American journal of therapeutics
-
Review Comparative Study
Management of peritonsillar abscess: needle aspiration versus incision and drainage versus tonsillectomy.
Peritonsillar abscess is the most common deep infection of the head and neck. This article focuses on the different methods to manage this infection. Efficacy, cost-effectiveness, patient discomfort, recovery time, and possibility of recurrence are the issues considered to determine the best treatment option.
-
Cluster headache is a well-known primary headache syndrome with a prevalence of about 5/10,000 of the adult population, making it much less common than migraine. Diagnostic terms such as histaminic cephalalgia, Horton's headache and ciliary neuralgia have been used for what is now known as cluster headache. This disorder can be differentiated from migraine by clinical and pathophysiologic features. ⋯ There are a variety of different medications for abortive and prophylactic therapy, accompanied by a variable amount of evidence-based medicine. For patients refractory to medical management, interventional procedures are available as a last resort. Most procedures are directed against the sensory trigeminal nerve and associated ganglia, eg, anesthetizing the sphenopalatine ganglion.