Needle aspiration or incision and drainage of the abscess under local or generalized anesthesia, combined with administration of parenteral antimicrobial therapy is the therapy of choice. Hospitalization and general anesthesia are required in younger children. Occasionally, outpatient treatment is possible (24,44). Emergency tonsillectomy also is an option. Patients with peritonsillar abscess and a history of recurrent tonsillitis should be considered for tonsillectomy after the acute episode subsides (45).

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