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Neck abscess: 79 cases.

Suphi Bulgurcu1, Ilker Burak Arslan1, Erhan Demirhan1

  • 1Department of Otorhinolaryngology, Tepecik Training and Research Hospital, Izmir, Turkey.

Northern Clinics of Istanbul
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Summary

Urgent diagnosis and treatment of neck abscesses are crucial to prevent severe complications. This study analyzed 79 cases, highlighting common infection sources, treatment methods, and outcomes, emphasizing early surgical drainage and parenteral therapy.

Keywords:
Abscesscomplicationneck

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Area of Science:

  • Otolaryngology
  • Infectious Diseases
  • Surgical Pathology

Background:

  • Neck abscesses pose significant mortality and morbidity risks if not treated promptly.
  • Retrospective analysis of neck abscess cases is essential for understanding disease patterns and optimizing management.

Purpose of the Study:

  • To retrospectively analyze patients diagnosed with neck abscesses.
  • To present findings on patient demographics, infection sources, diagnostic methods, and treatment outcomes in the context of existing literature.

Main Methods:

  • Retrospective assessment of 79 neck abscess cases treated between January 2008 and January 2015.
  • Data collected included age, gender, source of infection, comorbidities, imaging, anesthesia, abscess location, culture results, complications, prior antibiotic use, and hospitalization duration.
  • Analysis focused on patient characteristics, treatment approaches, and outcomes, including complications like mediastinitis and sepsis.

Main Results:

  • The study included 79 patients (mean age 28.3 years; 43 female, 36 male).
  • Diabetes mellitus was the most common comorbidity. Peritonsillar region was the most frequent abscess site.
  • Staphylococcus aureus was the predominant microorganism. Three patients developed mediastinitis, with one succumbing to sepsis. Patients with systemic diseases had significantly longer hospitalizations.

Conclusions:

  • Early diagnosis and prompt surgical drainage combined with parenteral antibiotic therapy are critical for managing neck abscesses.
  • Aggressive management is necessary to prevent potentially life-threatening complications such as mediastinitis and sepsis.