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Deep neck infections mortal complications: Intrathoracic complications and necrotising fasciitis
Kemal Koray Bal1, Can Aslan2, Harun Gür2
1Department of Otorhinolaryngology, Mersin University, Mersin 33160, Türkiye. dr.kemalkoraybal@gmail.com.
Background:
We planned this study considering that complications of deep neck infections can be seriously life threatening.
Aim:
To raise awareness that introthoracic complications and necrotizing fasciitis are causes of serious mortality and morbidity.
Methods:
This study was carried out with the participation of 188 patients who were treated at Mersin University Department of Otorhinolaryngology and Head and Neck Surgery at January 1, 2024. When the patient files were retrospectively examined, 16 of 188 patients (8.5%) were included in the study because they were observed to have necrotizing fasciitis and/or intrathoracic complications.
Results:
There were a total of 16 patients in this study, 9 males (56.25%) and 7 females (43.75%). All patients were adults (> 18 years) and the mean age was 50.37 years ± 15.37 years. Female patients had a mean age of 40.42 years ±13.38 years, whereas for male patients was 58.11 years ± 12.44 years.
Conclusion:
Patients with necrotizing fasciitis and/or intrathoracic complications require more complicated and serious surgeries, intensive care unit monitoring, and mechanical ventilator support. Higher rates of morbidity and mortality should be expected in these patients who are hospitalized for longer periods of time.
Insights
Deep neck infections with necrotizing fasciitis or intrathoracic complications are life-threatening. These severe cases require intensive care and prolonged hospitalization, leading to higher mortality rates.
Area of Science:
- Otorhinolaryngology
- Head and Neck Surgery
- Infectious Diseases
Background:
- Deep neck infections pose significant life-threatening risks.
- Introthoracic complications and necrotizing fasciitis are major contributors to mortality and morbidity.
Purpose of the Study:
- To increase awareness of the severe outcomes associated with deep neck infections.
- To highlight the critical nature of introthoracic complications and necrotizing fasciitis.
Main Methods:
- Retrospective examination of 188 patient files from Mersin University.
- Inclusion of 16 patients (8.5%) with necrotizing fasciitis and/or intrathoracic complications.
Main Results:
- The study included 16 adult patients (9 males, 7 females).
- Mean age was 50.37 years (±15.37); males averaged 58.11 years, females 40.42 years.
Conclusions:
- Patients with these complications necessitate complex surgeries and intensive care.
- Extended hospitalization, mechanical ventilation, and higher morbidity/mortality rates are expected.
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