Deep Neck Space Infections: A Case Series and Review of the Literature

Maharaj, Shivesh; Ahmed, Sumaya; Pillay, Preba

doi:10.1177/1179550619871274

Cited by 29 publications

(23 citation statements)

References 17 publications

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“…The prognosis of successful DNI treatment in patients with CKD, especially in RTRs, is worse than in general population [51]. Reoperations and longer hospitalizations are often required in these patients [53].…”

Section: Deep Neck Infections (Dnis)mentioning

confidence: 99%

Otorhinolaryngological dysfunctions induced by chronic kidney disease in pre- and post-transplant stages

Wojciechowska

Krajewski

Zatoński

2020

Eur Arch Otorhinolaryngol

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Purpose Otorhinolaryngological abnormalities are common complications of chronic kidney disease (CKD) and its treatment. The main aim of this study was to provide a brief and precise review of the current knowledge regarding CKD and its treatment-related influence on head and neck organs. Methods The Medline and Web of Science databases were searched using the terms "chronic kidney disease", "kidney transplantation", "immunosuppression", "dialysis" in conjunction with "otorhinolaryngological manifestation". Articles that did not address the topics, low-quality studies, case reports, and studies based on nonsignificant cohorts were excluded, and the full text of remaining high-quality, novel articles were examined and elaborated on. Results Patients with CKD are prone to develop sensorineural hearing loss, tinnitus, recurrent epistaxis, opportunistic infections including oropharyngeal candidiasis or rhino-cerebral mucormycosis, taste and smell changes, phonatory and vestibular dysfunctions, deep neck infections, mucosal abnormalities, gingival hyperplasia, halitosis or xerostomia. Immunosuppressive therapy after kidney transplantation increases the risk of carcinogenesis, both related and not-related to latent viral infection. The most commonly viral-related neoplasms observed in these patients are oral and oropharyngeal cancers, whereas the majority of not-related to viral infection tumors constitute lip and thyroid cancers. CKD-related otorhinolaryngological dysfunctions are often permanent, difficult to control, have a significant negative influence on patient's quality of life, and can be life threatening. Conclusion Patients with CKD suffer from a number of otorhinolaryngological CKD-induced complications. The relationship between several otorhinolaryngological complications and CKD was widely explained, whereas the correlation between the rest of them and CKD remains unclear. Further studies on this subject are necessary.

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Section: Deep Neck Infections (Dnis)mentioning

confidence: 99%

Otorhinolaryngological dysfunctions induced by chronic kidney disease in pre- and post-transplant stages

Wojciechowska

Krajewski

Zatoński

2020

Eur Arch Otorhinolaryngol

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“…Many studies identified odontogenic origins to DNSIs, citing odontogenic sources in 28%, 12%, 70.6%, and 92.7% of cases. [7,11,17,21] This is common for low income countries with inappropriate equipment for basic dental care, delayed extractions, a lack of dentists, and high numbers of patients with poor oral hygiene. Contrast CT scan is the gold standard method of diagnosis for DNSIs.…”

Section: Resultsmentioning

confidence: 99%

“…[9,13] Delays in diagnosis and treatment can result in life-threatening complications, namely, airway compromise, necrotizing fasciitis, mediastinitis and sepsis. [17]…”

Section: Introductionmentioning

confidence: 99%

Clinical Presentation and Factors Leading to Complications of Deep Neck Spaces Infections at CHUK

Ncogoza

Munezero

Mvukiyehe

et al. 2021

RJMHS

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Background Deep neck space infection (DNSI) mostly arise from the local extension of dental, tonsils and parotid gland infections. Early diagnosis and management is the key to avoid associated complications. Objective Our study aimed at evaluating the clinical presentation and factors related to complications of DNSIs at the University Teaching Hospital of Kigali. Methods This cross-sectional study was conducted at the University teaching hospital of Kigali from September 2017 to November 2018. It enrolled 66 participants. Patient information was recorded using a questionnaire and analyzed using Epidata 3.1 software. The data were processed using SPSS 16.0. Comparison of categorical variables were performed using the chi-square test. Associations with p-values=0.05 were considered statistically significant. Results Males accounted for 35 (53%) of DNSIs. The majority (97%) presented with neck pain and 21% with a history of tooth extraction. The submandibular space was the most involved in 33 (50%) cases. The average duration of symptoms at presentation was 11 days. Delayed consultation and advanced age (>40years) were associated with complications and hospital stay with (p value=0.022) and (p=0.015) respectively. Conclusion Neck pain on background of tooth extraction is the most common presentation of patients with DNSIs. Delayed presentation and advanced age are central factors for complications and longer hospital stay. Rwanda J Med Health Sci 2021;4(1):8-19

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“…Apart from the mentioned comorbid conditions, there are studies in the literature reporting that low socio-economic status and low educational status increase the susceptibility to the development of DNSI (12,13,14). In addition, infections caused by resistant microorganisms due to the widespread use of antibiotics also increase the risk in this population (6,15). Due to the widespread and timely use of antibiotics and the easy accessibility to broad-spectrum antibiotics, the incidence of deaths and complications due to DNSI has decreased (16).…”

Section: Discussionmentioning

confidence: 99%

Deep Neck Space Infection: Clinical Outcomes of Patients Treated in a Tertiary Care Center

Kaya¹,

Yağcı²,

Doğan³

et al. 2021

hamidiyemedj

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Background: Deep neck space infection (DNSI) is a suppurative infection of the visceral cavities of the neck, which usually begins in the form of fasciitis and progresses to abscess formation. Immediate evaluation and management of deep neck space infections is imperative. Materials and Methods:A total of 109 patients who were hospitalized and treated in our ear, nose and throat clinic with the diagnosis of DNSI were included in the study. No age or gender restrictions were made. Patient charts were analyzed retrospectively, and information about demographic characteristics of the patients, complaints at presentation and time of admission, location, antibiotics that were used in treatment, duration of hospitalization and complications were recorded.Results: In our study, 60.6% of the patients were male and the mean age was 31 years (3.5 months-103 years). It was observed that the most frequent admissions to our clinic were in the months of April and January. The most common anatomical locations of infection and abscess were the submandibular region and level 2 in neck, respectively. The most common complaint at presentation was pain (92%), 47.7% of the patients (52) developed DNSI on the right side, and microorganism growth was reported in 52% of 48 patients whose culture results could be reached, and in 32% of these patients (8/25) Staphylococcus spp. and in 20% (5/25) M. tuberculosis growth was observed. The average age of the patients who required multiple antibiotics was found to be significantly higher. Conclusion:Although M. tuberculosis is not frequently encountered as a causative microorganism in the literature, it was determined as the second most frequently encountered agent in our study and it is an important factor that should be considered. In addition, three important steps in the management of DNSI patients are; ensuring airway safety, appropriate antibiotherapy and surgical drainage. These crucial steps are very important in terms of protection from complications.

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Deep Neck Space Infections: A Case Series and Review of the Literature

Cited by 29 publications

References 17 publications

Otorhinolaryngological dysfunctions induced by chronic kidney disease in pre- and post-transplant stages

Otorhinolaryngological dysfunctions induced by chronic kidney disease in pre- and post-transplant stages

Clinical Presentation and Factors Leading to Complications of Deep Neck Spaces Infections at CHUK

Deep Neck Space Infection: Clinical Outcomes of Patients Treated in a Tertiary Care Center

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