DOI: http://dx.doi.org/10.18203/issn.2454-5929.ijohns20164813

A study of deep space infections of neck

Thimmappa T. D., Ramesh S., Nagraj M., Gangadhara K. S.

Abstract


Background: The objective of the study was to analyse the signs and symptoms, etiology, site and outcome of deep space infections of neck.

Methods: This was retrospective study and included 50 patients admitted with deep neck space infections to Government Mc Gann teaching hospital SIMS, Shimoga, Karnataka, India between January 2009 – January 2015.  

Results: The extreme age group, high virulence of organism, underlying clinical conditions, low socioeconomic groups are vulnerable for above infections. Mortality in 3 cases was due to mediastinitis and extended space infection.

Conclusions: Deep neck space infection is still a challenging disease in otorhinolaryngology. Early surgical drainage remains the main method of treating deep neck abscesses and conservative medical treatment are effective in selective cases that have minimal cellulitis.


Keywords


Deep neck spaces infection, Morbidity, Life risk, Incision & drainage, Culture of pus, Antibiotic therapy

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References


Har-El G, Aroesty JH, Shaha A, Lucente FE. (1994). Changing trends in deep neck abscess. A retrospective study of 110 patients. Oral Surg Oral Med Oral Pathol. 1994;77:446-50.

Sethi DS, Stanley RE. Deep neck abscesses-changing trends. J Laryngol Otol. 1994;108:138-43.

Oliver ER, Gillespie MB. Deep neck space infections. In: Cummings otolaryngology: head & neck surgery, 5th edition, Philadelphia: Mosby; 2010: 201-208.

Scott B A, Stiernberg CM, Driscoll BP. Infections of the deep spaces of the neck. In: Bailey BJ, editor. Head and neck surgery-otolaryngology, 3rd edition. Philadelphia: JB Lippincott; 2001: 701-715.

Yonetsu K, Izumi M, Nakamura T. Deep facial infections of odontogenic origin: CT assessment of pathways of space involvement. American J Neuroradiol. 1998;19:123-8.

El-Sayed Y, Al Dousary S. Deep-neck space abscesses. J Otolaryngol. 1996;25:227-33.

Parhiscar A, Har-El G. Deep neck abscess: a retrospective review of 210 cases. Annals of Otol Rhinol Laryngol. 2001;110:1051-4.

Chen MK, Wen YS, Chang CC, Lee HS, Huang MT, Hsiao HC. Deep neck infections in diabetic patients. Am J Otolaryngol. 2000;21:169-73.

Estrera AS, Landay MJ Grisham JM, Sinn DP, Platt MR. Descending necrotizing mediastinitis. Surgical Gynecol Obstet. 1983;157:545-52.

Agarwal A, Sethi A, Sethi D, Mrig S, Chopra S. Role of socioeconomic factors in deep neck abscess: a prospective study of 120 patients. British J Oral Maxillofacial Surg. 2007;45;553-5.

Mishra D, Singh HP. Kuppuswamy’s socio-economic status scale-a revision. Indian J Ped. 2003;70;273-4.

Chen MK, Wen YS, Chang CC, Huang MT, Hsiao HC. Predisposing factors of life-threatening deep neck infection: logistic regression analysis of 214 cases. J Otolaryngol. 1998;27:141-4.

Bottin R, Marioni G, Rinaldi R. Deep neck infection: a present-day complication. A retrospective review of 83 cases (1998- 2001). European Arch Otorhinolaryngol. 2003;260:576-9.

Moncada R, Warpeha R, Pickleman J, Spak M, Cardoso M, Berkow A. Mediastinitis from odontogenic and deep cervical infection. Anatomic pathways of propagation. Chest. 1978;73(4):497-500.

Shumrick KA, Sheft SA. Deep neck infections. Paparella otolaryngology. Volume 3. 3rd edition. W.B. Saunders company; 1991; 2545-2563.

Muckleston HS. Angina Ludovici and Kindred Infections: An Historical and Clinical study. Annals otorhinolaryngol.1942;35:467.