A study of deep neck spaces infection in present era at tertiary care teaching hospital

Khavdu, Paresh J.; Fefar, Alpesh D.; Mistry, Sejal N.; Chavada, Payal S.

doi:10.18203/issn.2454-5929.ijohns20183701

Cited by 3 publications

(3 citation statements)

References 15 publications

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“…The spread of infection could occur by continuation, lymphatic or hematogenous. 1,2 Several studies find submandibular abscess is a common form of deep neck abscess with prevalence 37.5% -57.5% among all form. 1,3,4 Meanwhile, at Department of Otorhinolaryngology Dr. Saiful Anwar General Hospital, Malang in 2019, the prevalence of submandibular abscess patient was 56.5% and odontogenic was the only cause.…”

Section: Introductionmentioning

confidence: 99%

“…1,2 Several studies find submandibular abscess is a common form of deep neck abscess with prevalence 37.5% -57.5% among all form. 1,3,4 Meanwhile, at Department of Otorhinolaryngology Dr. Saiful Anwar General Hospital, Malang in 2019, the prevalence of submandibular abscess patient was 56.5% and odontogenic was the only cause. 5 Deep neck abscess is associated with fatal complication such as upper airway obstruction, cervical necrotizing fasciitis, mediastinitis, sepsis, et cetera which could cause mortality rate almost 50% despite adequate antibiotics and aggressive surgical therapy.…”

Section: Introductionmentioning

confidence: 99%

“…5 Deep neck abscess is associated with fatal complication such as upper airway obstruction, cervical necrotizing fasciitis, mediastinitis, sepsis, et cetera which could cause mortality rate almost 50% despite adequate antibiotics and aggressive surgical therapy. 1,6 Diabetes mellitus (DM) is defined as a group of metabolic disorders characterized by the main symptoms of hyperglycemia caused by abnormalities in insulin secretion and/or insulin resistance. DM is a chronic and complex disease that requires long term medical care with multifactorial risk reduction strategy addition to blood glucose control.…”

Section: Introductionmentioning

confidence: 99%

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Association Neutrophil Lymphocyte Ratio and Therapy Respons in Submandibular Abscess with and without Diabetes

Chamora¹,

Murdiyo²,

Maharani³

2022

Oto Rhino Laryn Indones

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Background: Submandibular abscess is one of the most common deep neck abscesses and associated with fatal complications which require adequate management. Diabetes mellitus (DM) is a chronic and complex disease that necessitates ongoing medical care with a multifactorial risk reduction strategy in addition to blood sugar control. The neutrophil lymphocyte ratio (NLR) is a simple marker for the systemic inflammatory conditions. An increased NLR values were found in patients with submandibular abscesses and patients with DM. Purpose: To determine the correlation between NLR to the therapeutic response of patients with submandibular abscesses with and without DM. Method: A cross-sectional study design with secondary data collection from medical records of submandibular abscess patients with and without DM. NLR value was compared between two groups. Correlation between NLR value and therapeutic response was compared between DM and non DM group. Result: The mean NLR of patients with and without DM were respectively 7.65 ± 4.92 and 16.53 ± 11. There was no significant difference between NLR and good therapeutic response or not in submandibular abscess patients with and without DM (p > 0.05). Conclusion: NLR of submandibular abscess patients with DM was lower than without DM. A lower NLR in submandibular abscess patients with DM did not have better response to therapy. Lower LNR in submandibular abscess patients without DM had a better therapeutic response, but it was not statistically significant.Keywords: neutrophil lymphocyte ratio, response to therapy, submandibular abscess, diabetes mellitusABSTRAKLatar belakang: Abses submandibula merupakan salah satu abses leher dalam yang paling sering ditemui dan berkaitan dengan komplikasi yang fatal sehingga diperlukan penatalaksanaan yang memadai pada pasien. Diabetes mellitus (DM) merupakan penyakit kronis dan kompleks, yang memerlukan perawatan medis berkelanjutan dengan strategi mengurangi risiko multifaktorial selain kontrol gula darah. Rasio neutrofil limfosit (RNL) merupakan penanda sederhana adanya kondisi inflamasi sistemik. Peningkatan nilai RNL ditemukan pada pasien dengan abses submandibula dan pasien DM. Tujuan: Mengetahui hubungan RNL terhadap respon terapi penderita abses submandibula dengan DM dan tanpa DM. Metode: Penelitian cross-sectional, sampel penelitian dari arsip rekam medis rawat inap pasien dengan diagnosis abses submandibula baik dengan komorbid DM dan tanpa komorbid DM. Nilai RNL dibandingkan diantara kedua kelompok. Hubungan nilai RNL dan respon terapi dibandingkan diantara kelompok DM dan tanpa DM. Hasil: Rerata nilai RNL pada pasien abses submandibula dengan komorbid DM sebesar 7,65 + 4,92 dan pada pasien tanpa komorbid DM sebesar 16,53 + 11. Tidak ada perbedaan yang signifikan antara nilai RNL terhadap respon terapi baik dan tidak baik pada pasien abses submandibula dengan komorbid DM dan tanpa DM (p>0,05). Kesimpulan: RNL penderita abses submandibula dengan DM lebih rendah daripada penderita tanpa DM. RNL yang lebih rendah tidak memiliki respon terapi yang lebih baik pada penderita abses submandibula dengan DM. RNL yang lebih rendah memiliki respon terapi yang lebih baik pada penderita abses submandibula tanpa DM, namun tidak bermakna secara statisitik.Kata kunci: rasio neutrofil limfosit, respon terapi, abses submandibula, diabetes mellitus

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Association Neutrophil Lymphocyte Ratio and Therapy Respons in Submandibular Abscess with and without Diabetes

Chamora¹,

Murdiyo²,

Maharani³

2022

Oto Rhino Laryn Indones

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Etiology and Complications of Deep Neck Space Infections: A Hospital Based Retrospective Study

Desa

Tiwari

Pednekar

et al. 2022

Indian J Otolaryngol Head Neck Surg

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Predisposing Factors and Etiology of Deep Neck Space Infections – A Hospital-based Cross-sectional Study

Jain,

Luthra,

Bist

et al. 2024

Journal of Public Health and Primary Care

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Background: Deep neck space infections (DNSI) are serious infections of the potential spaces of the neck. In developing countries, dental infections have been found to be the most common cause of these infections. The signs and symptoms depend on the neck space involved. Timely surgical drainage remains the main mode of treatment. This study aims to determine the predisposing factors and etiology responsible for these infections. Materials and Methods: This cross-sectional study of 1 year was conducted in a tertiary care teaching hospital setting and included 52 cases of clinically diagnosed DNSI. The clinico-demographic profile, microbiological profile, predisposing factors, and etiology of DNSI were recorded in all patients and analyzed. Results: The mean age was 43.46 ± 18.07 years. The male-to-female ratio was 1.7:1. The most common presenting complaint was cervicofacial/oropharyngeal swelling (100%). The most frequently involved neck space was submandibular space (56%). Poor oral hygiene (78.8%), anemia (65.3%), and diabetes mellitus (55.7%) were the common predisposing factors, respectively. Streptococcus group of organisms were found in majority of the cases (19%) and cephalosporin was the most sensitive drug (100%). Dental infection was observed as the most common etiological cause (67.3%). Conclusion: Primary health-care physician should be aware of the signs and symptoms of DNSI so that early detection and timely referral can be done to prevent life threatening complications. Regular health and dental checkups should be encouraged for decreasing the incidence of these infections.

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A study of deep neck spaces infection in present era at tertiary care teaching hospital

Cited by 3 publications

References 15 publications

Association Neutrophil Lymphocyte Ratio and Therapy Respons in Submandibular Abscess with and without Diabetes

Association Neutrophil Lymphocyte Ratio and Therapy Respons in Submandibular Abscess with and without Diabetes

Etiology and Complications of Deep Neck Space Infections: A Hospital Based Retrospective Study

Predisposing Factors and Etiology of Deep Neck Space Infections – A Hospital-based Cross-sectional Study

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