Imaging Evaluation of Deep Neck Space Infections and Clinical Correlation.

Autor: Roy, Sankha Subhra, Tharani, Patibandla, Ain, Partha Sarathi, Islam, Insun, Shivakrishna, Satkuri
Předmět:
Zdroj: Journal of Cardiovascular Disease Research (Journal of Cardiovascular Disease Research); 2024, Vol. 15 Issue 5, p251-263, 13p
Abstrakt: Background Deep neck space infection is a serious infection with rapid progression and development of life-threatening complications with variable presentations. Clinical presentation of this infections may vary according to primary site of infections; extent of inflammation and infection; presence of abscess and local effects and associated comorbidity. More over several deep neck space infections may not be evident on palpation posing challenges for clinical diagnosis. Early identification of extent and patterns with help of imaging modalities will help in choosing appropriate management and provide an important role in reducing morbidity and complications and preventing mortality. Therefore, the study is being performed to determine the role of imaging modalities in evaluating the patterns of deep neck space infections. Methods This cross-sectional study was carried out in the Department of Radiodiagnosis collaborating with the Department of ENT in Burdwan Medical College & Hospital from April 2021 to September 2022. We studied 50 consecutive patients who were referred from ENT Out-Patient Department (OPD) and EMERGENCY having symptoms pertaining to deep neck space infections. The patients were evaluated by Computerised Tomography (CT) performed by Hitachi Scenaria Model No. G XL 8578 and then subjected to magnetic resonance imaging (MRI) performed by BRIVO MR355 1.5 Tesla GEHE Whole body MR scanner with other required accessories. Results In this study we had a study population of 50 patients. Parapharyngeal and submandibular infections were most common. In our study, correlation between the ability of CT and MRI in the detection of Deep neck Space Infection showed good total agreement. Soft tissue inflammation, necrosis, lymphadenopathy, abscess formation in deep neck spaces, delineation of extent showed 100% agreement. Conclusion Both CT and MRI can accurately detect soft tissue inflammation, necrosis and abscess formation, Lymphadenopathy and delineation of extent. Employment of the imaging techniques help in early detection and delineation of deep space infections. Overall, there was a good agreement between CT and MRI in the assessment of Deep neck space infections. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index