Study of Immediate Tonsillectomy for Peritonsillar Abscess in Patients Aged 75 Years or Older

Key Points

• The aim is to evaluate the clinical presentation, treatment challenges, and utility of immediate tonsillectomy for peritonsillar abscess in elderly patients aged 75 and older.
• Analysis of 45 patients aged 75 and older with peritonsillar abscess treated from 2014 to 2024.
• Comparison between patients undergoing immediate tonsillectomy under local anesthesia and those treated with different methods pre-implementation.
• Assessment of comorbidities and postoperative management strategies.
• Patients undergoing immediate tonsillectomy (A group) had significantly fewer interventions required (tracheostomy and meropenem usage) than those undergoing surgery with general anesthesia (C group).
• There was no significant difference in length of hospital stay, although a trend towards shorter stays was observed in A group.
• Immediate tonsillectomy is suggested as a beneficial treatment option for severe cases in elderly patients.