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Deep neck space infections remain a surgical challenge. A study of 72 patients
Joacim Stalfors1, Anna Adielsson, Anders Ebenfelt
1Departments of Otolaryngology Head & Neck Surgery, Gothenburg University, Gothenburg, Sweden. joacim.stalfors@orlss.gu.se
Objective:
The treatment of deep neck space infections (DNSIs) remains a clinical challenge and these infections are associated with significant risks of mortality.
Material And Methods:
We analyzed records over a 4.5-year period for all patients with DNSIs who required hospitalization. We recorded age, previous disease, delay in diagnosis, body temperature at admission, C-reactive protein level, X-ray results, location of DNSIs, origin of the infection, spread of infection, use of antibiotics, bacteriology, surgery and outcome.
Results:
A total of 72 patients (average age 45 years) were included. The locations and spread of DNSIs were described in detail. The commonest origins of DNSIs were dental (n = 35) or salivary gland infections (n = 15).
Conclusion:
Continuous assessment of the patient using CT scans, fine-needle aspiration and physical examinations will determine if and when surgery is necessary. As a large number of DNSIs are of dental origin, it is of great importance that diagnosis and treatment be performed in close cooperation with dental surgeons.