Clinical Research
Clinical value of ultrasound-guided percutaneous submandibular region puncture and drainage in the treatment of parapharyngeal space abscess
Wang Yandong, Hao Kaifei, Jing Xiang, Li Dan, Qin Zhengyi, Ding Jianmin, Zhang Peng
Published 2020-11-25
Cite as Chin J Ultrasonogr, 2020, 29(11): 977-981. DOI: 10.3760/cma.j.cn131148-20200626-00529
Abstract
ObjectiveTo investigate the feasibility and safety of ultrasound-guided percutaneous submandibular region puncture and drainage(PSPD) for treating parapharyngeal space abscess (PPSA).
MethodsThe clinical data of 26 patients with PPSA receiving PSPD from January 2015 to December 2019 in the Third Central Hospital of Tianjin were retrospectively analyzed.
ResultsAll 26 patients successfully underwent puncture and catheterization with a primary success rate of 100%. After catherization, pain relieved within 12-24 hours, body temperature returned to normal within 24-48 hours, white blood cell(WBC) and C-reactive protein(CRP) returned to normal within 48-96 hours. The catheterization duration ranged from 5 to 14 days and the average time was 7 days. There were statistically significant differences in the body temperature, maximum abscess diameter, WBC and CRP between pre-operation and 7 days after operation(all P<0.001). None of the 26 patients experienced any serious complications such as major vessels, nerve or glands injury. Bacterial cultures were positive in 18 patients and the most common bacteria was hemolytic streptococcus.
ConclusionsPSPD is an effective, safe and minimally invasive method for the treatment of PPSA as an alternative to operative incision and drainage.
Key words:
Ultrasonography; Parapharyngeal space; Abscess; Aubmandibular region; Percutaneous puncture; Catheter drainage
Contributor Information
Wang Yandong
Department of Ultrasound, the Third Central Hospital of Tianjin, Tianjin Key Laboratory of Extracorporeal Life Support for Critical Diseases, Artificial Cell Engineering Technology Research Center, Tianjin Institute of Hepatobiliary Disease, Tianjin 300170, China
Hao Kaifei
Department of Otolaryngology, the Third Central Hospital of Tianjin, Tianjin 300170, China
Jing Xiang
Department of Ultrasound, the Third Central Hospital of Tianjin, Tianjin Key Laboratory of Extracorporeal Life Support for Critical Diseases, Artificial Cell Engineering Technology Research Center, Tianjin Institute of Hepatobiliary Disease, Tianjin 300170, China
Li Dan
Tianjin Medical University, Tianjin 300170, China
Qin Zhengyi
Tianjin Medical University, Tianjin 300170, China
Ding Jianmin
Department of Ultrasound, the Third Central Hospital of Tianjin, Tianjin Key Laboratory of Extracorporeal Life Support for Critical Diseases, Artificial Cell Engineering Technology Research Center, Tianjin Institute of Hepatobiliary Disease, Tianjin 300170, China
Zhang Peng
Department of Otolaryngology, the Third Central Hospital of Tianjin, Tianjin 300170, China
