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Deep Neck Space Infections: A Study of 76 Cases
Gaurav Kataria1, Aditi Saxena2, Sanjeev Bhagat3
1Department of Otorhinolaryngology, SGRDIMSR, Amritsar, Punjab, India .
Iranian Journal of Otorhinolaryngology
|January 21, 2016
Summary
Deep neck space infections (DNSI) are serious conditions often caused by dental issues. Early diagnosis and treatment, alongside improved oral hygiene, are crucial for preventing severe complications in patients with DNSI.
Area of Science:
- Otolaryngology
- Infectious Diseases
- Oral Surgery
Background:
- Deep neck space infections (DNSI) are severe conditions with potential for serious complications.
- Primary sources include dental, tonsillar, and salivary gland infections, malignancies, and foreign bodies.
- Antibiotic use has decreased DNSI prevalence, but complications like airway obstruction and sepsis remain critical concerns.
Purpose of the Study:
- To investigate the demographic distribution, clinical presentation, bacteriology, and management of DNSI.
- To identify common etiological factors and complications associated with deep neck space infections.
- To evaluate treatment outcomes and prevention strategies for DNSI.
Main Methods:
- A retrospective study of 76 patients diagnosed with DNSI between October 2010 and January 2013.
- Inclusion criteria encompassed all age groups and genders.
- Data collected included patient demographics, comorbidities, clinical presentation, infection site, bacteriology, complications, and interventions.
Main Results:
- The majority of patients (31-50 years) were male (55.26%).
- Odontogenic infections (34.21%) were the leading cause, with Streptococcus and Staphylococcus identified in 50% of cultures.
- Ludwig's angina was the most common presentation (28.94%), necessitating surgical intervention in 89.47% of cases and emergency tracheotomy in 5.26%.
Conclusions:
- DNSI poses a significant threat to diabetic, immunocompromised, and elderly individuals, requiring specialized attention.
- Prompt diagnosis and intravenous antibiotic therapy, guided by culture sensitivity, are vital for effective management.
- Promoting dental and oral hygiene awareness and regular dental check-ups can prevent odontogenic infections, the primary cause of DNSI.
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