A clinical study of deep neck space infections

Nayanna Karodpati; Vinayak Kuradagi; Paresh Chavan; Rishikesh Pawar; Lakshmi Sravya Kakollu

doi:10.18203/issn.2454-5929.ijohns20210055

Authors

Nayanna Karodpati Department of ENT, Dr. D. Y. Patil Medical College and Hospital, Pimpri, Pune, Maharastra
Vinayak Kuradagi Department of ENT, Dr. D. Y. Patil Medical College and Hospital, Pimpri, Pune, Maharastra
Paresh Chavan Department of ENT, Dr. D. Y. Patil Medical College and Hospital, Pimpri, Pune, Maharastra
Rishikesh Pawar Department of ENT, Dr. D. Y. Patil Medical College and Hospital, Pimpri, Pune, Maharastra
Lakshmi Sravya Kakollu Department of ENT, Dr. D. Y. Patil Medical College and Hospital, Pimpri, Pune, Maharastra

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20210055

Keywords:

Deep neck infections, Ludwig’s angina, Peritonsillar abscess

Abstract

Background: Deep neck space infections are usually due to excessive growth of normal flora, mostly of polymicrobial in origin. Patients present acutely with complaints of, throat and neck pain, raised body temperature. The clinical presentation depends on the deep neck space affected.

Methods: Current study was carried out in 25 patients who were diagnosed to have various deep neck infections

Results: It was observed that the maximum number of cases were seen in the age group of 31-40 at 28%, followed by 21-30 age group at 20%, 16% each between 41-50 years and above 60 years. The male to female ratio is 1:0.78. The most common presenting complaints included fever (24 patients; 96%) and dysphagia (18 patients; 72%). 13 patients (52%) had associated systemic disease, 5 patients (20%) had history of diabetes mellitus and were on irregular treatment, 4 patients (16%) was on treatment for hypertensive. The most common infection was Ludwig’s angina seen in 13 patients (52%), followed by peritonsillar abscess 4 patients (16%). Out of 25 patients, 20 (80%) cases were treated successfully by incision and drainage. No growth was observed in 32% of the patients.

Conclusions: Early diagnosis of deep neck space infection based on symptoms in susceptible patients is advisable to prevent complications and early recovery.

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