Xuejie Fan1,2,3,4, Shudong Tao1,2,3,4. 1. Department of Otorhinolaryngology Head and Neck Surgery, The Third Central Hospital of Tianjin, Tianjin, China. 2. Tianjin Key Laboratory of Extracorporeal Life Support for Critical Diseases, Tianjin, China. 3. Artificial Cell Engineering Technology Research Center, Tianjin, China. 4. Tianjin Institute of Hepatobiliary Disease, Tianjin, China.
Abstract
BACKGROUND: Deep neck space abscess is a common disease in otolaryngology-head, and neck surgery emergencies that result in significant morbidity with potential mortality. Traditional incision drainage with antibiotics is widely accepted worldwide. Recent studies have shown that ultrasound-guided drainage is an effective strategy and is less invasive for patients. The present study aimed to explore the difference between puncture and drainage guided by B-ultrasound and traditional surgical incision in treating deep neck space abscess. METHODS: A total of 60 patients with deep neck abscess were enrolled in the present study; 43 were distributed to the B-ultrasound puncture drainage group and 17 to the incision drainage group. Clinical data were collected, and differences between the 2 treatment options were compared. RESULTS: There were no differences in patients' systemic illness, age, and clinical features (diameter of an abscess, amount of drainage in first 3 days, and body temperature). The cure rate of both groups was 100%; the number of hospitalization days of the B-ultrasound-guided puncture group (8 days) was significantly less than that of the incision drainage group (10.8 days). CONCLUSIONS: Puncture drainage of neck abscess guided by B-ultrasound is a safe and effective treatment method and can reduce the patient's hospital stay. 2021 Gland Surgery. All rights reserved.
BACKGROUND: Deep neck space abscess is a common disease in otolaryngology-head, and neck surgery emergencies that result in significant morbidity with potential mortality. Traditional incision drainage with antibiotics is widely accepted worldwide. Recent studies have shown that ultrasound-guided drainage is an effective strategy and is less invasive for patients. The present study aimed to explore the difference between puncture and drainage guided by B-ultrasound and traditional surgical incision in treating deep neck space abscess. METHODS: A total of 60 patients with deep neck abscess were enrolled in the present study; 43 were distributed to the B-ultrasound puncture drainage group and 17 to the incision drainage group. Clinical data were collected, and differences between the 2 treatment options were compared. RESULTS: There were no differences in patients' systemic illness, age, and clinical features (diameter of an abscess, amount of drainage in first 3 days, and body temperature). The cure rate of both groups was 100%; the number of hospitalization days of the B-ultrasound-guided puncture group (8 days) was significantly less than that of the incision drainage group (10.8 days). CONCLUSIONS: Puncture drainage of neck abscess guided by B-ultrasound is a safe and effective treatment method and can reduce the patient's hospital stay. 2021 Gland Surgery. All rights reserved.
Authors: Pablo Santos Gorjón; Pedro Blanco Pérez; Ana Cristina Morales Martín; Juan Carlos Del Pozo de Dios; Santiago Estévez Alonso; María Isabel Calle de la Cabanillas Journal: Acta Otorrinolaringol Esp Date: 2011-08-05