| Title: |
Ultrasonography-guided Drainage Versus Surgical Drainage for Deep Neck Space Abscesses:A Systematic Review and Meta-analysis |
| Authors: |
Alzaid, Mohammad; Ramadhan, Mohammed; Abul, Ahmad; Karam, Mohammad; Alsaif, Abdulmalik; Stapleton, Emma |
| Source: |
Alzaid, M, Ramadhan, M, Abul, A, Karam, M, Alsaif, A & Stapleton, E 2024, 'Ultrasonography-guided Drainage Versus Surgical Drainage for Deep Neck Space Abscesses : A Systematic Review and Meta-analysis', The Journal of laryngology and otology, pp. 1-28. https://doi.org/10.1017/S0022215124000501 |
| Publication Year: |
2024 |
| Collection: |
The University of Manchester: Research Explorer - Publications |
| Subject Terms: |
Abscess; Cost Savings; Drainage; Length of Stay; Retropharyngeal Abscess; Ultrasonography |
| Description: |
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. |
| Document Type: |
article in journal/newspaper |
| File Description: |
application/pdf |
| Language: |
English |
| ISSN: |
0022-2151; 1748-5460 |
| Relation: |
info:eu-repo/semantics/altIdentifier/pmid/38616333; info:eu-repo/semantics/altIdentifier/pissn/0022-2151; info:eu-repo/semantics/altIdentifier/eissn/1748-5460 |
| DOI: |
10.1017/S0022215124000501 |
| Availability: |
https://research.manchester.ac.uk/en/publications/52653d40-98f5-4fb9-8791-8d45942626f9; https://doi.org/10.1017/S0022215124000501; https://pure.manchester.ac.uk/ws/files/327424661/ultrasonography-guided-drainage-versus-surgical-drainage-for-deep-neck-space-abscesses-a-systematic-review-and-meta-analysis.pdf; https://www.scopus.com/pages/publications/85190878192; https://www.mendeley.com/catalogue/4fc35c70-a798-3869-b310-bcd6d8470f3e/ |
| Rights: |
info:eu-repo/semantics/openAccess ; http://creativecommons.org/licenses/by/4.0/ |
| Accession Number: |
edsbas.C82F18CE |
| Database: |
BASE |