Test characteristics of ultrasound for the diagnosis of peritonsillar abscess: A systematic review and meta‐analysis

Distinguishing peritonsillar abscess (PTA) from peritonsillar cellulitis using clinical assessment is challenging as many features overlap for both conditions, and physical examination is only about 75% sensitive and 50% specific for diagnosing PTA. The primary objective of this systematic review was to determine the test characteristics of ultrasound for diagnosing PTA when compared to a reference standard of computed tomography or acquisition of pus via needle aspiration or incision and drainage.

[1]  E. Hess,et al.  Guidelines for reasonable and appropriate care in the emergency department (GRACE): Recurrent, low‐risk chest pain in the emergency department , 2021, Academic emergency medicine : official journal of the Society for Academic Emergency Medicine.

[2]  Thomas D. Nielsen,et al.  Peritonsillar Abscess Size as a Predictor of Medical Therapy Success , 2021, The Annals of otology, rhinology, and laryngology.

[3]  T. Todsen,et al.  Surgeon‐performed Transoral Ultrasound‐Guided Aspiration of Peritonsillar Abscess , 2021, The Laryngoscope.

[4]  S. M. Taylor,et al.  Medical Intervention Alone vs Surgical Drainage for Treatment of Peritonsillar Abscess: A Systematic Review and Meta-analysis , 2020, Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery.

[5]  David Moher,et al.  Preferred Reporting Items for a Systematic Review and Meta-analysis of Diagnostic Test Accuracy Studies: The PRISMA-DTA Statement , 2018, JAMA.

[6]  T. Dean,et al.  367 Point-of-Care Ultrasound for Evaluation of Peritonsillar Abscess , 2017 .

[7]  Romaine F. Johnson Emergency department visits, hospitalizations, and readmissions of patients with a peritonsillar abscess , 2017, The Laryngoscope.

[8]  L. Gallo,et al.  Adherence to Standards for Reporting Diagnostic Accuracy in Emergency Medicine Research , 2017, Academic emergency medicine : official journal of the Society for Academic Emergency Medicine.

[9]  B. Reilly,et al.  Utilization of ultrasound for diagnostic evaluation and management of peritonsillar abscesses , 2017, Current opinion in otolaryngology & head and neck surgery.

[10]  J. Guarisco,et al.  Association Between Computed Tomographic Scan and Timing and Treatment of Peritonsillar Abscess in Children. , 2016, JAMA otolaryngology-- head & neck surgery.

[11]  C. Carpenter,et al.  Overtesting and the Downstream Consequences of Overtreatment: Implications of "Preventing Overdiagnosis" for Emergency Medicine. , 2015, Academic emergency medicine : official journal of the Society for Academic Emergency Medicine.

[12]  J. Kline,et al.  Clinical Decision Rules for Diagnostic Imaging in the Emergency Department: A Research Agenda. , 2015, Academic emergency medicine : official journal of the Society for Academic Emergency Medicine.

[13]  Brad W deSilva,et al.  The use of ultrasound imaging in evaluation of peritonsillar infections , 2015, The Laryngoscope.

[14]  D. Preciado,et al.  Transcervical ultrasonography in the diagnosis of pediatric peritonsillar abscess , 2015, The Laryngoscope.

[15]  M. Secko,et al.  Think ultrasound first for peritonsillar swelling. , 2015, The American journal of emergency medicine.

[16]  T. E. Klug Incidence and microbiology of peritonsillar abscess: the influence of season, age, and gender , 2014, European Journal of Clinical Microbiology & Infectious Diseases.

[17]  W. Satz,et al.  Randomized trial comparing intraoral ultrasound to landmark‐based needle aspiration in patients with suspected peritonsillar abscess , 2013 .

[18]  K. Kara,et al.  Transoral ultrasonography in the diagnosis and treatment of peritonsillar abscess. , 2013, Clinical imaging.

[19]  Susan Mallett,et al.  QUADAS-2: A Revised Tool for the Quality Assessment of Diagnostic Accuracy Studies , 2011, Annals of Internal Medicine.

[20]  D. Brenner,et al.  Computed tomography--an increasing source of radiation exposure. , 2007, The New England journal of medicine.

[21]  L. Sennes,et al.  Intraoral and transcutaneous cervical ultrasound in the differential diagnosis of peritonsillar cellulitis and abscesses , 2006, Brazilian journal of otorhinolaryngology.

[22]  D. Rennie,et al.  Towards complete and accurate reporting of studies of diagnostic accuracy: the STARD initiative , 2003, BMJ : British Medical Journal.

[23]  W. K. Loftus,et al.  Diagnosis of peritonsillar infections: a prospective study of ultrasound, computerized tomography and clinical diagnosis , 1999, The Journal of Laryngology & Otology.

[24]  P. Scott,et al.  Peritonsillar abscess appearance on intra-oral ultrasonography. , 1998, Clinical radiology.

[25]  I. Miziara,et al.  The Use of Ultrasound Evaluation in the Diagnosis of Peritonsillar Abscess , 1997, Revue de laryngologie - otologie - rhinologie.

[26]  A. Jones,et al.  The role of ultrasound in the management of peritonsillar abscess , 1994, The Journal of Laryngology & Otology.

[27]  A. Buckley,et al.  Diagnosis of peritonsillar abscess: value of intraoral sonography. , 1994, AJR. American journal of roentgenology.

[28]  C. Engström,et al.  Intraoral Ultrasonography in the Diagnosis of Peritonsillar Abscess , 1993, Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery.

[29]  K. Patel,et al.  The role of computed tomography in the management of peritonsillar abscess , 1992, Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery.

[30]  E. Buckley Clinical policies. , 1982, British medical journal.

[31]  M. Blaivas,et al.  Intraoral ultrasound in the diagnosis and treatment of suspected peritonsillar abscess in the emergency department. , 2005, Academic emergency medicine : official journal of the Society for Academic Emergency Medicine.

[32]  F. Jensen,et al.  Preoperative ultrasonographic verification of peritonsillar abscesses in patients with severe tonsillitis , 2004, European Archives of Oto-Rhino-Laryngology.

[33]  J. Wootton Clinical practice guidelines. , 1999, Journal of women's health & gender-based medicine.

[34]  L. Klimek,et al.  Surgical or medical treatment of questionable peritonsillar abscess? The use of B-mode ultrasonography. , 1993, Acta oto-rhino-laryngologica Belgica.

[35]  Appropriateness Criteria , 2022 .