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conferenceseries.com
Volume 7, Issue 5 (Suppl) Otolaryngol
ISSN: 2161-119X Otolaryngol, an open access journal Otolaryngology 2017
October 18-19, 2017
October 18-19, 2017 Dubai, UAE
4th International Conference on
Rhinology and Otology
The use of Interventional Radiology Percutaneous Drainage (IRPD) as a minimally invasive technique
in management of deep neck abscess
Al Azawi Ahmed, Al Koteesh Jamal, Al Nakshabandi Abdulla and Nibelle Isabelle
Sheikh Khalifa General Hospital, UAE
For centuries, the diagnosis and treatment of deep neck abscesses have challenged physicians and surgeons. e complexity
and the deep location of this region make diagnosis and treatment of infections in this area di cult. ese infections remain
an important health problem with signi cant risks of morbidity and mortality. Drainage is the cornerstone of therapy for the
treatment of deep neck space abscesses a er ensuring a secure airway before initiating any procedure. Between October 2010
and March 2013, 19 patients presented to the emergency department at Al-Ain Hospital with di erent varieties of deep neck
abscesses. All of them underwent imaging test (either CT scan or ultrasound) to con rm the diagnosis and localization of the
abscess. e decision for percutaneous drainage was based on a consensus between both ENT surgical and radiology teams.
All patients were admitted to the hospital and received IV broad-spectrum antibiotics covering both aerobic and anaerobic
bacteria. In an interventional radiology suite, ultrasound guided aspiration and catheter drainage of neck abscess was done
under local anesthesia by insertion of a thin (6-8 Fr) trocar-type pigtail drainage catheter in the abscess cavity. e catheter
was kept in place with frequent saline irrigation until drainage stopped. In 17 (89.5%) patients, the abscess was successfully
drained and completely cured. In 2 (10.5%) cases the collection was still present a er IRPD due to deep multiloculated abscess
and required surgical drainage in the operative theater under general anesthesia. By minimizing the physical trauma to the
patient, IRPD can reduce recovery time as well as shorten hospital stay. IRPD seems to be a fast, safe and highly e ective low-
cost minimally invasive method for treatment of deep neck abscesses. Neck abscesses that cannot be treated or not resolved
with IRPD require surgical drainage in the operating room.
Biography
Al Azawi Ahmed is a Consultant Otolaryngologist with 20 years’ wide experience in the field of Otolaryngology Head and Neck Surgery, including 11 years’
experience in UAE from which almost 7 years he has worked in SEHA governmental hospitals. Presently, he has been working in Sheikh Khalifa General Hospital
as a Consultant Otolaryngologist. He is involved in academic teaching as an Adjunct Assistant Professor as well as in scientific research. He is triple-board certified
and a Fellow of the American College of Surgeons and a Fellow of the European Board and the Arab Board in Otolaryngology-Head & Neck Surgery.
Al Azawi Ahmed et al., Otolaryngol 2017, 7:5 (Suppl)
DOI: 10.4172/2161-119X-C1-022