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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: ar-mohseni@student.tums.ac.ir
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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 

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