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Minimally-invasive catheter drainage of submandibular abscesses

      Management of deep abscesses of the head and neck has not changed substantially during past decades. Open surgical drainage, including wide incisions, is still part of the standard protocol. This regularly requires general anaesthesia and subsequent postoperative intensive or intermediate care management of swelling of traumatised tissue. Though a few approaches to intraoperative image-guided (computed tomography (CT) or ultrasound) minimally-invasive drainage of such abscesses have been reported, aspiration and catheterised drainage has not so far become popular.
      • Sacks J.C.
      • Gilmore W.C.
      Closed percutaneous catheter drainage of a cervical abscess.
      • Cottrell D.A.
      • Bankoff M.
      • Norris L.H.
      Computed tomography-guided percutaneous drainage of a head and neck infection.
      • Poe L.B.
      • Petro G.R.
      • Matta I.
      Percutaneous CT-guided aspiration of deep neck abscesses.
      • Yeow K.M.
      • Liao C.T.
      • Hao S.P.
      US-guided needle aspiration and catheter drainage as an alternative to open surgical drainage for uniloculated neck abscesses.
      • Chang K.P.
      • Chen Y.L.
      • Hao S.P.
      • Chen S.M.
      Ultrasound-guided closed drainage for abscesses of the head and neck.
      No protocol has been reported for submandibular abscesses, in particular, which are the most common severe odontogenic abscesses. We therefore present a practicable, minimally-invasive procedure for draining abscesses using the Seldinger technique, which is independent of intraoperative imaging.

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      References

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        • Gilmore W.C.
        Closed percutaneous catheter drainage of a cervical abscess.
        J Oral Maxillofac Surg. 1985; 43: 971-973
        • Cottrell D.A.
        • Bankoff M.
        • Norris L.H.
        Computed tomography-guided percutaneous drainage of a head and neck infection.
        J Oral Maxillofac Surg. 1992; 50: 1119-1121
        • Poe L.B.
        • Petro G.R.
        • Matta I.
        Percutaneous CT-guided aspiration of deep neck abscesses.
        Am J Neuroradiol. 1996; 17: 1359-1363
        • Yeow K.M.
        • Liao C.T.
        • Hao S.P.
        US-guided needle aspiration and catheter drainage as an alternative to open surgical drainage for uniloculated neck abscesses.
        J Vasc Interv Radiol. 2001; 12: 589-594
        • Chang K.P.
        • Chen Y.L.
        • Hao S.P.
        • Chen S.M.
        Ultrasound-guided closed drainage for abscesses of the head and neck.
        Otolaryngol Head Neck Surg. 2005; 132: 119-124