Loop drainage in Subcutaneous Head and Neck Abscesses: A Minimally Invasive Procedure

Main Article Content

Titasa Pakira
Arya Brata Dubey
Subhradev Biswas

Abstract

INTRODUCTION: Incision and drainage (I&D) of abscess is the gold standard treatment. The purpose of this study was to compare Loop Drainage Technique (LDT) of subcutaneous Head and Neck abscess with I&D in terms of primary outcome like efficacy and change in abscess diameter and secondary outcome like pain, duration of procedure, duration of healing and patient satisfaction.


MATERIALS AND METHODS: A prospective cohort study was conducted in a tertiary care hospital for one year. Patients were consecutively allocated to I&D and LDT. All patients underwent ultrasonic evaluation of abscess size pre-procedure and 7th  day post-procedure. Both groups received antibiotics at discharge and followed up at regular interval.


RESULTS: A total of 70 patients were selected (35 in each group). Mean(sd) change in abscess diameters between I&D and LDT was not significant (p=0.83). In terms of efficacy or healing both procedures were equivalent (p=0.72). The secondary outcome like Pain (VAS score), duration of procedure was significantly lower in LDT than I&D (p<0.0001). The patient satisfaction score measured by Likert scale was significantly better in LDT than I&D (p<0.0001). However duration of healing was same in both groups (p=0.49).


CONCLUSION: Loop drainage is equally efficacious to standard I&D in abscess resolution but the duration of procedure and pain experienced was less, with better compliance.

Article Details

How to Cite
1.
Pakira T, Dubey AB, Biswas S. Loop drainage in Subcutaneous Head and Neck Abscesses: A Minimally Invasive Procedure. BJOHNS [Internet]. 2023Mar.31 [cited 2024Nov.21];30(2):197-204. Available from: https://bjohns.in/journal3/index.php/bjohns/article/view/732
Section
Main article
Author Biographies

Titasa Pakira, Institute of Otorhinolaryngology and Head Neck Surgery, IPGME&R, SSKM Hospital,Kolkata

 

Senior Resident

Arya Brata Dubey, INSTITUTE OF POSTGRADUATE MEDICAL EDUCATION AND RESEARCH, KOLKATA

 

 Senior Resident, Department of ENT

Subhradev Biswas, Institute of Otorhinolaryngology and Head Neck Surgery, IPGME&R, SSKM Hospital,Kolkata

 

 Associate Professor

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