Ultrasound-guided closed drainage for abscesses of the head and neck

Abstract

OBJECTIVES:

To evaluate the efficacy of ultrasound-guided percutaneous closed drainage in the management of abscesses in the head and neck.

STUDY DESIGN:

Prospective, controlled study.

METHODS:

From January 1998 to December 1999, patients presenting with a unilocular abscess in the head and neck and who subsequently underwent echo-guided percutaneous drainage were enrolled in the study.

RESULTS:

Fourteen patients were enrolled in the study. No patients needed open surgical drainage afterward. By our protocol, only 8 patients had an indwelling catheter. After treatment, all patients were cured of their disease completely without any complication.

CONCLUSIONS:

Ultrasound-guided percutaneous closed drainage is a safe and effective procedure and might be most beneficial in well-defined and/or unilocular abscess in the head and neck. Closed drainage could be tried initially in an abscess of the deeper visceral spaces and will not impede any subsequent intervention by surgery. Hospital stay can be shortened and potential surgical complications may be avoided by using this procedure.

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References

1. El-Silimy

Corney

The value of sonography in the management of cystic neck lesions. J Laryngol Otol 1993;107:245–51.

2. quraishi

O'halpin

Blayney

AW.

Ultrasonography in the evaluation of neck abscesses in children. Clin Otoloaryngol 1997;22:30–3.

3. Siegert

Ultrasonography of inflammatory soft tissue swelling of the head and neck. J Oral Maxillofac Surg 1987;45:842–6.

4. Rajak

Gupta

Jain

, Percutaneous treatment of liver abscesses: needle aspiration versus catheter drainage. AJR Am J Roentgenol 1998;170:1035–9.

5. Giorgio

Tarantino

Mariniello

, Pyogenic liver abscesses: 13 years of experience in percutaneus needle aspiration with US guidance. Radiology 195: 122–4.

6. Barrratt

Koopmann

Coulthard

SW.

Retropharyngeal abscess: a ten-year experience. Laryngoscope 1984;94:455–63.

7. Elliott

Bernard

Briggs

, Posterolateral cervicotomy in retropharyngeal abscesses. Laryngoscope 1992;102:585–7.

8. Nusbaum

Som

Rothschild

, Recurrence of a deep neck infection: a clinical indication of an underlying congenital lesion. Arch Otolaryngol Head Neck Surg 1999;125:1379–82.

9. Kruyt

Van Putten

WLJ

Levendag

, Biopsy of nonpalpable cervical lymph nodes: selection criteria for ultrasound-guided biopsy in patients with head and neck squamous cell carcinoma. Ultrasound Med Biol 1996;22:413–9.

10.

10. Cottrell

Bankoff

Norris

LH.

Computed tomography-guided percutaneous drainage of a head and neck infection. J Oral Maxillofac Surg 1992;50:1119–21.

11.

11. Baatenburg De

Jong Rj

Rongen

Lameris

, Ultrasound-guided percutaneous drainage of deep neck abscesses. Clin Otolaryngol 1990;15:159–66.

12.

12. Peckitt

Fields

Gregory

MC.

A closed drainage system for head and neck sepsis. J Oral Maxillofac Surg 1990;48:758–9.

13.

13. El-Sayed

Al Dousary

, Deep-neck space abscesses. J Otolaryngol 1996; 25: 227–33.

14.

14. Chen

Wen

Chang

, Deep neck infections in diabetic patients. Am J Otolaryngol 2000;21:169–73.