Deep neck space infections - A retrospective study
Journal Title: Medpulse International Journal of ENT - Year 2017, Vol 4, Issue 2
Abstract
Aim: To evaluate the etiology and prevalence, distribution within sexes and various age groups, prevalence of micro-organisms, various types of investigations and to study about the mainstay of treatment of deep neck infections. Materials and Method: A retrospective study involving 118 patients with deep neck space infections were analysed in the Department of Otorhinolaryngology, SRM Medical college hospital and Research institution from June 2012 to June 2016. Result: (1) Among the 118 cases of deep neck space infections the most common was peritonsillar abscess (Quinsy) followed by Ludwig’s angina, retropharyngeal abscess, parapharyngeal abscess, submandibular abscess, parotid abscess, buccal space abscess, anterior visceral space abscess and acute nectrotizing faciitis. (2) Staphylococcus aureus was the commonest organism causing deep neck space infection. (3) Among 118 cases, 83 cases had Incision and Drainage for peritonsillar abscess, retropharyngeal abscess, parotid abscess, anterior visceral space abscess, acute necrotizing fasciitis and few cases of parappharyngeal abscess. Remaining 33 cases were treated by culture sensitive antibiotics. (4)Among 118 cases, 2 cases had airway compromise and underwent tracheostomy. Conclusion: Surgical drainage and broad spectrum antibiotics remain the mainstay of treating deep neck space infections.
Authors and Affiliations
Balaji CRK, Srija S Narasa, P K Purushothaman
Keywords
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