Deep neck abscess. Retrospective study in five years
Abstract I Introduction: Despite of incidence of Deep Cervical Abscess (DCA) has decreased mainly for the availability of antibiotics, this infection still occurs with considerable frequency and can be associated with high morbidity and mortality. Material and method: Retrospective and descriptive study analyzed 11 patients between 2013-2017 in Puerto Real Hospital diagnosed with deep neck infections who had undergone surgical treatment and intravenous antibiotic with systematic review in the last 5 years. Results: There was a predominance in males (81.82%) and an average age of 52.82 years. Odynophagia was the most frequent symptom at the time of diagnosis followed by cervical pain. Tonsillitis in 55% and odontogenic infection (37%) were the most frequent etiologies. Polymicrobial was the most common bacteriology treated with clavulanic amoxicillin in 45.5%. Average of hospitalization days was 9.64 days. Diabetes and smoking were the most frequent comorbidities. Pleural effusion and mediastinitis were the most frequent complications, tracheotomy was required in 63.6%. 45.5% of patients were reoperated. In 54.5% multiple type of abscess was associated. Conclusions: The presence of multiple synchronous abscesses should be valued. Surgery and adequate antibiotic are the basis of the treatment. Immunocompromised or diabetic patients have more torpid evolution.
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Ban MJ, Jung JY, Kim JW, Park KN, Lee SW, Koh YW, et al. A clinical prediction score to determine surgical drainage of deep neck infection: A retrospective case–control study. Int J Surg.2018 ;52:131-5. - https://doi.org/10.1016/j.ijsu.2018.02.024. - PMid:29455048
Biron VL, Kurien G, Dziegielewski P, Barber B, Seikaly H. Surgical vs ultrasound-guided drainage of deep neck space abscesses: a randomized controlled trial: surgical vs ultrasound ddrainage. J Otolaryngol Head Neck Surg.;42:18. - https://doi.org/10.1186/1916-0216-42-18. - PMid:23672735 PMCid:PMC3651187
Boscolo-Rizzo P, Stellin M, Muzzi E, Mantovani M, Fuson R, Lupato V, et al. Deep neck infections: a study of 365 cases highlighting recommendations for management and treatment. Eur Arch Otorhinolaryngol. 2012;269:1241-9. - https://doi.org/10.1007/s00405-011-1761-1. - PMid:21915755
Dabirmoghaddam P, Mohseni A, Navvabi Z, Sharifi A, Bastaninezhad S, Safaei A. Is ultrasonography-guied drainage a safe and effective alternative to incision and drainage for deep neck space abscesses. J Laryngol Otol. 2017;131(3):259-63. - https://doi.org/10.1017/S002221511700007X. - PMid:28124631
Hidaka H, Yamaguchi T,Hasegawa J, Yano H, Kakuta R, Ozawa D, et al. Clinical and bacteriological influence of diabetes mellitus on deep neck infection: Systematic review and meta-analysis.Head Neck. 2015; 37(10):1536-46. - https://doi.org/10.1002/hed.23776. - PMid:24844194
Hurley RH, Douglas CM, Montgomery J, Clark LJ. The hidden cost of deep neck space infections. Ann R Coll Surg Engl. 2018;100(2):129-34. - https://doi.org/10.1308/rcsann.2017.0193. - PMid:29046089 PMCid:PMC5838695
Kauffmann P, Cordesmeyer R, Tröltzsch M, Sömmer C, Laskawi R. Deep neck infections: A single-center analysis of 63 cases. Med Oral Patol Oral Cir Bucal. 2017 Sep 1;22 (5):e536-41. - https://doi.org/10.4317/medoral.21799
Pires BT, Moreira IH, Laffitte FF, Ricci BL, Monteiro ZC, Takahiro CC, et al. Deep neck abscesses: study of 101 cases Departamento de Otorrinolaringologia,. Braz J Otorhinolaryngol. 2017; 83(3):341-8. - https://doi.org/10.1016/j.bjorl.2016.04.004. - PMid:27236632
Saluja S, Brietzke SE, Egan K, Klavon S, Robson C, Waltzman M, et al. A prospective study of 113 deep neck infections managed using a clinical practice guideline. Laryngoscope. 2013 ;123(12):3211-8. - https://doi.org/10.1002/lary.24168. - PMid:23918509
Santos Gorjón P, Blanco Pérez P, Morales Martín AC, Del Pozo de Dios JC, Estévez Alonso S, Calle de la Cabanillas MI. Deep neck infection. Review of 286 cases. Acta Otorrinolaringol Esp. 2012;63(1):31-41. - https://doi.org/10.1016/j.otorri.2011.06.002 - https://doi.org/10.1016/j.otoeng.2012.01.006. - PMid:21820639
Wong DK, Brown C, Mills N, Spielmann P, Neeff M. To drain or not to drain- Management of pediatric Deep neck abscesses: A case- control study. Int J Pediatr Otorhinolaryngol. 2012;76(12):1810-3. - https://doi.org/10.1016/j.ijporl.2012.09.006. - PMid:23089190
Biron VL, Kurien G, Dziegielewski P, Barber B, Seikaly H. Surgical vs ultrasound-guided drainage of deep neck space abscesses: a randomized controlled trial: surgical vs ultrasound ddrainage. J Otolaryngol Head Neck Surg.;42:18. - https://doi.org/10.1186/1916-0216-42-18. - PMid:23672735 PMCid:PMC3651187
Boscolo-Rizzo P, Stellin M, Muzzi E, Mantovani M, Fuson R, Lupato V, et al. Deep neck infections: a study of 365 cases highlighting recommendations for management and treatment. Eur Arch Otorhinolaryngol. 2012;269:1241-9. - https://doi.org/10.1007/s00405-011-1761-1. - PMid:21915755
Dabirmoghaddam P, Mohseni A, Navvabi Z, Sharifi A, Bastaninezhad S, Safaei A. Is ultrasonography-guied drainage a safe and effective alternative to incision and drainage for deep neck space abscesses. J Laryngol Otol. 2017;131(3):259-63. - https://doi.org/10.1017/S002221511700007X. - PMid:28124631
Hidaka H, Yamaguchi T,Hasegawa J, Yano H, Kakuta R, Ozawa D, et al. Clinical and bacteriological influence of diabetes mellitus on deep neck infection: Systematic review and meta-analysis.Head Neck. 2015; 37(10):1536-46. - https://doi.org/10.1002/hed.23776. - PMid:24844194
Hurley RH, Douglas CM, Montgomery J, Clark LJ. The hidden cost of deep neck space infections. Ann R Coll Surg Engl. 2018;100(2):129-34. - https://doi.org/10.1308/rcsann.2017.0193. - PMid:29046089 PMCid:PMC5838695
Kauffmann P, Cordesmeyer R, Tröltzsch M, Sömmer C, Laskawi R. Deep neck infections: A single-center analysis of 63 cases. Med Oral Patol Oral Cir Bucal. 2017 Sep 1;22 (5):e536-41. - https://doi.org/10.4317/medoral.21799
Pires BT, Moreira IH, Laffitte FF, Ricci BL, Monteiro ZC, Takahiro CC, et al. Deep neck abscesses: study of 101 cases Departamento de Otorrinolaringologia,. Braz J Otorhinolaryngol. 2017; 83(3):341-8. - https://doi.org/10.1016/j.bjorl.2016.04.004. - PMid:27236632
Saluja S, Brietzke SE, Egan K, Klavon S, Robson C, Waltzman M, et al. A prospective study of 113 deep neck infections managed using a clinical practice guideline. Laryngoscope. 2013 ;123(12):3211-8. - https://doi.org/10.1002/lary.24168. - PMid:23918509
Santos Gorjón P, Blanco Pérez P, Morales Martín AC, Del Pozo de Dios JC, Estévez Alonso S, Calle de la Cabanillas MI. Deep neck infection. Review of 286 cases. Acta Otorrinolaringol Esp. 2012;63(1):31-41. - https://doi.org/10.1016/j.otorri.2011.06.002 - https://doi.org/10.1016/j.otoeng.2012.01.006. - PMid:21820639
Wong DK, Brown C, Mills N, Spielmann P, Neeff M. To drain or not to drain- Management of pediatric Deep neck abscesses: A case- control study. Int J Pediatr Otorhinolaryngol. 2012;76(12):1810-3. - https://doi.org/10.1016/j.ijporl.2012.09.006. - PMid:23089190
Salom-Coveñas, C., Sanmartin-Caballero, A., & Porras-Alonso, E. (2019). Deep neck abscess. Retrospective study in five years. Revista ORL, 10(1), 27–34. https://doi.org/10.14201/orl.18227
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