Vol.101 No.1 contentsPRACTICA OTO-RHINO-LARYNGOLOGICA
Vol. 101 No. 1 January 2008
Catheter Drainage of Neck Abscess in Children
Kazumi Yoshino
(Kitami Red Cross Hospital, Asahikawa Medical College)
Kan Kishibe and Yasuaki Harabuchi
(Asahikawa Medical College)
Tetsuji Wada and Naoki Kanai
(Kitami Red Cross Hospital)
Image-guided percutaneous drainage has been shown to be a safe and effective alternative to surgery in the management of neck abscess. Two patients, 7-year and 4-month-old girls, were treated with X-ray fluoroscopy and ultrasonography-guided percutaneous 7 Fr trocar-type pigtail catheter drainage and antimicrobial therapy. This method was performed without complications and open surgical drainage was avoided in both cases. One patient had a persistent abscess, but was treated successfully by repeated catheter drainages.
Percutaneous drainage may be a useful alternative to surgical drainage in a selected group of patients with localized, smaller abscess without imminent airway obstruction.
Key words :neck abscess, pigtail catheter, percutaneous drainage, ECHO-guided