Hostname: page-component-78c5997874-g7gxr Total loading time: 0 Render date: 2024-11-02T19:27:28.816Z Has data issue: false hasContentIssue false
  • English
  • Français

Is ultrasonography-guided drainage a safe and effective alternative to incision and drainage for deep neck space abscesses?

Published online by Cambridge University Press:  26 January 2017

P Dabirmoghaddam ,
A Mohseni ,
Z Navvabi ,
A Sharifi ,
S Bastaninezhad  and
A Safaei
P Dabirmoghaddam
Affiliation:
Otolaryngology Research Center, Amiralam Hospital, Tehran University of Medical Sciences, Iran
A Mohseni*
Affiliation:
Otolaryngology Research Center, Amiralam Hospital, Tehran University of Medical Sciences, Iran Students' Scientific Research Center, Tehran University of Medical Sciences, Iran
Z Navvabi
Affiliation:
Otolaryngology Research Center, Amiralam Hospital, Tehran University of Medical Sciences, Iran
A Sharifi
Affiliation:
Otolaryngology Research Center, Amiralam Hospital, Tehran University of Medical Sciences, Iran Students' Scientific Research Center, Tehran University of Medical Sciences, Iran
S Bastaninezhad
Affiliation:
Otolaryngology Research Center, Amiralam Hospital, Tehran University of Medical Sciences, Iran
A Safaei
Affiliation:
Otolaryngology Research Center, Amiralam Hospital, Tehran University of Medical Sciences, Iran
*
Address for correspondence: Dr Alireza Mohseni, Otolaryngology Research Center, Amiralam Hospital, South Saadi Avenue, Enqelab Street, Tehran, Iran E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Background:

Deep neck space abscesses are common head and neck surgery emergencies. Traditionally, surgical incision and drainage has been the main treatment for deep neck abscesses. Recently, it has been suggested that ultrasound-guided drainage of neck abscesses can be an effective and less invasive alternative to incision and drainage.

Methods:

Patients with deep neck space abscesses referred to the emergency department of Amiralam Hospital were assessed and enrolled to the study if they met the inclusion criteria. Patients were randomly assigned to incision and drainage or ultrasound-guided drainage groups using sealed envelopes.

Results:

Sixty patients were evaluated, with 30 patients in each group. There was a significant difference (p < 0.001) in mean length of hospital stay between patients who underwent ultrasound-guided drainage (5.47 days) and those who underwent incision and drainage (9.70 days).

Conclusion:

Ultrasound-guided drainage is an effective and safe procedure, leading to shorter hospital stay, and thus may be a suitable alternative to incision and drainage of deep neck abscesses.

Keywords

AbscessBody FluidsDrainageNeck
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 131 , Issue 3 , March 2017 , pp. 259 - 263
Copyright
Copyright © JLO (1984) Limited 2017 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1 Larawin, V, Naipao, J, Dubey, SP. Head and neck space infections. Otolaryngol Head Neck Surg 2006;135:889–93CrossRefGoogle ScholarPubMed
2 Boscolo-Rizzo, P, Marchiori, C, Montolli, F, Vaglia, A, Da Mosto, MC. Deep neck infections: a constant challenge. ORL J Otorhinolaryngol Relat Spec 2006;68:259–65CrossRefGoogle ScholarPubMed
3 Sethi, DS, Stanley, RE. Deep neck abscesses–changing trends. J Laryngol Otol 1994;108:138–43Google Scholar
4 Wang, LF, Kuo, WR, Tsai, SM, Huang, KJ. Characterizations of life-threatening deep cervical space infections: a review of one hundred ninety-six cases. Am J Otolaryngol 2003;24:111–17Google Scholar
5 Vieira, F, Allen, SM, Stocks, RM, Thompson, JW. Deep neck infection. Otolaryngol Clin North Am 2008;41:459–83, viiCrossRefGoogle ScholarPubMed
6 Al-Belasy, FA. Ultrasound-guided drainage of submasseteric space abscesses. J Oral Maxillofac Surg 2005;63:36–41 Google Scholar
7 Chang, KP, Chen, YL, Hao, SP, Chen, SM. Ultrasound-guided closed drainage for abscesses of the head and neck. Otolaryngol Head Neck Surg 2005;132:119–24CrossRefGoogle ScholarPubMed
8 Yusa, H, Yoshida, H, Ueno, E, Onizawa, K, Yanagawa, T. Ultrasound-guided surgical drainage of face and neck abscesses. Int J Oral Maxillofac Surg 2002;31:327–9CrossRefGoogle ScholarPubMed
9 Sivarajasingam, V, Sharma, V, Crean, SJ, Shepherd, JP. Ultrasound-guided needle aspiration of lateral masticator space abscess. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1999;88:616–19CrossRefGoogle ScholarPubMed
10 Wang, LF, Tai, CF, Kuo, WR, Chien, CY. Predisposing factors of complicated deep neck infections: 12-year experience at a single institution. J Otolaryngol Head Neck Surg 2010;39:335–41Google ScholarPubMed
11 Boscolo-Rizzo, P, Da Mosto, MC. Submandibular space infection: a potentially lethal infection. Int J Infect Dis 2009;13:327–33CrossRefGoogle ScholarPubMed
12 Boscolo-Rizzo, P, Marchiori, C, Zanetti, F, Vaglia, A, Da Mosto, MC. Conservative management of deep neck abscesses in adults: the importance of CECT findings. Otolaryngol Head Neck Surg 2006;135:894–9CrossRefGoogle ScholarPubMed
13 Poe, LB, Petro, GR, Matta, I. Percutaneous CT-guided aspiration of deep neck abscesses. AJNR Am J Neuroradiol 1996;17:1359–63Google Scholar
14 Baatenburg de Jong, RJ, Rongen, RJ, Lameris, JS, Knegt, P, Verwoerd, CD. Ultrasound-guided percutaneous drainage of deep neck abscesses. Clin Otolaryngol Allied Sci 1990;15:159–66CrossRefGoogle ScholarPubMed
15 Yeow, KM, Hao, SP, Liao, CT. US-guided percutaneous catheter drainage of a deep retropharyngeal abscess. J Vasc Interv Radiol 1999;10:1365–9Google Scholar
16 Yeow, KM, Hao, SP, Liao, CT. US-guided percutaneous catheter drainage of parotid abscesses. J Vasc Interv Radiol 2000;11:473–6Google Scholar
17 Yeow, KM, Liao, CT, Hao, SP. US-guided needle aspiration and catheter drainage as an alternative to open surgical drainage for uniloculated neck abscesses. J Vasc Interv Radiol 2001;12:589–94CrossRefGoogle ScholarPubMed
18 Biron, VL, Kurien, G, Dziegielewski, P, Barber, B, Seikaly, H. Surgical vs ultrasound-guided drainage of deep neck space abscesses: a randomized controlled trial: surgical vs ultrasound drainage. J Otolaryngol Head Neck Surg 2013;42:18 CrossRefGoogle ScholarPubMed
19 Zheng, L, Yang, C, Kim, E, Zhang, W, Cai, X, Jiang, B et al. The clinical features of severe multi-space infections of the head and neck in patients with diabetes mellitus compared to non-diabetic patients. Br J Oral Maxillofac Surg 2012;50:757–61Google Scholar