Clinicopathological study and management of infective swellings of neck in pediatric age group patients


  • Sudhakar Rao M. S. Department of Otorhinolaryngology and Head and Neck Surgery, Vijayanagar Institute of Medical Sciences, Bellary, Karnataka, India
  • Bipinkumar . Department of Otorhinolaryngology and Head and Neck Surgery, Vijayanagar Institute of Medical Sciences, Bellary, Karnataka, India
  • Vijaya T. N. Department of Otorhinolaryngology and Head and Neck Surgery, Vijayanagar Institute of Medical Sciences, Bellary, Karnataka, India



Pediatric neck swellings, Infective neck swelling, Reactive lymphadenitis, Deep neck space infections, Management


Background: Neck swellings are common presenting complaint in paediatric age group patients attending ENT department and are cause of concern for both doctors and parents because they are considered as red flag.

Methods: This prospective study was conducted among 102 paediatric patients of both genders attending the OPD of department of ENT, Vijayanagar institute of medical sciences, Bellary, Karnataka, between July 2018 to March 2020.

Results: Out of 102 patients in our study, majority of them were reactive lymphadenopathy 47 (46%). Out of 41 deep neck space infections, submandibular space is the most commonly involved space 27 (65.8%). Twenty-nine (70.7%) DNSI’s needed institutional management hence got admitted and among them 20 (48.7%) were submandibular space infection and 7 (17%) were Ludwig’s angina which was statistically significant (p=0.001). Among 27 submandibular space infection, 24 (88.8%) had fever, 19 (70.3%) had local pain, 4 (14.8%) had dysphagia which was statistically significant (p<0.05).

Conclusions: In the infective neck swellings of paediatric age group the submandibular space infection needs the zenith of active institutional management among both the genders, and the Ludwig’s angina warrants its treatment on institutional admission which is frequent in this age group.


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