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Modern presentations of Bezold's abscess
E E Smouha1, M J Levenson, V K Anand
1Department of Otolaryngology, Boston University School of Medicine.
Archives of Otolaryngology--Head & Neck Surgery
|September 1, 1989
Summary
Deep neck abscesses from acute mastoiditis are rare but still occur. Early recognition of this uncommon otogenic complication is crucial for timely diagnosis and treatment.
Area of Science:
- Otolaryngology
- Infectious Diseases
Background:
- Suppurative otitis media complications have decreased due to antibiotics.
- Deep neck abscesses from acute mastoiditis (Bezold's abscess) are now uncommon.
Observation:
- Five cases of deep neck abscess of otogenic origin were treated in the last three years.
- Cases presented with variations in clinical setting, onset latency, and bacterial etiology compared to classic descriptions.
- Diagnostic delays occurred in four cases due to failure to recognize the condition.
Findings:
- Computed tomography (CT) is valuable for anatomical diagnosis and surgical planning.
- Contemporary cases, while rare, align with Bezold's description of origin and spread.
- Bacterial causes and clinical presentations have evolved.
Implications:
- Increased familiarity with the clinical presentation of this rare condition is necessary.
- Prompt diagnosis and treatment are essential to prevent severe outcomes.
- CT imaging aids in managing these complex infections.