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Needle aspiration as primary surgical treatment of pediatric deep neck space abscesses

American Journal of Otolaryngology - Head and Neck Medicine and Surgery Sep 19, 2019

Hamiter M, et al. - Researchers conducted this retrospective chart review to identify adequacy, safety, and cost of the outcomes of needle aspiration (NA) under sedation as the primary surgical treatment for pediatric deep neck space abscesses (DNSA). The outcomes including the need to convert to open incision and drainage (I&D), number of aspirations required, hospital stay, if purulence obtained, culture results, and imaging modality used, were examined. In addition, they compared the outcomes with previous studies using I&D as the primary treatment modality concentrating on the duration of their hospital stay. Included were 10 consecutive pediatric patients (4 to 48 months of age) diagnosed with DNSA from August 2008 to October 2015. Data reported that none of the 10 patients needed an open I&D and the median hospital stay was 4 days. An effective treatment modality with the duration of hospital stay similar to other studies that involved I&D treatment under general anesthesia was performed in the small study group NA under sedation.
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