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Related Experiment Videos

Deep neck abscesses--changing trends

D S Sethi1, R E Stanley

  • 1Department of Otolaryngology, Singapore General Hospital.

The Journal of Laryngology and Otology
|February 1, 1994
PubMed
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See all related articles

Deep neck abscesses, including retropharyngeal, parapharyngeal, Ludwig's angina, and necrotizing fasciitis, show changing bacterial patterns. Despite treatment, mortality remains significant, highlighting the need for updated therapeutic strategies.

Area of Science:

  • Otolaryngology
  • Infectious Diseases
  • Surgical Pathology

Background:

  • Deep neck abscesses are serious infections requiring prompt diagnosis and management.
  • Understanding the etiology and microbiology is crucial for effective treatment.

Purpose of the Study:

  • To review the clinical characteristics, etiology, and microbiology of deep neck abscesses.
  • To analyze treatment outcomes and mortality rates.

Main Methods:

  • Retrospective review of 64 patients with deep neck abscesses.
  • Classification into retropharyngeal abscess, parapharyngeal abscess, Ludwig's angina, and necrotizing cervical fasciitis.
  • Analysis of causative factors, microbiological data, and treatment modalities.

Main Results:

Related Experiment Videos

  • Common types included retropharyngeal abscess (29), Ludwig's angina (19), parapharyngeal abscess (10), and necrotizing fasciitis (6).
  • Etiologies varied: ingested foreign body for retropharyngeal abscess (59%), odontogenic for Ludwig's angina (90%), and often unknown for parapharyngeal abscess (80%) and necrotizing fasciitis (85%).
  • Open neck drainage (86%) was most common; endoscopic drainage (14%) was used in some cases. Airway compromise required tracheotomy in 12% of patients. Overall mortality was 8%, with gram-negative organisms predominating (76%) in aerobic cultures.

Conclusions:

  • The changing bacteriological profile of deep neck abscesses may contribute to persistent mortality.
  • Early surgical intervention and antimicrobial therapy are vital, but evolving microbial patterns necessitate ongoing research and treatment adaptation.