Deep neck infection - analysis of 80 cases

Suehara, Alexandre Babá; Gonçalves, Antônio José; Alcadipani, Fernando Antônio Maria Claret; Kavabata, Norberto Kodi; Menezes, Marcelo Benedito

doi:10.1016/s1808-8694(15)31097-1

Cited by 68 publications

(79 citation statements)

References 24 publications

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“…It is widely known that delayed diagnosis and inadequate mediastinum drainage are important factors associated with an increased incidence in mortality. 14,[16][17][18][19] In our study, the mortality rate was 0.44 per cent, and the only case of death was not related to delayed diagnosis but to the co-existence of severe co-morbidities known to worsen the prognosis of deep neck infections. 16 Multivariate analysis showed that patients with diabetes mellitus and a laterocervical abscess had a higher risk of developing complications.…”

Section: Discussionmentioning

confidence: 80%

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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Section: Discussionmentioning

confidence: 80%

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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“…10-12. Contrast enhanced CT scan is investigation of choice with sensitivity of 100% in evaluation of deep neck space infections. 13 CT scan is also very sensitive in detection of known complications like mediastinitis, jugular vein thrombosis. CT or USG guided aspirations of abscess are successful in prior studies.…”

Section: Discussionmentioning

confidence: 99%

Deep neck space infection: an iceberg

Patil

Karadi

2018

Int J Otorhinolaryngol Head Neck Surg

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Background: The aim of the study was to review pre-disposing factors and clinical features in deep neck space infections so as to avoid life threatening complications associated with it. Assessment and management of 55 cases of deep neck space infection.Methods: Retrospective study of 55 cases of deep neck space infection from January 2010 to June 2017. Results: Submandibular space/Ludwig’s angina is most commonly occurring neck space infection. Dental caries and poor oral hygiene is major contributing factor for infection. Parapharyngeal lymphadenitis followed by abscess formation is second most reason for neck space infection.Conclusions: Immediate active intervention is required to prevent progress of the disease. Early stage of cellulitis needs intravenous antibiotics with control of secondary co-morbid conditions like diabetes mellitus, immunocompromised states and dental caries. Ultrasound of neck and CT scan of neck is useful to know the extent of disease. Surgical intervention in the form of incision and drainage is required if abscess is detected either clinically or radiologically. Tracheostomy is required if airway is compromised.

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“…Etiyolojide yetişkinlerde ilk sırayı odontojenik nedenler alırken, çocuklarda tonsillitler almaktadır (Parhiscar ve Har-El, 2001;Agarwal et al, 2007;Marioni et al, 2008). Tanıda, tercih edilen radyolojik yöntemler; direkt grafiler (lateral servikal grafi , PA akciğer grafisi , panoramik mandibula grafisi), bilgisayarlı tomografi, manyetik rezonans görüntüleme ve ultrasonografidir (Parhiscar ve Har-El, 2001;Marioni et al, 2008;Suehara et al,2008). Kliniğimizde sıklıkla anatomik ilişkilerin, kemik yapının ve hava pasajının değerlendirilmesinde etkinliği nedeniyle BT'yi tercih etmekteyiz.…”

Section: Discussionunclassified

Farkedilmeyen angulus mandibula fraktürü: sıradışı bir derin boyun enfeksiyonu nedeni

Atmaca

Tulga²,

Gönülol³

et al. 2011

jecm

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Derin boyun enfeksiyonları, yüksek mortalite ve morbiditeleri nedeniyle hızlı teşhis ve tedavi edilmesi gereken önemli bir hastalık grubudur. Bu nedenle etiyoloji ve tanıya yö-nelik radyolojik değerlendirme önem kazanmakta ve tedavi de buna göre planlanmaktadır. Bu makalede, 44 yaşında derin boyun enfeksiyonu olan bir olgu sunuldu. Hastanın 15 günlük öyküsü vardı ve bu süre boyunca dış merkezde odontojenik enfeksiyon tanısıyla oral antibiyotik tedavisi görmüştü. Hasta yatırılarak IV antibiyotik başlandı. Kontrastlı bilgisayarlı tomografide, abseyle uyumlu bulgular dışında başka bir patoloji saptanmadı ve ponksiyonla pürülan sıvı boşaltıldı. Ancak çekilen panoramik mandibula grafisinde, bilgisayarlı tomografinin saptayamadığı, angulus mandibulada non-deplase fraktür saptandı. Bunun üzerine tedavinin 11. gününde diş çekimi ve mandibulaya mini plak-vida ile internal fiksasyon yapıldı. Mandibula fraktürlerinde, bilgisayarlı tomografinin yanında mutlaka panoramik mandibula grafisi de çekilmelidir.J. Exp. Clin. Med., 2011; 28:195-197 ABSTRACTDeep neck infections should be instantly diagnosed and treated because of high morbidity and mortality rates. Radiologic imaging plays an important role in determining etiology and diagnosis and the treatment is planned accordingly. We present a 44-year old female patient with a 15 day history of oral antibiotic treatment for dental infection before admission. The patient was hospitalized and put on IV antibiotics. Computerized tomography with contrast revealed findings consistent with an abscess and pus was drained surgically. Panoramic mandible graphy revealed a non-displaced mandibular angular fracture unrecognized by the computerized tomography. The patient underwent tooth removal and internal fixation of the fracture with mini plate and screws. Besides computerized tomography, panoramic mandible graphy is a must for evaluation of mandibular fractures.

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Deep neck infection - analysis of 80 cases

Cited by 68 publications

References 24 publications

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

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

Deep neck space infection: an iceberg

Farkedilmeyen angulus mandibula fraktürü: sıradışı bir derin boyun enfeksiyonu nedeni

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