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Deep neck infections - case reports.

E Amirkhanian, T Kostlivý, L Hauer

    Rozhledy V Chirurgii : Mesicnik Ceskoslovenske Chirurgicke Spolecnosti
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    Summary
    This summary is machine-generated.

    Deep neck infections are serious conditions requiring prompt diagnosis and treatment. Early CT scans and a multidisciplinary approach are crucial for managing these potentially life-threatening infections and reducing mortality.

    Keywords:
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    Area of Science:

    • Otolaryngology
    • Infectious Diseases
    • Surgical Pathology

    Background:

    • Deep neck infections are severe, potentially life-threatening inflammatory conditions affecting neck fascial spaces.
    • Commonly originating from odontogenic or tonsillogenic sources, complications include mediastinitis, septic shock, and airway obstruction.
    • Standard treatment involves intravenous antibiotics and surgical drainage when necessary.

    Purpose of the Study:

    • To highlight the diagnostic challenges and treatment strategies for deep neck infections.
    • To present case studies illustrating the varied presentations and management of these infections.
    • To emphasize the importance of early diagnosis and multidisciplinary care.

    Main Methods:

    • Review of four distinct case reports of deep neck infections.
    • Utilized contrast-enhanced computed tomography (CT) for diagnosis and assessment of infection extent.
    • Employed surgical interventions including tonsillectomy and abscess drainage.
    • Incorporated multidisciplinary team approach and intensive care management.

    Main Results:

    • Case 1: A pediatric retropharyngeal abscess required tonsillectomy and transoral drainage.
    • Case 2: A diabetic patient with carotid space phlegmon needed surgical drainage after conservative treatment failed.
    • Case 3: An extensive epiglottis-to-jugulum abscess was identified and managed.
    • Case 4: A parapharyngeal abscess necessitated tonsillectomy, external incision, and ICU care.

    Conclusions:

    • Accurate diagnosis relies on medical history, otorhinolaryngological examination, and early contrast-enhanced head and neck CT.
    • Modern treatment algorithms involving a multidisciplinary approach, repeat CT scans, and surgical revisions decrease mortality.
    • Prompt and comprehensive management is vital, even in cases with complications like mediastinitis.