الفهرس | Only 14 pages are availabe for public view |
Abstract Objective: To evaluate the efficacy of intraoral drainage of isolated submandibular space abscess as a minimally invasive surgical technique compared to the standard trans-cervical approach. Patients and methods: Forty individuals with a unilateral submandibular area abscess were enrolled in this prospective study. They were randomly divided into 2 equal groups; trans-cervical surgical drainage (group A) and intra-oral surgical drainage (group B). Data were analyzed, including demographic information, the need for 2nd drainage, the length of postoperative stay in the hospital, the development of scars, and potential complications. Results: Intraoral drainage (group B) reduced the mean operative time by 15.25 minutes (P<0.001) compared with trans-cervical incision (group A). In terms of postoperative hospitalization, there wasn’t any major difference between the two groups. In both groups, no patients showed marginal mandibular nerve paralysis. Three patients only have cervical scar in group (B) who required external drainage due to recollection. No recurrence was detected in group (A). Conclusion: This study reveals that isolated submandibular abscess can sometimes be successfully treated with intraoral drainage, which is more effective than trans-cervical surgery in terms of cosmetic results and shorter recovery times. |