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[Deep neck infections: etiology, bacteriology and treatment]

S Regueiro Villarín1, J C Vázquez Barro, J Herranz González-Botas

  • 1Servicio de Otorrinolaringología Hospital Universitario Juan Canalejo, A Coruña. sandraregueirovillarin@yahoo.es

Acta Otorrinolaringologica Espanola
|October 14, 2006
PubMed

Insights

Deep neck infections, though less common with antibiotics, remain dangerous. Early recognition and management are crucial to prevent severe complications like mediastinitis.

Area of Science:

  • Otolaryngology
  • Infectious Diseases
  • Head and Neck Surgery

Context:

  • Deep neck infections (DNIs) pose significant risks due to potential fascial spread, sepsis, and airway compromise.
  • A review of 77 cases highlights the persistent threat of DNIs despite antibiotic advancements.

Purpose:

  • To analyze the etiological, clinical, and therapeutic aspects of deep neck infections.
  • To identify common infection sites, causative agents, and treatment outcomes in a cohort of patients.

Summary:

  • The submaxillary area (29%), parapharyngeal space (28%), and floor of mouth (27%) were most frequently involved.
  • Dental infections (32%) and pharyngoamygdalitis (27%) were primary causes; polymicrobial infections (72%) were common, with Streptococcus B hemolytic prevalent.
  • Treatment involved broad-spectrum antibiotics, with 54% requiring surgical drainage and 18% needing tracheotomy.

Impact:

  • Despite reduced incidence due to antibiotics, DNIs can be lethal, particularly with complications like mediastinitis (observed in 4 cases).
  • Emphasizes the critical need for prompt diagnosis and intervention to improve patient outcomes and reduce mortality.

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