Deep neck space abscesses in children below 5 years of age and their complications

Jain, Avani; Singh, Ishwar; Meher, Ravi; Raj, Anuradha; Rajpurohit, Pragya; Prasad, P. Vithal

doi:10.1016/j.ijporl.2018.03.022

Cited by 29 publications

(16 citation statements)

References 10 publications

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“…This study used the International Sepsis Definitions Conference to define sepsis. 13 Another study found that sepsis in DNI patient was 0.4% to 16.8%, 14 -16 but this study showed 3.9%. This study showed that DNI patients had an underlying disease and both groups of the DNI patients had no different underlying diseases.…”

Section: Discussionmentioning

confidence: 73%

The Result of Treatment of Deep Neck Infection in Patients Referred According to Public Health System

Cheepcharoenrat

2019

Ear Nose Throat J

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There are many factors that result in the treatment of deep neck infection (DNI). This study aims to compare the results of DNI treatment between referred and walk-in patients. This retrospective cohort study reviewed the data of 282 DNI patients. The peritonsillar abscesses and limited intraoral abscesses were excluded. The outcome of treatment such as duration of hospital stay, the expense of treatment, morbidity, and mortality were reviewed during staying in the hospital. A total of 282 patients were included in this study, there were 152 referred patients and 130 walk-in patients. Patients who were sent to have treatment results were not significantly different from those who had come directly to the hospital regardless of the length of stay, the cost of medical treatment, complications, and death due to complications with sepsis ( P = .013). However, the referred patients exhibited a risk to have sepsis 1.1 times more than the patients who went straight to the medical specialists (univariate analysis risk ratio [RR]: 1.1, 95% confidence interval [CI]: 0.8-1.3; P = .620). The results were confirmed in the multivariate analysis after adjusting for age, gender, diabetes, chronic renal failure, cirrhosis, and dental care. It was found that the risk to have sepsis in the “refer in” group was 1.1 times more than the other group (multivariate analysis RR: 1.1, 95% CI: 0.8-1.3; P = .658). In conclusion, the results of treatment in referred patients were not different from walk-in patients. Deep neck infection patients at hospitals that do not have a specialized doctor will receive appropriate treatment because of the effective DNI referral system according to public health systems. However, in referred patients, sepsis should be maintained prior to delivery.

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Section: Discussionmentioning

confidence: 73%

The Result of Treatment of Deep Neck Infection in Patients Referred According to Public Health System

Cheepcharoenrat

2019

Ear Nose Throat J

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“…Delayed diagnosis and management are indications for complications and unfavorable adverse events, with an estimated mortality rate that reaches up to 40%. 1,35 .…”

Section: Discussionmentioning

confidence: 99%

“…Surgical incisions and long-course medical and antibiotic therapies have been described in the literature for the management of retropharyngeal abscess. [1][2][3] In the present study, we have discussed the surgical and medical treatment of retropharyngeal abscesses and the predicted prognosis of the disease after treatment, based on evidence obtained from studies in the literature.…”

mentioning

confidence: 99%

Medical and surgical outcome of retropharyngeal abscess and its prognosis

Alwagdani

Alwabel

Alyami

et al. 2021

Int J Community Med Public Health

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Although retropharyngeal abscess is not a common condition, it can impact the quality of life of the affected patients, and can even be life-threatening. Asphyxia, upper respiratory tract obstruction, and respiratory distress might then develop secondary to this abscess which continues to grow even larger increasing the seriousness of the complications. Surgical incisions and long-course medical and antibiotic therapies have been described in the literature for the management of retropharyngeal abscess. In this study, the literature review discusses the surgical and medical treatment of retropharyngeal abscesses and the predicted prognosis of the disease after treatment based on evidence obtained from studies in the literature. Early presentation and management are important in achieving better outcomes and enhancing the prognosis. Therefore, patients should be aware enough of the symptoms that might suggest the presence of a retropharyngeal abscess. Using intravenous antibiotics can achieve favorable outcomes. However, some adverse events might be associated and the treatment might not be completed as a result of reduced patient compliance. Surgical management is also efficacious and can be done by different approaches as discussed earlier. Nevertheless, it can also be associated with some complications. Therefore, providing optimal care for these patients should be considered in all scenarios to enhance the prognosis.

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“…(7,8,9) There has been many case series in literature describing deep neck space abscesses in children below 5 years of age and their complications. (10) Some of the causes are associated with some syndromes. (11) There are very few case series in Indian population reporting such cases.…”

Section: B a C K G R O U N Dmentioning

confidence: 99%

Management of Stridor in Paediatric Population- Our Experience

Thakur¹,

Singh²,

Roy³

et al. 2019

jemds

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BACKGROUNDStridor is a common presentation in paediatric ENT OPDs. (1) There can be numerous causes of stridor in this age group-congenital and acquired. (2) There are various methods available for diagnosis of such cases-radiological, rigid laryngotracheobronchoscopy and fibreoptic laryngoscopy. (3) The approach to such a case and its subsequent management varies from case to case. (4) Treatment strategy for each possible cause varies. There are very few case series in Indian population reporting such cases. In our tertiary care centre, we come across many cases with stridor. Their subsequent evaluation leads us to diagnosis. At times, upper airway evaluation is normal. The management then depends on specific aetiology. We are describing our case series comprising 15 patients with various diagnosis and subsequent management. METHODSThis is a case series comprising 15 patients. This is a prospective study carried out at our tertiary care centre. The variety of cases included laryngomalacia, retropharyngeal abscess and subglottic stenosis which were managed as per existing guidelines. RESULTSThe outcomes of our series were quite promising with 93.33 % children successfully decannulated. CONCLUSIONSThe management of a child with stridor is a challenge for the treating team. We should keep in mind that every paediatric case of stridor does not imply an underlying pathology. A systematic approach and keeping all the possible differential diagnoses in mind are the most important steps in achieving optimum results.

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Deep neck space abscesses in children below 5 years of age and their complications

Cited by 29 publications

References 10 publications

The Result of Treatment of Deep Neck Infection in Patients Referred According to Public Health System

The Result of Treatment of Deep Neck Infection in Patients Referred According to Public Health System

Medical and surgical outcome of retropharyngeal abscess and its prognosis

Management of Stridor in Paediatric Population- Our Experience

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