Deep neck infection - analysis of 80 cases
| Autor: | Marcelo Benedito Menezes, Fernando Antonio Maria Claret Alcadipani, Antonio José Gonçalves, Alexandre Baba Suehara, Norberto Kodi Kavabata |
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| Rok vydání: | 2008 |
| Předmět: |
Adult
Male medicine.medical_specialty complications Adolescent diagnosis medicine.medical_treatment Statistics Nonparametric medicine Humans Intubation Child Fasciitis Respiratory Tract Infections Aged Retrospective Studies Aged 80 and over Pleural Cavity treatment business.industry Septic shock Mortality rate Mediastinum Infant Retrospective cohort study Bacterial Infections Middle Aged medicine.disease Mediastinitis infection Surgery medicine.anatomical_structure Otorhinolaryngology Child Preschool Pharynx Female Complication business guideline Algorithms Neck |
| Zdroj: | Brazilian Journal of Otorhinolaryngology. 74:253-259 |
| ISSN: | 1808-8694 |
| Popis: | Summary Deep neck infections are serious diseases that involve several spaces in the neck. The most dreadful complication is descending necrotizing fasciitis, which needs early diagnosis and aggressive treatment. Aim To analyze 80 treated cases of deep neck infection and propose a schematic guideline for managing this disease. Method The authors present a retrospective analysis of 80 treated cases of deep neck infection, from June 1997 to June 2003. Results Odontogenic and tonsilar causes were the more frequent ones. Submandibular and parapharyngeal spaces were the most frequent location of deep neck infection. Staphylococcus aureus and Streptococcus sp were the microorganisms more commonly isolated. Conclusions Airway control should be priority in managing deep neck infections and if the patient has to be submitted to surgery special care should be taken at the moment of intubation - when curare must never be used. CT scan is the gold-standard imaging evaluation for the diagnosis of deep neck infection. Morbi-mortality is high when associated with septic shock and mediastinitis. Our mortality rate was 11.2% and only one, in five patients with mediastinitis, survived. |
| Databáze: | OpenAIRE |
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