. This abscess has to be drained by an incision or aspiration with a wide bore needle after spraying local anesthetic. This will immediately relieve of symptoms.Pus can be sent for culture and antibiotic sensitivity. Oral or intravenous antibiotics given dipending on the severity.Sometimes abscess tonsillectomy is done as method of treatment. There is a risk of spread of peritonsillar infection to surrounding vital structures like blood vessels and chest cavity endangering life. therefore it is very important to drain this abscess as early as possible.