Deep Neck Space Infection: Clinical Outcomes of Patients Treated in a Tertiary Care Center
Journal Title: Hamidiye Medical Journal - Year 2021, Vol 2, Issue 1
Abstract
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.
Authors and Affiliations
Kerem Sami Kaya, İbrahim Yağcı, Uğur Doğan, Nurullah Seyhun, Suat Turgut
Keywords
Related Articles
- EP ID EP693718
- DOI 10.4274/hamidiyemedj.galenos.2021.30602
- Views 132
- Downloads 0
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