Comprehensive evaluation of deep neck infections: A retrospective analysis of 111 cases.

Autor: Aksoy A; Department of Otorhinolaryngology, Faculty of Medicine Cumhuriyet University Sivas Turkey., Demirkıran BB; Çankırı State Hospital Çankırı Turkey., Bora A; Department of Otorhinolaryngology, Faculty of Medicine Cumhuriyet University Sivas Turkey., Doğan M; Department of Otorhinolaryngology, Faculty of Medicine Cumhuriyet University Sivas Turkey., Altuntaş EE; Department of Otorhinolaryngology, Faculty of Medicine Lokman Hekim University Ankara Turkey.
Jazyk: angličtina
Zdroj: Laryngoscope investigative otolaryngology [Laryngoscope Investig Otolaryngol] 2024 Oct 25; Vol. 9 (5), pp. e70027. Date of Electronic Publication: 2024 Oct 25 (Print Publication: 2024).
DOI: 10.1002/lio2.70027
Abstrakt: Purpose: Our study will analyze patients' clinical characteristics, treatment strategies, and complications with deep neck infection (DNI) using their medical records for five years.
Methods: The present study included 111 patients diagnosed with DNI in our clinic between January 2018 and March 2023. The patients' complaints at admission, sociodemographic characteristics, season of diagnosis, findings from laboratory tests, radiological imaging performed at the time of first diagnosis, abscess localization, medical and surgical treatment methods used, and complications developing during follow-up were retrospectively examined.
Results: The mean age of the patients included in the study was 38.51 ± 16.92 (6-87 years). There was a significant correlation between chronic disease, smoking behaviours, oral hygiene, and DNI among patients based on their sociodemographic characteristics and medical history ( p  < .005). DNI development did not differ by season ( p  > .005). Physical examination findings predominantly revealed neck masses (39.6%) and peritonsillar abscesses (32.4%), and patients with peritonsillar abscesses had a shorter length of hospital stay than those with other localizations. No severe complications occurred during the clinical follow-up.
Conclusion: Chronic diseases, smoking, and poor oral hygiene are the primary risk factors for developing DNIs. If an abscess is located in a critical area, it may require extended hospitalization and surgery under general anesthesia. Therefore, addressing these risk factors and encouraging good oral hygiene practices are crucial to preventing DNIs and reducing the need for intensive treatment.
Competing Interests: The authors have no relevant financial or non‐financial interests to disclose.
(© 2024 The Author(s). Laryngoscope Investigative Otolaryngology published by Wiley Periodicals LLC on behalf of The Triological Society.)
Databáze: MEDLINE
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