ArticleActa otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale2026
A hidden diagnosis in the tonsil: recognising and differentiating intratonsillar abscess.
Article in Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: Peritonsillar abscess (PTA) and intratonsillar abscess (ITA) are distinct entities, but the latter is often overlooked due to its rarity and diagnostic difficulty. This study compares their clinical, laboratory, and microbiological profiles to identify distinguishing features. Methods: This single-centre retrospective study included 367 patients diagnosed with PTA (n = 311) or ITA (n = 56) between 2019 and 2025. Demographics, symptoms, laboratory markers (e.g., white blood cells [WBC], neutrophils, lymphocytes, large unstained cells [LUC], C-reactive protein, sodium, neutrophil-to-lymphocyte ratio, systemic immune-inflammation index, and platelet-to-WBC ratio [PWR]), culture results, imaging, drainage outcomes, and hospital stay were analysed comparatively. Results: PTA cases showed significantly higher WBC, neutrophil counts, and drainage volumes, with 80.8% drainage success Conclusions: ITA typically presents with smaller abscesses and limited systemic involvement, often responding to conservative treatment. Recognising ITA as a distinct clinical entity may improve diagnosis and management strategies.
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