Section 58
Chapter 57,106

A unifying theory of tonsillitis, intratonsillar abscess and peritonsillar abscess

Blair, A.B.; Booth, R.; Baugh, R.

American Journal of Otolaryngology 36(4): 517-520


ISSN/ISBN: 1532-818X
PMID: 25865201
DOI: 10.1016/j.amjoto.2015.03.002
Accession: 057105500

We review existing models of the pathogenesis of peritonsillar abscess (PTA) and intra-tonsillar abscess (ITA) and present a novel pathophysiologic model based upon observed histopathology in 2 ITAs and 10 PTAs and acute tonsillitis cases. ITA is rare, and prevailing models are only able to account for a minority of cases. The tonsillar lymphatic ultrastucture and the rapid nature of intratonsillar lymphatic transit, offer the framework for a unifying model of the development and progression of tonsillitis, PTA and ITA.

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