Collar Button Abscess: Types, Causes, and Treatment Strategies
“How are collar button abscesses classified?”
Answer. Collar stud abscess is an acute suppurative infection of a digit which present stud-like blister.
Collar Button Abscess Causes
- It is bilocular abscess with one lobule deep to the deep fascia and another lobule is superfiial to fascia.
Both the locule intercommunicates with each other through a small perforation in the deep fascia.
Such an abscess can occur anywhere in the body.
“Types Of Collar Button Abscess Explained”
Collar Button Abscess
Collar Stud Abscess Types
- Pyogenic: When pyogenic abscess develops deep to deep fascia and gradually pressure mouth so that the deep fascia perforates, the pus comes out into superfiial fascia.
So, pyogenic collar stud abscess is more commonly seen in hand where deep fascia is in the palmer fascia. - Tuberculous: This is more often seen in the neck from caseation tubercular lymph node.
The cold abscess beneath the deep fascia ruptures and forms another swelling in subcutaneous plane which is fluctuant. It remains adhere to skin.
“Collar Button Abscess Vs Tuberculous Lymphadenitis”
Scrofula
Collar Stud Abscess Treatment
Pyogenic Collar Stud abscess
- Drainage ofterminal pulp space byanoblique deep incision.
- Systemic antibiotics should be given.
“Classification Of Deep Neck Abscesses“
Tuberculous Collar Button Abscess
Tuberculous Collar Stud Abscess
It should be treated like as cold abscess, i.e.
Cervical Lymph Node Abscess
- Anti-tubercular treatment is given.
- Zig-zag aspiration by wide-bore needle in non-dependent area for prevention of sinus perforation.
- Drainage can be done by using non-dependent incision and later on closure of wound is done without placing a drain
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