Head and neck space infections

Larawin, Varqa; Naipao, James; Dubey, Siba P.

doi:10.1016/j.otohns.2006.07.007

Cited by 115 publications

(107 citation statements)

References 19 publications

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“…If infection affects the sublingual and submandibular spaces bilaterally as well as the submental space, a condition known as Ludwig's angina is diagnosed. Swelling from Ludwig's angina can give rise to difficulty breathing and potentially lethal airway obstruction (16)(17)(18).…”

Section: Complications Stemming From Acute Apical Abscessesmentioning

confidence: 99%

Microbiology and Treatment of Acute Apical Abscesses

2013

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SUMMARY Acute apical abscess is the most common form of dental abscess and is caused by infection of the root canal of the tooth. It is usually localized intraorally, but in some cases the apical abscess may spread and result in severe complications or even mortality. The reasons why dental root canal infections can become symptomatic and evolve to severe spreading and sometimes life-threatening abscesses remain elusive. Studies using culture and advanced molecular microbiology methods for microbial identification in apical abscesses have demonstrated a multispecies community conspicuously dominated by anaerobic bacteria. Species/phylotypes commonly found in these infections belong to the genera Fusobacterium , Parvimonas , Prevotella , Porphyromonas , Dialister , Streptococcus , and Treponema . Advances in DNA sequencing technologies and computational biology have substantially enhanced the knowledge of the microbiota associated with acute apical abscesses and shed some light on the etiopathogeny of this disease. Species richness and abundance and the resulting network of interactions among community members may affect the collective pathogenicity and contribute to the development of acute infections. Disease modifiers, including transient or permanent host-related factors, may also influence the development and severity of acute abscesses. This review focuses on the current evidence about the etiology and treatment of acute apical abscesses and how the process is influenced by host-related factors and proposes future directions in research, diagnosis, and therapeutic approaches to deal with this disease.

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Section: Complications Stemming From Acute Apical Abscessesmentioning

confidence: 99%

Microbiology and Treatment of Acute Apical Abscesses

2013

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“…Recommended initial antibiotics are high-dose penicillin G, sometimes used in combination with an antistaphylococcal drug or metronidazole (Table 1). 3 Larawin et al 8 retrospectively studied a total of 103 patients with deep neck space infections from 1993 to 2005. Ludwig's angina was the most commonly encountered infection seen in 38 (37%) patients of treatment.…”

Section: Discussionmentioning

confidence: 99%

Ludwig’s Angina: Emergency Treatment

Kamala¹,

Sankethguddad²,

Sg³

2017

Journal of Health Sciences &Amp; Research

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Ludwig's angina is a form of severe diffuse cellulitis that presents an acute onset and spreads rapidly, bilaterally affecting the submandibular, sublingual, and submental spaces resulting in a state of emergency. Early diagnosis and immediate treatment planning could be a life-saving procedure. Here, we report a case of Ludwig's angina successfully treated by surgical decompression under antibiotic coverage.

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“…Klinik ve radyolojik olarak apse formasyonu saptanan hastalarda cerrahi drenaj önerilmektedir (3). Bu hastalığın tanısında genellikle anamnez ve fizik muayene bulguları kullanılır ve ateş, ağrı, baş hareketlerinde kısıtlanma, boyunda şişlik veya kitle, trismus, disfaji ve odinofaji gibi şikayetlere yol açabilir (10). Çalışmamızda da literatür ile uyumlu bulgular bulunmakla birlikte, farklı olan durum erişkinlerde en sık derin boyun enfeksiyonu nedeninin peritonsiler alan enfeksiyonu olmasıdır.…”

Section: Discussionunclassified

Deep Neck Infections: A Retrospective Analysis of Eighty Five Cases

Hacı¹,

Açıkalın²,

Bayram³

et al. 2016

Haseki

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ÖzAmaç:Çalışmamızda derin boyun enfeksiyonlarının klinik bulguları ve tedavi sonuçları değerlendirilmiştir. Derin boyun enfeksiyonları hızla ilerleyen ve ölümcül komplikasyonları olabilen hastalıklardır.Yöntemler:Parafarengeal, submandibular ve peritonsiller apselerden oluşan derin boyun enfeksiyonlarını değerlendirdiğimiz ve 85 hastalık retrospektif olarak planladığımız bir çalışmadır. Bulgular:Derin boyun enfeksiyonu tanısı alan 85 hastanın, 33'ü 18 yaş altı (çocuk grubu), 52'si 18 yaş üstü idi (erişkin grup). Hastaların yaşlarının dört ile 56 arasında olduğu gözlendi (ortalama 24,109±14,003). Her iki grupta en sık görülen şikayetler; ateş, trismus, ağrı ve odinofaji idi. Erişkinlerde derin boyun enfeksiyonu en sık peritonsiller alanda, çocuklarda ise parafarengeal alanda gözlenmiştir. Tüm hastalara intravenöz antibiyoterapi başlanmış ve bazı hastalara cerrahi drenaj uygulanmıştır. En sık intravenöz antibiyotik olarak ampisilin-sulbaktam tek başına ya da metronidazol ile kombine edilerek kullanılmıştır.Sonuç: Birçok derin boyun enfeksiyonu olgusu intravenöz antiyotik ile tedavi edilebilmektedir. Eğer iyileşme olmaz ise bu hastalara cerrahi drenaj uygulamak gerekmektedir.AnahtarSözcükler:Apse, boyun, parafarengeal bölge Aim: In our study, we assessed symptoms and treatment outcomes in patients with deep neck infections (DNI). It often has a rapid onset and can cause lethal complications. Methods:A retrospective designed study of 85 patients diagnosed with DNI such as peritonsillar, parapharyngeal, and submandibular abscesses.Results: A total of 85 patients were diagnosed with DNI. 33 of the 85 patients were younger than 18 (group of children), and 52 were older than 18 years of age (group of adults). The mean age of the patients was 24.109±14.003 (4-54) years. Trismus, fever, odynophagia and pain were the most common complaints in both groups. In the adults group, the peritonsillar space was the most common site of infection (49%). In children group, the parapharyngeal space was the most common site of infection (35%). All patients were given intravenous antibiotic therapy and additional drainage of the abscess was also carried out for some of the patients. Most frequently, intravenous ampicillin-sulbactam alone or in combination with metronidazole was administrated to the patients. Conclusion:Most of the cases of DNI can be treated with intravenous antibiotics in spite of the fact that if there is no clinical healing, drainage is needed. GirişDerin boyun enfeksiyonları, boyunda yer alan potansiyel boşluklarda başlayan ve tedavi edilmediği takdirde hızla apse formasyonuna dönüşebilen hızlı başlangıcı olan enfeksiyonlardır (1). Erken tanı konulmadığı ya da yetersiz tedavi uygulandığı durumlarda derin boyun enfeksiyonları hayati yapılara komşulukları sebebi ile ciddi komplikasyonlara sebep olmaktadır (2). Bizim çalışmamızda Haseki Eğitim ve Araştırma Hastanesi, Kulak Burun Boğaz Kliniği'nde yatırılarak tedavi edilen 85 hastanın klinik özellikleri ve tedavi sonuçları incelenmiştir.

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Head and neck space infections

Abstract: DNSI needs early detection and aggressive management in order to evade dreaded complications.

Cited by 115 publications

References 19 publications

Microbiology and Treatment of Acute Apical Abscesses

Microbiology and Treatment of Acute Apical Abscesses

Ludwig’s Angina: Emergency Treatment

Deep Neck Infections: A Retrospective Analysis of Eighty Five Cases

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