Skip to main content

Advertisement

SpringerLink
Log in

Lesser Palatine Nerve Block in Peritonsillar Abscess Drainage: a Prospective and Controlled Study

  • Surgery
  • Published:
SN Comprehensive Clinical Medicine Aims and scope Submit manuscript

Abstract

Determine the efficacy of the lesser palatine nerve block (LPNB) in pain management during and after peritonsillar abscess (PTA) drainage. A single-center, prospective, controlled study conducted in a tertiary referral center between April 2015 and September 2017. Twenty-four patients with a PTA were selected initially for our study. Two patients were excluded due to parapharyngeal and mediastinal extension. The remaining 22 patients were divided into two groups: the first group comprised 10 patients who underwent ipsilateral LPNB before PTA drainage. The second (control) group consisted of 12 patients in which only 10% lidocaine spray was used before PTA drainage. Intraoperative and postoperative pain was evaluated using a questionnaire with a 10-point numeric scale. The mean pain score in the study group was 1.9 (50% of the patients reported no pain) and it was 8.4 in the control group. The mean postoperative pain score after surgical drainage was 0.8 (60% of patients reported no pain) in the study group and 3.3 in the control group. No complications of the procedure were reported. The LPNB is a simple, safe, and efficacious anesthetic technique to reduce pain in patients undergoing surgical drainage of a PTA.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. Klug TE, Rusan M, Fuursted K, Ovesen T. Peritonsillar abscess: complication of acute tonsillitis or Webers gland infection? Otolaryngol Head Neck Surg. 2016;155:199–207.

    Article  Google Scholar 

  2. Galioto NJ. Peritonsillar abscess. Am Fam Physician. 2017;95(8):501–6.

    PubMed  Google Scholar 

  3. Risberg S, Engfeldt P, Hugosson S. Incidence of peritonsillar abscess and relationship to age and gender: retrospective study. Scand J Infect Dis. 2008;40(10):792–6.

    Article  Google Scholar 

  4. Suskind DL, Park J, Piccirillo JF, Lusk RP, Muntz HR. Conscious sedation: a new approach for peritonsillar abscess drainage in the pediatric population. Arch Otolaryngol Head Neck Surg. 1999;125(11):1197–200.

    Article  CAS  Google Scholar 

  5. Roberts JR. Otolaryngologic procedures (Clinical procedures in emergency medicine). 5th ed. Philadelphia: Saunders Elsevier; 2010. p. 1197–215.

    Google Scholar 

  6. Riviello RJ, Brown NA. Otolaryngologic procedures. Roberts and Hedges (Clinical Procedures in Emergency Medicine and Acute Care). 7th ed. Philadelphia, PA: Elsevier; 2019. p. 1338–1383.

  7. Ueno T, Tsuchiya H, Mizogami M, Takakura K. Local anesthetic failure associated with inflammation: verification of the acidosis mechanism and the hypothetic participation of inflammatory peroxynitrite. J Inflamm Res. 2008;1:41–8.

    CAS  PubMed  PubMed Central  Google Scholar 

  8. Seikaly HR, Harris JR, Villa-Roel C, Brick C, Rowe BH, Chau JK. Corticosteroids in peritonsillar abscess treatment: a blinded placebo-controlled clinical trial. Laryngoscope. 2014;124(1):97–103.

    Article  Google Scholar 

  9. Peltier J, Quinn F. Regional anesthesia in head and neck surgery. Dr. Quinn’s Grand Rounds Presentation, UTMB, Dept. of Otolaryngology. 2006;1–8.

  10. Horlocker T, Kopp S, Wedel D. Peripheral nerve blocks. Miller’s anesthesia. 8th ed. Philadelphia, PA: Saunders Elsevier; 2015. p. 1721–1751.

  11. Salam GA. Regional anesthesia for office procedures: part I. Head and neck surgeries. Am Fam Physician. 2004;69(3):585–90.

    PubMed  Google Scholar 

  12. Farooq M. Local infiltration anesthesia in drainage of quinsy. Int J Pathol. 2015;13(4):142–7.

    Google Scholar 

  13. Chung JH, Lee YC, Shin SY, Eun YG. Risk factors for recurrence of peritonsillar abscess. J Laryngol Otol. 2014;128(12):1084–8.

    Article  CAS  Google Scholar 

Download references

Acknowledgments

The authors would like to thank to Carlos Ruah, MD PhD, for his help in writing this manuscript and to Ms. Daniela Patrício for her help in improving the article images.

Author information

Authors and Affiliations

  1. Department of Otorhinolaryngology, Centro Hospitalar de Lisboa Ocidental, Nova Medical School, New University of Lisbon, Lisbon, Portugal

    Nelson Gilberto, Gustavo Almeida, Filipe Correia, Pedro Sousa & Pedro Escada

  2. Department of Anatomy, Nova Medical School, New University of Lisbon, Campo dos Mártires da Pátria, 130, 1169-056, Lisbon, Portugal

    Nelson Gilberto

  3. Emergency Department, Hospital das Forças Armadas, Azinhaga dos Ulmeiros, Paço do Lumiar, 1690-020, Lisbon, Portugal

    Nelson Gilberto & Gustavo Almeida

  4. ENT Center, Hospital CUF Infante Santo, Lisbon, Portugal

    Paula Campelo

  5. Department of Otorhinolaryngology, Hospital de Cascais, Av. Brigadeiro Victor Novais Gonçalves, 2755-009, Alcabideche, Cascais, Portugal

    Paula Campelo

Authors
  1. Nelson Gilberto
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Gustavo Almeida
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Filipe Correia
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Paula Campelo
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Pedro Sousa
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Pedro Escada
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Nelson Gilberto.

Ethics declarations

Conflict of Interest

The authors declare that they have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

This article does not contain any studies with animals performed by any of the authors.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

This article is part of the Topical Collection on Surgery

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Gilberto, N., Almeida, G., Correia, F. et al. Lesser Palatine Nerve Block in Peritonsillar Abscess Drainage: a Prospective and Controlled Study. SN Compr. Clin. Med. 1, 831–836 (2019). https://doi.org/10.1007/s42399-019-00128-8

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s42399-019-00128-8

Keywords

Search

Navigation