Deep Neck Infections: Clinical Considerations in Aggressive Disease

Caccamese, John F.; Coletti, Domenick P.

doi:10.1016/j.coms.2008.03.001

Cited by 51 publications

(44 citation statements)

References 47 publications

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Section: Deep Neck Infections (Dnis)mentioning

confidence: 99%

“…DNIs spread in deep cervical spaces that are formed by fascia [52]. Clinical presentation of these infections depends on the site of infection origin, infection extension and the pressure effects of edema or accumulated fluid on surrounding tissues [52]. Depending on the site of infection origin, patients may suffer from sore throat, trismus, dental pain, dyspnea, stridor, dysphagia, odynophagia, or neck asymmetry with tenderness, swelling and erythema [52].…”

Section: Deep Neck Infections (Dnis)mentioning

confidence: 99%

“…Depending on the site of infection origin, patients may suffer from sore throat, trismus, dental pain, dyspnea, stridor, dysphagia, odynophagia, or neck asymmetry with tenderness, swelling and erythema [52]. Fever and toxic condition are commonly observed [52]. DNIs require aggressive and immediate treatment because of the life-threatening nature of the disease [52].…”

Section: Deep Neck Infections (Dnis)mentioning

confidence: 99%

“…Fever and toxic condition are commonly observed [52]. DNIs require aggressive and immediate treatment because of the life-threatening nature of the disease [52]. The prognosis of successful DNI treatment in patients with CKD, especially in RTRs, is worse than in general population [51].…”

Section: Deep Neck Infections (Dnis)mentioning

confidence: 99%

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Otorhinolaryngological dysfunctions induced by chronic kidney disease in pre- and post-transplant stages

Wojciechowska

Krajewski

Zatoński

2020

Eur Arch Otorhinolaryngol

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Purpose Otorhinolaryngological abnormalities are common complications of chronic kidney disease (CKD) and its treatment. The main aim of this study was to provide a brief and precise review of the current knowledge regarding CKD and its treatment-related influence on head and neck organs. Methods The Medline and Web of Science databases were searched using the terms "chronic kidney disease", "kidney transplantation", "immunosuppression", "dialysis" in conjunction with "otorhinolaryngological manifestation". Articles that did not address the topics, low-quality studies, case reports, and studies based on nonsignificant cohorts were excluded, and the full text of remaining high-quality, novel articles were examined and elaborated on. Results Patients with CKD are prone to develop sensorineural hearing loss, tinnitus, recurrent epistaxis, opportunistic infections including oropharyngeal candidiasis or rhino-cerebral mucormycosis, taste and smell changes, phonatory and vestibular dysfunctions, deep neck infections, mucosal abnormalities, gingival hyperplasia, halitosis or xerostomia. Immunosuppressive therapy after kidney transplantation increases the risk of carcinogenesis, both related and not-related to latent viral infection. The most commonly viral-related neoplasms observed in these patients are oral and oropharyngeal cancers, whereas the majority of not-related to viral infection tumors constitute lip and thyroid cancers. CKD-related otorhinolaryngological dysfunctions are often permanent, difficult to control, have a significant negative influence on patient's quality of life, and can be life threatening. Conclusion Patients with CKD suffer from a number of otorhinolaryngological CKD-induced complications. The relationship between several otorhinolaryngological complications and CKD was widely explained, whereas the correlation between the rest of them and CKD remains unclear. Further studies on this subject are necessary.

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Section: Deep Neck Infections (Dnis)mentioning

confidence: 99%

Section: Deep Neck Infections (Dnis)mentioning

confidence: 99%

Section: Deep Neck Infections (Dnis)mentioning

confidence: 99%

Section: Deep Neck Infections (Dnis)mentioning

confidence: 99%

See 2 more Smart Citations

Otorhinolaryngological dysfunctions induced by chronic kidney disease in pre- and post-transplant stages

Wojciechowska

Krajewski

Zatoński

2020

Eur Arch Otorhinolaryngol

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“…Algumas complicações ameaçadoras à vida estão associadas à Angina de Ludwig, como obstrução das vias aéreas, infecção das vias aéreas, pneumonia, empiema pleural, mediastinite, pericardite, fasciíte necrosante cervico-facial, trombose da veia jugular, coagulação intravascular disseminada, trombose do seio dural e sepse. Sendo assim, a intervenção deve ser feita o mais rápido possível para evitar a disseminação e agravamento da infecção 6,7 .…”

Section: Introductionunclassified

Paciente acometido por Angina de Ludwig com grave progressão reabilitado com próteses dentárias: relato de caso

Leite¹,

Goes²,

Shibayama³

et al. 2019

Arch Health Invest

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O objetivo deste trabalho é relatar e discutir um caso clínico de um paciente acometido por Angina de Ludwig que evoluiu gravemente para mediastinite. O paciente compareceu inicialmente ao Pronto Socorro do Hospital Universitário da Universidade Estadual de Londrina e após diagnóstico de Angina de Ludwig foi internado e tratado de forma emergencial. O tratamento foi multiprofisssional e constituiu-se em abordagem cirúrgica para descompressão dos tecidos, administração de antimicrobianos e remoção da causa da infecção. Mesmo após a primeira abordagem cirúrgica, o paciente evoluiu gravemente e houve a necessidade de reabordagem da região cervical e torácica. O paciente necessitou de um mês de internação hospitalar até que o quadro infeccioso fosse estabilizado. Após o incidente, o paciente se apresentava com baixa autoestima e com sua relação interpessoal afetada. Desta forma, foi encaminhado para a Clínica Odontológica Universitária da Universidade Estadual de Londrina onde foi reabilitado com prótese total superior e prótese parcial removível inferior a fim de devolver grande parte da função mastigatória, estética e, consequentemente, qualidade de vida.Descritores: Angina de Ludwig; Infecção; Prótese Dentária; Saúde Bucal.ReferênciasJiménez Y, Bagán JV, Murillo J, Poveda R. Odontogenic infections. Complications. Systemic manifestations. Med Oral Patol Oral Cir Bucal. 2004;9(Suppl):139-43.Lugo AFG, Ravago MGC, Martinez RAG, Peltrini RJZ. Ludwig’s angina: A report of two cases. Rev Esp Cir Oral Maxilofac. 2014;36(4):177-81.Umeda M, Minamikawa T, Komatsubara H, Shibuya Y, Yokoo S, Komori T. Necrotizing fasciitis caused by dental infection: a retrospective analysis of 9 cases and a review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2003;95(3):283-90.Bakir S, Tanriverdi MH, Gün R, Yorgancilar AE, Yildirim M, Tekbas G et al. Deep neck space infections: a retrospective review of 173 cases. Am J Otolaryngol. 2012;33(1):56-63.Brook I. Microbiology and management of peritonsillar, retropharyngeal, and parapharyngeal abscesses. J Oral Maxillofac Surg. 2004;62(12):1545-50.Caccamese JF Jr, Coletti DP. Deep neck infections: Clinical considerations in aggressive disease. Oral Maxillofac Surg Clin North Am. 2008;20(3):367–80.Chen MK, Wen YS, Chang CC, Lee HS, Huang MT, Hsiao HC. Deep neck infections in diabetic patients. Am J Otolaryngol. 2000;21(3):169-73Vieira F, Allen SM, Stocks RM, Thompson JW. Deep neck infection. Otolaryngol Clin North Am. 2008;41(3):459-83.Zarb GA, Bolender CL. Tratamento protético para os pacientes edêntulos – Próteses totais convencionais e implantossuportadas. 13. ed. Santos: São Paulo; 2013.Rodrigues JC. Tabu do corpo. 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Predisposing factors of complicated deep neck infection: an analysis of 158 cases. Yonsei Med J. 2007;48(1):55-62.Igoumenakis D, Gkinis G, Kostakis G, Mezitis M, Rallis G. Severe odontogenic infections: causes of spread and their management. Surg Infect (Larchmt). 2014;15(1):64-8.Rao DD, Desai A, Kulkarni RD, Gopalkrishnan K, Rao CB. Comparison of maxillofacial space infection in diabetic and nondiabetic patients. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010;110(4):e7-12.Akinbami BO, Akadiri O, Gbujie DC. Spread of odontogenic ifnfections in Port Harcourt, Nigeria. J Oral Maxillofac Surg. 2010;68(1):2472-77.Flynn TR, Shanti RM, Hayes C. Severe odontogenic infections, Part 2: Prospective outcomes study. J Oral Maxillofac Surg. 2006;64(7):1104-13.Huang TT, Liu TC, Chen PR, Tseng FY, Yeh TH, Chen YS. Deep neck infection: analysis of 185 cases. Head Neck. 2004;26(10):854-60.Hsu RF, Wu PY, Ho CK. Transcervical drainage for descending necrotizing mediastinitis may be sufficient. Otolaryngol Head Neck Surg. 2011;145(5):742-47.Varghese L, Mathews SS, Antony Jude Prakash J, Rupa V. Deep head and neck infections: outcome following empirical therapy with early generation antibiotics. Trop Doct. 2018;48(3):179-82.Liau I, Han J, Bayetto K, May B, Goss A, Sambrook P et al. Antibiotic resistance in severe odontogenic infections of the South Australian population – a 9- year retrospective audit. Aust Dent J. 2018;63(2):187-92.

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