ePoster
Presentation Description
Institution: Liverpool Hospital - NSW, Australia
Background: Infection and abscess in head and neck cause significant morbidity and mortality without timely surgical intervention; incision and drainage to facilitate healing under secondary intention. Drains are a vital component of post-operative management of plastic surgery patients. The Yeates drain is a passive drain with multiple parallel tubes. When coupled with a soft 16-gauge cannula allows for concurrent irrigation and drainage of deeper collections.
Objectives: Illustrate a novel approach for drainage and irrigation of deep neck abscess with a Yeates drain and cannula through a clinical case.
Methods:A 27 year-old-male with right mandibular mass (radiologically 2x3.5cm, extension into upper neck) associated with tooth 47 and 2 finger breaths trismus. Operative incision and drainage expressed large amount of pus tracking along inferior border of mandible. A Yeates drain was inserted into the apex of the abscess and fitted 16G cannula. Continuous irrigation with saline was well tolerated and drain removed after 2 days of clinical and serological improvement.
Findings: Current guideline recommends use of surgical drains in head and neck abscess, with the penrose drain most commonly used. The Penrose drain is single lumen, and collapsible, becoming blocked with large debris. In contrast, multi-lumen Yeates drain continues to drain through alternative lumens and allows irrigation.
Conclusion: This simple yet innovative technique offers an alternative to drainage of deep head and neck abscesses. Its relative economy and availability may be extrapolated to irrigation and drainage of abscess at other sites. Future treatment algorithm should include the yeates drain irrigation system.
Speakers
Authors
Authors
Dr Sarah Huang - , Dr Tim Wang - , Dr Michael Kernohan -
