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Intra-oral Drainage of Submandibular Abscess: A Minimally Invasive Technique. A Prospective Study
Ahmed Amin Nassar1, Hazem Othman Ibrahim2, Ahmed Atef3
1Lecturer of Otolaryngology, Faculty of Medicine, Cairo University, Cairo, Arab Republic of Egypt.
Summary
Intraoral drainage for submandibular space abscesses offers a shorter operative time and better cosmetic results compared to the traditional trans-cervical approach. This minimally invasive technique is a viable alternative for managing these infections.
Area of Science:
- Oral and Maxillofacial Surgery
- Surgical Innovation
- Infectious Disease Management
Background:
- Submandibular space abscesses require effective surgical drainage.
- The trans-cervical approach is the standard but can lead to scarring.
- Minimally invasive techniques are sought for improved patient outcomes.
Purpose of the Study:
- To compare the efficacy of intraoral drainage versus trans-cervical drainage for isolated submandibular space abscesses.
- To evaluate operative time, hospitalization, scarring, and complications.
- To assess the cosmetic outcome of each surgical approach.
Main Methods:
- A prospective study of 40 patients with isolated submandibular space abscesses.
- Randomized allocation into two groups: trans-cervical drainage (Group A) and intra-oral drainage (Group B).
- Data collected included demographics, need for repeat surgery, hospitalization duration, scar formation, and complications.
Main Results:
- Intraoral drainage significantly reduced operative time by 15.25 minutes (P < 0.001).
- No significant difference in postoperative hospitalization duration between groups.
- No marginal mandibular nerve weakness observed; minimal scarring with intraoral approach, except in cases requiring external drainage.
Conclusions:
- Intraoral drainage is a successful and effective minimally invasive method for managing isolated submandibular space abscesses.
- The intraoral approach offers superior cosmetic outcomes and shorter operative times compared to the trans-cervical method.
- This technique presents a favorable alternative for surgical management of submandibular abscesses.
