Ultrasound guided drainage of submasseteric space abscesses

Abstract

Background and Objectives:The objective of this study was to evaluate the usefulness of ultrasound guided surgical drainage in submasseteric space abscess of odontogenic origin without incision.Materials and Methods:Eleven patients (4 males and 7 females) aged 18 to 36 years were included in this study. Each patient had clinically and radiologically diagnosed submasseteric space abscesses of odontogenic origin. All the patients underwent ultrasound guided drainage by using 5.7 MHz B-mode, gray scale, ultrasound scanner. The aspirated pus was sent for microbiological culture and sensitivity tests. All the patients were given a prescription of antibiotics like Amoxicillin with Clavulanate in a dose of 625 mg 8 hourly daily, Metronidazole 400 mg 8 h daily and analgesic Diclofenac potassium in a dose of 50 mg 8 h daily. Infection was considered resolving when the following criteria were met like ceased or minimal drainage.Results:There was successful resolution of abscess in 10 cases, 1 case underwent incision and drainage because of spread of infection to other spaces.Conclusion:This study on 11 cases supported ultrasonography as an intraoperative aid in the assessment of the abscess cavity and its real-time imaging facility will help in the location and drainage of the abscess cavity effectively. It avoids large, unsightly, postoperative facial scars and often eliminates the need of general anesthesia and hospitalization.

Fascial space odontogenic infections: Ultrasonography as an alternative to magnetic resonance imaging

“…Analysis with SPSS software found that USG precisely distinguished 84% of all included fascial spaces and 100% of included superficial spaces. These results were in near approximation to previous studies[ 4 , 5 , 18 , 19 ]. One previous study showed a significant association between histological findings and ultrasonography of oral maxillofacial swelling[ 20 ].…”

Comparison of ultrasound-guided puncture drainage and incision drainage for deep neck abscess

“…Yeow et al also showed a case of deep neck abscesses in the parotid gland and retropharyngeal space (5,6). Al-Belasy and Gudi et al reported cases of puncture drainage in the masseter space (7,8). For the submandibular space, parapharyngeal space, and peritonsillar space, B-guided puncture drainage has also been shown to be an effective option (9)(10)(11)(12).…”

Accuracy of Ultrasound in Diagnostics of Odontogenic Infection in Layers of Temporal and Parotid Masseter Region

“…Fascial coverage of the masseter muscle and parotid gland is perfectly described by Hînganu et al 32 Masseteric and parotid fascias (also used a collective term for describing both fascias -'parotideomasseteric fascia' 2,33 [synonyms: parotideomasseteric fascia 9 , parotid-masseteric fascia 34 ]) present distinctive structures on ultrasound images. During US they are visualized as very thin hyperechoic linear structure which covers lateral surface of the masseter muscle and parotid.…”