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ASOHNS ASM 2026
Management of peritonsillar abscess and feasibility of Day-case treatment: an Australian retrospective study
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ASOHNS

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Institution: Western Health - VIC, Australia

Background: Peritonsillar abscess (PTA), also known as quinsy, is a common deep neck space infection, often prompting drainage and antimicrobial treatment. Despite its frequency, variations exist in the management across institutions. Increasing interest in outpatient model arises since burden of coronavirus to reduce burden on healthcare system, prompting evaluation of day case management in selected PTA patients. Aim: This study aim to examine current trends in the management of PTA in an Australian hospital in Melbourne, Victoria and to asess the feasibility and outcomes of day-case management. Methodology: A retrospective review was conducted, including all patients diagnosed with PTA between February 2024 to February 2025. Data collected included demographics, clinical presentation, investigation, treatment modality, length of stay, rates of additional intervention post-initial treatment and re-presentation rates. Results: A total of 107 patients were admitted for PTA from February 2024 to February 2025. Mean age is 34.0 years (SD 13.4) with 70 males (65.4%) and 37 females (34.6%). The median length of stay is 0.95 day(s) (95% confidence interval (CI) [0.68, 1.2]). The diagnosis of PTA was often made clinically, with CT Neck performed in 20 cases (18.7%). The most common method of draining PTA is incision and drainage (N=96, 89.7%), only 11 patients (10.3%) underwent needle aspirate alone. After initial management, the majority of patients (N=91, 85.0%) did not require any repeat intervention or re-present to emergency department (ED) for further treatment (N=98, 91.6%). Conclusion: The management of PTA in Australia is largely standardised and aligns with routine international protocols. A significant proportion of PTA cases can be effectively managed with same-day discharge from ED, rather than full inpatient admission, with specific criteria guiding these discharge decisions.
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Dr Ha My Ngoc Nguyen - , Dr Jordan Younes - , Dr Ramanan Daniel -