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Presentation and management of deep neck space abscess
M Panduranga Kamath1, Ashok B Shetty, Mahesh Chandra Hegde
1Department of ENT, Kasturba Medical College Hospital, Attavar, 575001 Mangalore, Karnataka India.
Summary
Deep neck space infections most commonly affect the parapharyngeal space. Etiologies vary, with odontogenic infections being frequent, and complications like mediastinitis pose significant risks.
Area of Science:
- Otolaryngology
- Infectious Diseases
- Head and Neck Surgery
Background:
- Deep neck space infections (DNSIs) are serious conditions requiring prompt diagnosis and management.
- Understanding the epidemiology and microbiology of DNSIs is crucial for effective treatment strategies.
Purpose of the Study:
- To investigate the clinical presentation, causative agents, and patient outcomes of deep neck space infections.
- To identify common anatomical spaces involved and associated risk factors for DNSIs.
Main Methods:
- A retrospective study was conducted on 29 patients diagnosed with deep neck space infections.
- Data was collected from patients admitted to Kasturba Medical College Hospital, Mangalore, India, between January 1997 and December 2002.
Main Results:
- The parapharyngeal space was the most frequently involved site in DNSIs.
- Odontogenic infections (28%) and tonsillar/pharyngeal infections (24%) were the primary identified etiologies.
- Mediastinitis was a significant morbidity, occurring in 5 patients, and one patient mortality was recorded.
Conclusions:
- Deep neck space infections present with diverse etiologies, frequently involving the parapharyngeal space.
- Mixed aerobic and anaerobic bacterial flora are common in these infections.
- Prompt recognition and management are essential to reduce the morbidity and mortality associated with DNSIs.
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