Clinical versus computed tomography evaluation in the diagnosis and management of deep neck infection

Crespo, Agrício Nubiato; Chone, Carlos Takahiro; Fonseca, Adriano Santana; Montenegro, Maria Carolina S.; Pereira, Rodrigo Fernando; Milani, João Altemani

doi:10.1590/s1516-31802004000600006

Cited by 52 publications

(42 citation statements)

References 38 publications

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“…[17] Clinical Features According to most of the recent studies, pain and swelling of the neck are the most prevalent symptoms. [2,15,16,18,19,20] In this study, pain was the most common presenting complaint, which was followed by dysphagia and neck swelling. Presenting complaints varied according to the space involved.…”

Section: Co Morbiditiesmentioning

confidence: 74%

Clinical Profile of Deep Neck Space Infections in a Tertiary Care Hospital in Kerala

Santhosh¹,

Yadev²,

Arun³

et al. 2017

jemds

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BACKGROUNDDeep Neck Infection (DNI) is a potentially life threatening disease commonly seen in middle aged men. Associated co-morbidities like Diabetes Mellitus, Hypertension and Cardiac diseases result in life threatening complications. DNI are observed in the population who are addiction to drugs, smoking and alcoholism. DNI are associated with complications like mediastinitis, Pneumothorax, pericarditis, renal failure and multi organ failure. The present study is a prospective clinical profile study of DNIs treated in a Tertiary Care Hospital in Kerala. Aim-To describe the profile of aetiology, clinical features and outcomes of patients with DNIs.

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Section: Co Morbiditiesmentioning

confidence: 74%

Clinical Profile of Deep Neck Space Infections in a Tertiary Care Hospital in Kerala

Santhosh¹,

Yadev²,

Arun³

et al. 2017

jemds

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“…21 It plays a crucial role in shaping the involved areas and monitoring the development of the infection, with the intent to plan the proper surgical approach. [22][23][24] Ultrasound is another useful method in guiding diagnostic needle aspiration and therapeutic drainage, in cases where there is no immediate airway compromise. In two cases, percutaneous drainage under ultrasound guidance was performed.…”

Section: Discussionmentioning

confidence: 99%

How to avoid life-threatening complications following head and neck space infections: an algorithm-based approach to apply during times of emergency. When and why to hospitalise a neck infection patient

et al. 2017

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Background: Head and neck space infections present with a potential mortality rate of 40-50 per cent. This paper proposes an algorithm-based management of head and neck space infection to prevent life-threatening events.Methods: A total of 225 patients with head and neck space infection were prospectively analysed at our institution. An experimental scoring system determined the level of clinical risk for the development of major complications. Accordingly, patients were classified into three risk groups: low-, intermediate-and high-risk.Results: Only intermediate-and high-risk patients were hospitalised. Intermediate-risk patients received intravenous medical therapy with daily re-evaluation; 18 of them required delayed surgery. Of the high-risk patients, three required immediate surgical treatment and five received delayed surgery, while in five cases medical therapy was the only treatment received. Low-risk patients were treated in an out-patient setting.Conclusion: The algorithm-based management of head and neck space infection was successful in enabling the avoidance of lethal complications onset.

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“…18 Evaluation of deep neck abscesses solely by clinical examination is inadequate as they can underestimate the extent of the disease in up to 70% of the patients. 25 As such, every patient in our center was assessed X ray neck, USG of neck, CT Neck and chest and invasive intervention. X neck and USG neck was primary investigations and CT Neck-chest was done in cases suspected of parapharyngeal, retropharyngeal, multispace involvement and complications which included 10 cases.…”

Section: Discussionmentioning

confidence: 99%

A study on presentation, etiology, complications and management of deep neck space infections: our experience

Khokle

Lahane

Mishra

et al. 2017

Int J Otorhinolaryngol Head Neck Surg

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Background: To analyze our experience in presentation, etiology, complications and difficulties encountered in diagnosis and management of deep neck space infections.Methods: 52 cases of deep neck space infections were analyzed within the period of November 2013 to November 2015 in ENT OPD at GMC Latur. Patients with airway compromise or in failures were managed with intubation or tracheostomy. All patients were investigated with detail history, hematological and radiological investigations like X- Ray, USG or CT scan. Although all patients were treated with intravenous antibiotics, surgical drainage was the definitive management. Results: Study includes 29 males and 23 females. Neck pain was most common presentation in 90.38% with airway compromise being most common complication. Submandibular (34.61%) and peritonsillar (21%) space were commonly involved with odontogenic and upper airway infections being leading causes. Diabetes was common comorbidity found among patients. Staphylococcus aureus being common isolate (Klebsiella in diabetics). Surgical drainage with antibiotics as per culture sensitivity was treatment modality of choice.Conclusions: Early diagnosis and appropriate management is key for better outcome. Odontogenic etiology being most common correlates well with poor oral hygiene and tobacco chewing. Surgical drainage and antibiotics are the treatment modalities. Complications and associated comorbidities affect the course of DNSI and hence require appropriate management.

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Clinical versus computed tomography evaluation in the diagnosis and management of deep neck infection

Cited by 52 publications

References 38 publications

Clinical Profile of Deep Neck Space Infections in a Tertiary Care Hospital in Kerala

Clinical Profile of Deep Neck Space Infections in a Tertiary Care Hospital in Kerala

How to avoid life-threatening complications following head and neck space infections: an algorithm-based approach to apply during times of emergency. When and why to hospitalise a neck infection patient

A study on presentation, etiology, complications and management of deep neck space infections: our experience

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