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Ultrasonography-guided drainage versus surgical drainage for deep neck space abscesses: a systematic review and meta-analysis.
Alzaid, Mohammad; Ramadhan, Mohammed; Abul, Ahmad; Karam, Mohammad; Alsaif, Abdulmalik; Stapleton, Emma.
Afiliación
  • Alzaid M; School of Medical Sciences, University of Manchester, Manchester, UK.
  • Ramadhan M; Department of Surgery, Jaber Al-Ahmed Hospital, Kuwait City, Kuwait.
  • Abul A; Division of Surgical and Interventional Sciences, University College London, London, UK.
  • Karam M; Department of Ophthalmology & Visual Sciences, McGill University, Montreal, Canada.
  • Alsaif A; Royal Eye Unit, Kingston Hospital Foundation Trust, London, UK.
  • Stapleton E; Department of Otolaryngology, Manchester Royal Infirmary, Manchester, UK.
J Laryngol Otol ; : 1-7, 2024 Apr 15.
Article en En | MEDLINE | ID: mdl-38616333
ABSTRACT

OBJECTIVE:

To compare ultrasonography-guided drainage versus conventional surgical incision and drainage in deep neck space abscesses.

METHODS:

The study was pre-registered on the National Institute of Health Research Prospective Register of Systematic Reviews (CRD42023466809) and adhered to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The Medline, Embase and Central databases were searched. Primary outcomes were length of hospital stay and recurrence. Heterogeneity and bias risk were assessed, and a fixed-effects model was applied.

RESULTS:

Of 646 screened articles, 7 studies enrolling 384 participants were included. Ultrasonography-guided drainage was associated with a significantly shorter hospital stay (mean difference = -2.31, p < 0.00001), but no statistically significant difference was noted in recurrence rate compared to incision and drainage (odds ratio = 2.02, p = 0.21). Ultrasonography-guided drainage appeared to be associated with cost savings and better cosmetic outcomes.

CONCLUSION:

Ultrasonography-guided drainage was associated with a shorter hospital stay, making it a viable and perhaps more cost-effective alternative. More randomised trials with adequate outcomes reporting are recommended to optimise the available evidence.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Laryngol Otol Asunto de la revista: OTORRINOLARINGOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Reino Unido Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Laryngol Otol Asunto de la revista: OTORRINOLARINGOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Reino Unido Pais de publicación: Reino Unido