Is conservative treatment of deep neck space infections appropriate?

Mayor, Guillermo Plaza; Millán, Juan Salvador Martínez San; Martínez-Vidal, A

doi:10.1002/1097-0347(200102)23:2<126::aid-hed1007>3.0.co;2-n

Cited by 131 publications

(91 citation statements)

References 22 publications

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“…Odontogenic infections were the most common cause of multi space infections which is in similarity with study by Linjian et al 10 Prior to the extensive use of antibiotics, many studies observed that tonsillopharyngeal infections attributed to most DNI cases (about 70-80%), 11 compared to present scenario where there is a reduced incidence (8-16%) in Pharyngo-tonsillar aetiology. 3,4,7,9,11 In this study they contributed to only 12%. Certain studies show that upper airway infections are common causes of DNI.…”

Section: Aetiologysupporting

confidence: 76%

Clinical Profile of Deep Neck Space Infections in a Tertiary Care Hospital in Kerala

Santhosh¹,

Yadev²,

Arun³

et al. 2017

jemds

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BACKGROUNDDeep Neck Infection (DNI) is a potentially life threatening disease commonly seen in middle aged men. Associated co-morbidities like Diabetes Mellitus, Hypertension and Cardiac diseases result in life threatening complications. DNI are observed in the population who are addiction to drugs, smoking and alcoholism. DNI are associated with complications like mediastinitis, Pneumothorax, pericarditis, renal failure and multi organ failure. The present study is a prospective clinical profile study of DNIs treated in a Tertiary Care Hospital in Kerala. Aim-To describe the profile of aetiology, clinical features and outcomes of patients with DNIs.

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Section: Aetiologysupporting

confidence: 76%

Clinical Profile of Deep Neck Space Infections in a Tertiary Care Hospital in Kerala

Santhosh¹,

Yadev²,

Arun³

et al. 2017

jemds

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“…Ultrasound also plays an important role in detection of abscess formation. 15,28 In our study CT scan was done in 88.46% odontogenic DNSI patients and ultrasound was done in 7.69% odontogenic DNSI cases.…”

Section: Discussionmentioning

confidence: 89%

“…Management of DNSI is traditionally based on prompt surgical drainage of abscess followed by antibiotics or nonsurgical treatment using appropriate antibiotics in case of cellulitis. 15 Proper diagnosis and prompt management can effectively overcome the disease and provides cure without any complication. Otorhinolaryngologists must know about the presentation, etiology, investigations and use of appropriate medical and surgical management.…”

mentioning

confidence: 99%

Prevalence of odontogenic deep neck space infections (DNSI): a retrospective analysis of 76 cases of DNSI

Kataria

Saxena²,

Bhagat³

et al. 2015

Int J Otorhinolaryngol Head Neck Surg

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Background: Deep Neck Space Infections (DNSI) are serious diseases that involve several spaces of neck. Commonest sources of DNSI are dental and oropharyngeal infections. With widespread use of antibiotics, the prevalence of DNSI has been reduced but odontogenic DNSI are still common due to poor oral hygiene. Management mainly comprises of airway management, antibiotic therapy and surgical intervention. This study was conducted to find out the prevalence, distribution, presentation, sites involved, bacteriology and management of odontogenic DNSI.Methods: This retrospective study was done from October 2010 to January 2013 and included 76 patients with DNSI. Then, etiological factors of DNSI were studied and prevalence of odontogenic DNSI was calculated. All parameters including age, sex, co-morbidities, presentation, site, bacteriology and interventions required in odontogenic DNSI cases were studied.Results: Odontogenic infections were the most common etiological factor in DNSI, with a prevalence of 34.21% among DNSI. Toothace was commonest symptom, followed by neck swelling, pain and odynophagia. Submandibular space involvement (42.30%) was the most common clinical presentation of odontogenic DNSI patients, followed by Ludwig’s angina and masticator abscess.Conclusions: DNSI are common and life threatening infections. For management, early diagnosis is essential. In developing countries majority of DNSI are of odontogenic origin. In our country lack of adequate nutrition, poor orodental hygiene, tobacco and beetle nut chewing and smoking has increased the prevalence of odontogenic DNSI. So, prevention of odontogenic DNSI can be achieved by making population aware of oral and dental hygiene and by conducting regular check-up camps at community level.

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“…26,27 Studies by Mayor et al and Smith reported that USG also plays an important role in abscess. 28,29 Patients with deep neck space abscess were admitted and started with intravenous antibiotics; IV amoxyclav or piperacillin+tazobatum, amikacin and metronidazole. Antibiotics were later changed according to culture report.…”

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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Is conservative treatment of deep neck space infections appropriate?

Cited by 131 publications

References 22 publications

Clinical Profile of Deep Neck Space Infections in a Tertiary Care Hospital in Kerala

Clinical Profile of Deep Neck Space Infections in a Tertiary Care Hospital in Kerala

Prevalence of odontogenic deep neck space infections (DNSI): a retrospective analysis of 76 cases of DNSI

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

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