Deep neck space infections remain a surgical challenge. a study of 72 patients

Abstract

Objective—The treatment of deep neck space infections (DNSIs) remains a clinical challenge and these infections are associated with significant risks of mortality.

Material and Methods—We analyzed records over a 4.5-year period for all patients with DNSIs who required hospitalization. We recorded age, previous disease, delay in diagnosis, body temperature at admission, C-reactive protein level, X-ray results, location of DNSIs, origin of the infection, spread of infection, use of antibiotics, bacteriology, surgery and outcome.

Results—A total of 72 patients (average age 45 years) were included. The locations and spread of DNSIs were described in detail. The commonest origins of DNSIs were dental (n=35) or salivary gland infections (n=15).

Conclusion—Continuous assessment of the patient using CT scans, fine-needle aspiration and physical examinations will determine if and when surgery is necessary. As a large number of DNSIs are of dental origin, it is of great importance that diagnosis and treatment be performed in close cooperation with dental surgeons.

• cellulitis
• dental infection
• optimal management
• salivary gland infection

Stalfors J, Adielsson A, Ebenfelt A, Nethander G, Westin T. Deep neck space infections remain a surgical challenge. A study of 72 patients. Acta Otolaryngol 2004; 124: 1191–1196.

Stalfors J, Adielsson A, Ebenfelt A, Nethander G, Westin T. Deep neck space infections remain a surgical challenge. A study of 72 patients. Acta Otolaryngol 2004; 124: 1191–1196.