Deep Neck infections of Odontogenic Origin and Their Clinical Significance. A Retrospective Study from Hradec Králové, Czech Republic

Abstract

Summary:Introduction: Cellulitis remains a very serious disease even today. Mortality, which varied between 10-40%, has been reduced owing to the standard securing of airway patency and use of an appropriate surgical treatment approach. Materials and methods: A total of 195 patients were hospitalised for cellulitis at the University Hospital in Hradec Králové during 2007-2011. The following parameters were evaluated: age, gender, dependence of incidence of the disease on the season of the year, frequency of attacks of the particular areas and their clinical characteristics, aetiology of the inflammation, types of patient complaints, prevalence of current systemic diseases, results of microbiological and selected laboratory analyses, socio-economic status of the patients, and duration of patient stay at the hospital. Statistical analysis was performed by using Pearson's correlation coefficient, the statistical significance level was p < 0.05. Results: The mean age of the patients was 39.8 years. The group of 195 patients included 108 (55%) males and 87 (45%) females. The mean time between the first symptoms of the disease and admission to the Department was 5 days. From among the 195 patients, 116 (59.5%) were working persons, 79 (40.5%) were non-working (children, students, unemployed persons, women on maternity leave, retired people). The odontogenic origin of the disease was verified in 173 (88.7%) patients. In total, 65 (33.3%) patients had no coinciding complicating systemic disease, 22 (11.3%) patients had diabetes mellitus. The most frequent symptom of cellulitis was painful swelling, found in 194 (99.5%) patients, followed by jaw contracture, found in 153 (78.5%) patients. Conclusion: The results are largely very similar to those of previous studies performed in other countries, except that we found no correlation between the prevalence of cellulitis and the socio-economic status, nor have we confirmed Klebsiella pneumoniae sp. as the cause of cellulitis in patients with diabetes mellitus.

Real‐world evidence for increased deep neck infection risk in patients with rheumatoid arthritis

“…According to various studies, 20% to 70% of DNI patients received surgical drainage for deep neck abscess . In our study, 26.4% of patients with RA‐DNI patients and 29.9% of patients with non–RA‐DNI received surgical drainage.…”

High Risk of Deep Neck Infection in Patients with Type 1 Diabetes Mellitus: A Nationwide Population-Based Cohort Study

“…Previous studies have reported that surgical treatment was used in 55–80% of patients with DNI [ 4 , 9 , 24 , 25 , 26 , 27 , 28 ]. In our study, few patients received surgical treatment in both the cohorts (T1DM: 33.3% and non-DM: 18.7%).…”

“…In our study, few patients received surgical treatment in both the cohorts (T1DM: 33.3% and non-DM: 18.7%). This difference in percentage may result from previous studies being conducted in medical centers or tertiary hospitals, which receive and treat patients with severe DNI [ 4 , 8 , 9 , 24 , 25 , 26 , 27 ]. Hence, patients with severe DNI were more likely accept surgical interventions.…”

Seven years of experience in 160 patients with deep neck infection

“…By means of seasonal dominancy, it was observed that trimodal peaks were spread throughout the year. A recent review on the issue by Doležalová et al [5] reported a trimodal peak according to seasons. Therefore we concluded that deep neck infections can be observed throughout the year.…”