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[Head and neck abscesses].

C Morales-Angulo1, J T Bezós Capelastegui, J García Mantilla

  • 1FEA de ORL, Hospital Sierrallana, Torrelavega.

Anales Otorrinolaringologicos Ibero-Americanos
|February 28, 2002
PubMed
Summary
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Head and neck abscesses are common hospital admissions, often originating from tonsillar or dental infections. Treatment involves surgical drainage and intravenous antibiotics, leading to good outcomes with rare complications.

Area of Science:

  • Otolaryngology
  • Infectious Diseases
  • Surgical Pathology

Context:

  • Head and neck abscesses represent a significant cause of hospital admissions in community settings.
  • Understanding their clinical, microbiological, and therapeutic profiles is crucial for effective management.

Purpose:

  • To comprehensively review the clinical, microbiological, and therapeutic characteristics of head and neck abscesses treated at a community hospital.
  • To identify common origins, locations, and treatment outcomes for these infections.

Summary:

  • A review of 57 head and neck abscesses in 54 patients (ages 14-78) revealed periamygdaline regions as the most frequent location, typically stemming from tonsillar or dental infections.
  • Mixed flora was common in cultures. Treatment predominantly involved intravenous penicillin and surgical drainage (in nearly 80% of cases), resulting in good responses and minimal complications.

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Impact:

  • This study highlights that head and neck abscesses, particularly periamygdaline ones, are frequently encountered and effectively managed with standard surgical and antibiotic protocols.
  • The findings underscore the generally favorable prognosis and rarity of serious complications associated with these infections.