TY - JOUR
T1 - Ultrasonography-guided Drainage Versus Surgical Drainage for Deep Neck Space Abscesses
T2 - A Systematic Review and Meta-analysis
AU - Alzaid, Mohammad
AU - Ramadhan, Mohammed
AU - Abul, Ahmad
AU - Karam, Mohammad
AU - Alsaif, Abdulmalik
AU - Stapleton, Emma
PY - 2024/4/15
Y1 - 2024/4/15
N2 - Objective To compare ultrasonography-guided drainage (USD) versus conventional surgical incision and drainage (I&D) in deep neck space abscesses. Methods The study was pre-registered on PROSPERO (CRD42023466809) and adhered to PRISMA guidelines. 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, seven studies enrolling 384 participants were included. USD was associated with a significantly shorter hospital stay (Mean Difference [MD] = -2.31, P < 0.00001), but no statistically significant difference was noted in recurrence rate compared to I&D (odds ratio [OR] = 2.02, P = 0.21). USD appears to be associated with cost savings and better cosmetic outcomes. Conclusion USD 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.
AB - Objective To compare ultrasonography-guided drainage (USD) versus conventional surgical incision and drainage (I&D) in deep neck space abscesses. Methods The study was pre-registered on PROSPERO (CRD42023466809) and adhered to PRISMA guidelines. 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, seven studies enrolling 384 participants were included. USD was associated with a significantly shorter hospital stay (Mean Difference [MD] = -2.31, P < 0.00001), but no statistically significant difference was noted in recurrence rate compared to I&D (odds ratio [OR] = 2.02, P = 0.21). USD appears to be associated with cost savings and better cosmetic outcomes. Conclusion USD 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.
KW - Abscess
KW - Cost Savings
KW - Drainage
KW - Length of Stay
KW - Retropharyngeal Abscess
KW - Ultrasonography
UR - https://www.scopus.com/pages/publications/85190878192
UR - https://www.mendeley.com/catalogue/4fc35c70-a798-3869-b310-bcd6d8470f3e/
U2 - 10.1017/S0022215124000501
DO - 10.1017/S0022215124000501
M3 - Article
C2 - 38616333
SN - 0022-2151
SP - 1
EP - 28
JO - The Journal of laryngology and otology
JF - The Journal of laryngology and otology
ER -