Deep neck abscess: a prospective study of 54 cases

Meher, Ravi; Jain, Anubhav; Sabharwal, Anup; Gupta, Bhavana; Singh, Ishwar; Agarwal, Ayushi

doi:10.1258/0022215054020395

Cited by 47 publications

(33 citation statements)

References 4 publications

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“…Infections of masticator space, retropharyngeal space and parotid space were approximately 7% of our study. Our results were consistent with Meher (9) and Rega (20) with submandibular space as the most common location of DNSI in 37% and 30% of the patients. Our results were not consistent with following studies: Parhiscar study in which parapharyngeal space had the most involvement (43%), followed by submandibular space (27%) and Ludwig's angina (17%) (5), Kataria study that showed Ludwig's angina (28.9%) as the most common infected site, followed by peritonsillar abscess and submandibular abscess (10), Mumtaz study in which parapharyngeal space was seen in 20 patients (43.4%) and was at top of the list (21), and the study by YeganehMoghadam that reported peritonsillar (28.7%) and submandibular (21.2%) as the most common sites of infection (12).…”

Section: Discussionsupporting

confidence: 92%

Clinical and epidemiological profile of deep neck space infections: A retrospective study in Hamadan, Western Iran, during 2008-2013

Farahani

Seif-Rabiee

2017

JOHE

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Received: April 2017, Accepted: June 2017 Background: The diagnosis of deep neck space infection (DNSI) is difficult due to lack of common clinical symptoms and signs and covering of deep seated infections by regular tissues of neck. There is no evidence of clinical and epidemiological profile of deep neck space infections in western Iran.This study was designed to analyze demographic features, clinical presentations, and outcomes of DNSIs in order to promote diagnosis, management and treatment of the disease. Materials and Methods: This retrospective study was carried out on 202 patients with the diagnosis of DNSI hospitalized in Hamadan hospitals, Iran, during 2008Iran, during -2013. All parameters including demographic characteristics, geographical location, symptoms, site of infection, required interventions and treatments, and complications and outcomes were studied. Finally, the data were reported by descriptive statistics like mean ± standard deviation (SD), median for quantitative parameters, and frequency tables and percentages for qualitative parameters. Results: Among 202 patients, 58.9% (119 patients) were men. The mean age ± SD was 28.4 ± 14.7 years and ranged from 4 months to 82 years. Most admissions were in winter with 25.7% (52 patients), the majority of which came from urban background (60%). The most common site of infection was submandibular abscess (50%). Airway obstruction occurred in 11.8% of the patients as the most common complication. Two top antibiotics were metronidazole (80.8%) and penicillin G (79.8%). Surgical intervention was carried out in 82.7% of the cases. One patient died of Ludwig's angina. Conclusions:The results of this study showed that although DNSIs have proven to be life-threatening diseases, proper diagnosis and management can effectively defeat them and provide cure without complications.

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Section: Discussionsupporting

confidence: 92%

Clinical and epidemiological profile of deep neck space infections: A retrospective study in Hamadan, Western Iran, during 2008-2013

Farahani

Seif-Rabiee

2017

JOHE

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“…Neck pain was most common symptom seen in 47 (90.38%) patients which was similar to that demonstrated in other studies. 7,8,11,12 In a study by Kamath et al, dysphagia or odynophagia was most common symptom present in 66% followed by pain in neck in 59%. 13 Etiology of deep neck space infections varies depending upon the space involved.…”

Section: Discussionmentioning

confidence: 99%

A study on presentation, etiology, complications and management of deep neck space infections: our experience

Khokle

Lahane

Mishra

et al. 2017

Int J Otorhinolaryngol Head Neck Surg

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Background: To analyze our experience in presentation, etiology, complications and difficulties encountered in diagnosis and management of deep neck space infections.Methods: 52 cases of deep neck space infections were analyzed within the period of November 2013 to November 2015 in ENT OPD at GMC Latur. Patients with airway compromise or in failures were managed with intubation or tracheostomy. All patients were investigated with detail history, hematological and radiological investigations like X- Ray, USG or CT scan. Although all patients were treated with intravenous antibiotics, surgical drainage was the definitive management. Results: Study includes 29 males and 23 females. Neck pain was most common presentation in 90.38% with airway compromise being most common complication. Submandibular (34.61%) and peritonsillar (21%) space were commonly involved with odontogenic and upper airway infections being leading causes. Diabetes was common comorbidity found among patients. Staphylococcus aureus being common isolate (Klebsiella in diabetics). Surgical drainage with antibiotics as per culture sensitivity was treatment modality of choice.Conclusions: Early diagnosis and appropriate management is key for better outcome. Odontogenic etiology being most common correlates well with poor oral hygiene and tobacco chewing. Surgical drainage and antibiotics are the treatment modalities. Complications and associated comorbidities affect the course of DNSI and hence require appropriate management.

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“…Submandibular abscess is the most common presentation in studies done by Parhiscar et al, Zamiri et al, Meher et al with 28%, 32% and 37% involvement respectively. 10,19,20 The diagnosis of deep neck spaces infections is through clinical examination. It is supplemented by ultrasonography, x-ray and FNAC.…”

Section: Discussionmentioning

confidence: 99%

“…1 There is confusion about the number of neck spaces that varies [13][14][15][16][17][18][19][20]. A fascial space is an area of loose connective tissue bounded by dense connective tissue called fascia.…”

Section: Introductionmentioning

confidence: 99%

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

Khavdu

Fefar

Mistry

et al. 2018

Int J Otorhinolaryngol Head Neck Surg

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Background: Deep neck spaces infection is a common challenging condition for otolaryngologist in day to day practice even after availability of higher antibiotics. It may leads to considerable morbidity and complications. The aim of the study was to find out prevalence, predisposing factors and changing trend of deep neck spaces infection in this broad spectrum antibiotics era.Methods: This prospective study was carried out at P.D.U. Medical College and Hospital, Rajkot. 120 Patients were studied who came with deep neck space infection. Results: In this study majority of patient were in the age group of 41-60 year. Odontogenic and oropharyngeal infectionare the most common etiologies. Staphylococcus aureus, Streptococcus, E. colli, Klebsiella and anaerobes were the microorganisms commonly isolated in pus culture and sensitivity test.Conclusions: In spite of availability of broad spectrum antibiotics in present day deep neck spaces infection is the most commonly noticeable condition in developing countries and may lead to considerable morbidity and complications. Inadequate nutritional status, poor oral hygiene and lack of awareness in dental health are common predisposing factors for deep neck spaces infection.

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Deep neck abscess: a prospective study of 54 cases

Cited by 47 publications

References 4 publications

Clinical and epidemiological profile of deep neck space infections: A retrospective study in Hamadan, Western Iran, during 2008-2013

Clinical and epidemiological profile of deep neck space infections: A retrospective study in Hamadan, Western Iran, during 2008-2013

A study on presentation, etiology, complications and management of deep neck space infections: our experience

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

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