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Postoperative Swallowing Function in Patients with Deep Neck Infection.
Shohei Ashizawa1, Takuma Hisaoka1, Ryoukichi Ikeda2
1Department of Otolaryngology and Head and Neck Surgery, Tohoku University Graduate School of Medicine, Sendai, Japan.
Biomedicine Hub
|November 3, 2023
Summary
Deep neck infections can lead to swallowing problems (dysphagia). Anterior cervical space abscesses are linked to longer-lasting dysphagia after treatment, impacting recovery.
Area of Science:
- Otolaryngology
- Head and Neck Surgery
- Infectious Diseases
Background:
- Deep neck infection (DNI) management requires early detection of dysphagia risk for timely rehabilitation and dietary adjustments.
- Swallowing function is crucial for recovery during DNI treatment.
Purpose of the Study:
- To assess the relationship between the extent of deep neck abscesses and postoperative swallowing function.
- To identify specific deep neck spaces associated with prolonged dysphagia.
Main Methods:
- Retrospective chart review of DNI cases (April 2015-April 2021).
- Classification of deep neck spaces using computed tomography.
- Assessment of swallowing function using the Functional Oral Intake Scale (FOIS), with scores ≤3 indicating dysphagia.
Main Results:
- Seventeen DNI cases were analyzed.
- Dysphagia was prevalent at 2, 4, and 8 weeks post-surgery (14, 11, and 8 cases, respectively).
- Anterior cervical space abscesses significantly correlated with increased dysphagia at 4 and 8 weeks post-surgery (p=0.018, p=0.036).
Conclusions:
- Anterior cervical space abscesses may prolong dysphagia post-treatment.
- Inflammation and scarring in the anterior cervical space likely contribute to persistent swallowing difficulties.
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