Intra-oral Drainage of Submandibular Abscess: A Minimally Invasive Technique. A Prospective Study
- PMID: 38440448
- PMCID: PMC10908751
- DOI: 10.1007/s12070-023-04119-z
Intra-oral Drainage of Submandibular Abscess: A Minimally Invasive Technique. A Prospective Study
Abstract
Purpose: To evaluate the efficacy of intraoral drainage of isolated submandibular space abscess as a minimally invasive surgical technique compared to the standard trans-cervical approach.
Patients and methods: This prospective study included 40 subjects with isolated submandibular space abscesses. They were randomly divided into 2 equal groups: trans-cervical surgical drainage (group A) and intra-oral surgical drainage (group B). The included data were demographics, repeated surgery requirement, postsurgical hospitalization duration, formation of scar, and complications.
Results: Intraoral drainage (Group B) reduced the mean operative time by 15.25 min (P < 0.001) compared with trans-cervical incision (Group A). No considerable difference was found between the 2 groups in regarding hospitalization postoperatively. No weakness in marginal mandibular nerve was found in both groups. Three patients only have a cervical scar in a group (B) who required external drainage due to recollection. No recurrence was detected in a group (A).
Conclusion: The current study demonstrated that isolated submandibular abscesses can be successfully managed with an intraoral drainage modality, and it is a better option than the trans-cervical approach regarding better cosmetic outcome and shorter operative time.
Keywords: Abscesses; External approach; Intraoral; Submandibular space.
© Association of Otolaryngologists of India 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
Conflict of interest statement
Competing InterestsNone to declare. This study was conducted using the available resources at Cairo University Hospitals. The authors do not have any conflict of interest to declare. No author identifying information is present anywhere in the blinded manuscript.
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