Spectrum of Deep Neck Space Abscesses: A Case Series Experience in a Tertiary Health Care Centre

Deep neck space abscesses (DNSAs) are serious infections that involve the fascial planes of the head and neck. These infections originate from odontogenic, oropharyngeal, or suppurative lymphadenitis sources and rapidly propagate owing to the rich vascular and lymphatic supply. The historical patient records examined 11 cases of deep neck space abscesses located in the peritonsillar, submandibular, parapharyngeal, and retropharyngeal regions of the neck. The patients presented with symptoms such as pharyngeal discomfort, dysphagia, and cervical inflammation. Contrast-enhanced computed tomography (CECT) and Ultrasonography (USG) confirmed the abscesses. Microbiological cultures revealed pathogens such as Streptococcus Pneumoniae, Methicillin-Resistant Staphylococcus Aureus (MRSA), Acinetobacter Baumannii, and non-albicans Candida species. Treatment comprised intravenous antibiotic therapy and surgical drainage of the abscess. The duration of hospitalization ranged from 4 to 13 days. All patients achieved full recovery, without complications. This case series highlights the value of a personalised treatment approach that combines detailed imaging, the right antibiotics, and timely surgery. Educating patients about managing conditions like diabetes, high blood pressure, and lifestyle habits such as smoking, alcohol use, and oral hygiene is just as important. With early and coordinated care from multiple specialities, we can greatly improve recovery and reduce complications in DNSA.