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Deep-neck space abscesses
1Otorhinolaryngology Department, King Abdul Aziz University Hospital, Riyadh, Kingdom of Saudi Arabia.
The Journal of Otolaryngology
|August 1, 1996
Summary
Deep-neck space infections, though less common, can cause severe illness. This study reviewed 16 patients, finding that prompt antimicrobial therapy and surgical drainage led to successful outcomes with no major lasting effects.
Area of Science:
- Otolaryngology
- Head and Neck Surgery
- Infectious Diseases
Background:
- Deep-neck space infections (DNSIs) remain a significant clinical concern despite declining incidence, carrying risks of severe morbidity and mortality.
- These infections necessitate prompt diagnosis and effective management strategies.
Purpose of the Study:
- To present the clinical experience in managing deep-neck space abscesses.
- To review the etiology, presentation, and treatment of these infections.
Main Methods:
- Retrospective analysis of 16 patients with 19 deep-neck space abscesses.
- Inclusion of various abscess locations such as Ludwig's angina, parapharyngeal, retropharyngeal, and triangle spaces.
- Utilized diagnostic imaging including X-ray, CT, ultrasonography, and MRI.
Main Results:
- Common presentations included pain and neck swelling, with odontogenic and pharyngeal sources being frequent.
- Cultures yielded positive results in 56.2% of cases, with no single predominant organism identified.
- Antimicrobial therapy and surgical drainage were the primary treatments, with two cases experiencing internal jugular-vein thrombophlebitis.
Conclusions:
- Deep-neck space infections require a comprehensive approach involving accurate diagnosis and timely intervention.
- Effective management through antibiotics and surgical drainage ensures favorable patient outcomes with minimal sequelae.