42320 Drainage of abscess; submaxillary, external

Name of the Procedure:

Drainage of Abscess; Submaxillary, External

Summary

This procedure involves draining an abscess (a pocket of pus) located in the submaxillary region, which is under the jaw, using an external approach. It helps to relieve pain, reduce infection, and promote healing.

Purpose

This procedure addresses the presence of an abscess in the submaxillary area. The goals are to remove the pus, reduce infection, prevent further complications, and promote healing.

Indications

• Swelling and pain under the jaw.
• Difficulty in swallowing or opening the mouth.
• Presence of fever or chills indicating infection.
• Non-responsiveness to antibiotics and conservative treatments.

Preparation

• Patients may need to fast for a few hours prior to the procedure.
• Blood tests and imaging studies (like an ultrasound or CT scan) may be required.
• Medications may be adjusted based on the patient's health conditions.

Procedure Description

1. The patient receives either local anesthesia to numb the area or general anesthesia if necessary.
2. The healthcare provider makes a small incision over the abscess externally, under the jaw.
3. Pus is drained from the abscess cavity using suction or by allowing it to flow out.
4. The cavity is cleaned and may be irrigated with a sterile solution.
5. A drain might be placed to allow any remaining pus to escape over the next few days.
6. The incision is closed and a sterile dressing is applied.

Duration

The procedure typically lasts between 30 minutes to 1 hour.

Setting

The procedure can be performed in an outpatient clinic, surgical center, or hospital.

Personnel

• Surgeon or maxillofacial specialist
• Nurses or surgical assistants
• Anesthesiologist, if general anesthesia is used

Risks and Complications

• Infection at the incision site
• Bleeding or hematoma
• Nerve damage causing numbness or weakness
• Scarring
• Persistent or recurrent abscess requiring further treatment

Benefits

• Immediate relief from pain and swelling
• Reduction of infection
• Improved ability to eat, talk, and open the mouth
• Faster healing and recovery

Recovery

• Keep the surgical site clean and dry.
• Follow prescribed antibiotics and pain medication.
• Expect some swelling and discomfort which should improve in a few days.
• Avoid strenuous activities until cleared by the healthcare provider.
• Follow-up appointments will be necessary to monitor healing and remove any drains.

Alternatives

• Antibiotic therapy, though it may not be sufficient for large or persistent abscesses.
• Incision and drainage from an intraoral approach, depending on the abscess's location and severity.
• Needle aspiration, which may be less invasive but not always effective for large abscesses.

Patient Experience

• During the procedure, patients under local anesthesia may feel pressure but should not feel pain.
• Post-procedure, mild to moderate discomfort is expected and can be managed with pain medications.
• Swelling and tenderness in the area for a few days are common, but significant pain or fever should be reported to a healthcare provider immediately.