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Deep neck infection: analysis of 80 cases
Alexandre Babá Suehara1, Antonio José Gonçalves, Fernando Antonio Maria Claret Alcadipani
1Head & Neck Surgery Discipline, São Paulo Santa Casa, Brazil.
Brazilian Journal of Otorhinolaryngology
|June 24, 2008
Summary
Deep neck infections require prompt management, prioritizing airway control. Early diagnosis via CT scans and careful surgical intubation are crucial to reduce high mortality rates associated with complications like mediastinitis.
Area of Science:
- Otolaryngology
- Head and Neck Surgery
- Infectious Diseases
Background:
- Deep neck infections (DNIs) are serious conditions with potential for severe complications.
- Descending necrotizing fasciitis is a life-threatening complication requiring urgent intervention.
Purpose of the Study:
- To retrospectively analyze 80 cases of deep neck infection.
- To propose a management guideline for deep neck infections.
Main Methods:
- Retrospective analysis of 80 treated cases of deep neck infection.
- Data collected from June 1997 to June 2003.
Main Results:
- Common causes include odontogenic and tonsillar infections.
- Submandibular and parapharyngeal spaces are most frequently involved.
- Staphylococcus aureus and Streptococcus sp. were the most common pathogens.
Conclusions:
- Airway control is paramount in managing DNIs.
- CT scan is the gold standard for diagnosis.
- High morbidity and mortality are associated with septic shock and mediastinitis; mortality rate was 11.2%.
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