Deep neck infections of non-odontogenic origin: clinical manifestation and treatment

Błochowiak, Katarzyna; Kamiński, Bartłomiej; Sokalski, Jerzy

doi:10.5114/ms.2018.74828

Cited by 2 publications

(2 citation statements)

References 11 publications

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“…The severity of their course, the spread of infection, and the associated risk of life-threatening complications require additional broad-spectrum antibiotic therapy. Although our diagnostic and therapeutic management is determined by well-known algorithms, many factors accompanying the infection may have a modifying effect on its course and development, forcing changes in the way we deal with these infections [ 1 , 2 , 3 , 4 , 5 , 6 , 7 , 8 , 9 ]. It seems justified to indicate the most important features characterizing maxillofacial infections for the creation of their clinical and microbiological profile.…”

Section: Introductionmentioning

confidence: 99%

Oral and Maxillofacial Infections—A Bacterial and Clinical Cross-Section

Kamiński¹,

Błochowiak

Kołomański³

et al. 2022

JCM

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The treatment of oral and maxillofacial infections is based on a recognized algorithm that may require modification under the influence of various local and systemic factors. The aim of this study was to present a comprehensive and microbiological profile of oral and maxillofacial infections, and explore possible correlations between the course of an infection and selected systemic factors based on the medical records of 329 patients affected by the disease. We identified most common clinical, demographic, bacterial, and laboratory parameters specific for these infections. There were statistically significant differences in Erythrocyte Sedimentation Rate, number of accompanying diseases, otalgia, dyspnea, and speech difficulties occurrence and neck space involvement between diabetic and non-diabetic patients. The duration of hospitalization and accompanying diseases correlated positively with the patient age and white blood cell count, and C-reactive protein value negatively correlated with age. The primary cause of infections, age, and comorbid diseases can modify the infection course and increase the risk of developing serious complications. It confirms the need for effective and targeted bacterial treatment in the early stages of infections. Age and general diseases are the most important systemic factors determining the infection symptoms and laboratory parameters assessing the severity of the inflammatory process.

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Section: Introductionmentioning

confidence: 99%

Oral and Maxillofacial Infections—A Bacterial and Clinical Cross-Section

Kamiński¹,

Błochowiak

Kołomański³

et al. 2022

JCM

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“…Blochowiak et al 54 Ninety-one (15.5%) had ultrasound scanning, 140 (23.9%) underwent CT and 4 (0.7%) underwent magnetic resonance imaging.…”

Section: Lee and Kanagalingam 13mentioning

confidence: 99%

The assessment and management of deep neck space infections in adults: A systematic review and qualitative evidence synthesis

Sheikh

Heywood

et al. 2023

Clinical Otolaryngology

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Objectives: To summarise current practices in the diagnosis and management of deep neck space infections (DNSIs). To inform future studies in developing a framework in the management of DNSIs.Design: This review was registered on PROSPERO (CRD42021226449) and reported in line with PRISMA guidelines. All studies from 2000 that reported the investigation or management of DNSI were included. The search was limited to English language only. Databases searched included AMED, Embase, Medline and HMIC. Quantitative analysis was undertaken with descriptive statistics and frequency synthesis with two independent reviewers. A qualitative narrative synthesis was conducted using a thematic analysis approach.Setting: Secondary or tertiary care centres that undertook management of DNSIs.Participants: All adult patients with a DNSI. Main outcome measures:The role of imaging, radiologically guided aspiration and surgical drainage in DNSIs.Results: Sixty studies were reviewed. Thirty-one studies reported on imaging modality, 51 studies reported treatment modality. Aside from a single randomised controlled trial, all other studies were observational (n = 25) or case series (n = 36). Computer tomography (CT) was used to diagnose DNSI in 78% of patients. The mean percentage of management with open surgical drainage was 81% and 29.4% for radiologically guided aspiration, respectively. Qualitative analysis identified seven major themes on DNSI.Conclusions: There are limited methodologically rigorous studies investigating DNSIs.CT imaging was the most used imaging modality. Surgical drainage was commonest treatment choice. Areas of further research on epidemiology, reporting guidelines and management are required.

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Deep neck infections of non-odontogenic origin: clinical manifestation and treatment

Cited by 2 publications

References 11 publications

Oral and Maxillofacial Infections—A Bacterial and Clinical Cross-Section

Oral and Maxillofacial Infections—A Bacterial and Clinical Cross-Section

The assessment and management of deep neck space infections in adults: A systematic review and qualitative evidence synthesis

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