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[Deep neck abscess: analysis of 50 cases].
Yan Zheng1, Ding-Hou Wen, Xiao-Ming Qiao
1Department of Otorhinolaryngology, West China Hospital, Sichuang University, Chengdu 610041, China.
Summary
Deep neck abscesses are often caused by infections, foreign bodies, or diabetes. Early surgical drainage and antibiotics are crucial for improving patient outcomes and survival rates.
Area of Science:
- Otolaryngology
- Infectious Diseases
Context:
- Deep neck abscesses present a significant clinical challenge.
- Understanding predisposing factors is key for effective management.
Purpose:
- To identify predisposing factors for deep neck abscess.
- To review the diagnosis and treatment of deep neck abscess.
Summary:
- A retrospective review of 50 deep neck abscess cases (1997-2002) identified tooth diseases, tonsillitis, upper respiratory tract infections, esophageal foreign bodies, and diabetes mellitus as common causes.
- Bacterial cultures were positive in 64% of cases.
- Treatment involved surgical drainage and antibiotics, resulting in a 92% cure rate, though complications like hemorrhage and infective shock led to mortality in 4 cases.
Impact:
- Early surgical intervention and appropriate antibiotic use are vital for improving cure rates.
- Controlling complications and managing comorbid conditions are essential for reducing mortality.