Abstract
Deep neck infections are less and less frequent today than in the past. Nevertheless, their complications are often life-threatening. The present study reviews the experience of the Department of Otolaryngology and Head and Neck Surgery of Padua with deep neck infections during the period from 1998 to 2001. Eighty-three patients (55 males and 28 females) were retrospectively considered. The site of origin of deep neck infection was identified in 76 patients (91%). The most common cause was dental infection, occurring in 35 cases (42%). In 12 cases (14%) deep neck infection was a complication of oropharyngeal infection. The relatively high incidence of Peptostreptococcus sp, Streptococcus viridans, Streptococcus intermedius and constellatus isolation was consistent with the high rate of odontogenic cases. Surgery was advocated as the treatment for any infection of the deep neck spaces. The recent series has demonstrated that medical treatment did not seem to increase complication rates or mortality. Our tailored approach (medical or medical and surgical) based on clinical and radiological evidence was successful in 97% of the patients.
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Chaplain A, Gouello JP, Dubin J (1996) Cellulites cervicales nécrosantes aigues à porte d'entrée pharyngée: role possible des anti-inflammatoires stéroidiens et non stéroidiens. A propos de 5 observations. Rev. Laryngol Otol Rhinol 117:377–380
Chen M-K, Wen Y-S, Chang C-C, Huang M-T, Hsiao H-C (1998) Predisposing factors of life-threatening deep neck infection: logistic regression analysis of 214 cases. J Otolaryngol 27:141–144
Han JK, Kerschner JE (2001) Streptococcus milleri. An organism for head and neck infections and abscess. Arch Otolaryngol Head Neck Surg 127:650–654
Irani BS, Martin-Hirsch D, Lannigan F (1992) Infection of the neck spaces: a present-day complication. J Laryngol Otol 106:455–458
Lee KC, Tami TA, Echavez M, Wildes TO (1990) Deep neck infections in patients at risk for acquired immunodeficiency syndrome. Laryngoscope 100:915–919
Nagy M, Pizzuto M, Backstrom J, Brodsky L (1997) Deep neck infections in children: a new approach to diagnosis and treatment. Laryngoscope 107:1627–1634
Parhiscar A, Har-El G (2001) Deep neck abscess: a retrospective review of 210 cases. Ann Otol Rhinol Laryngol 110:1051–1054
Plaza Mayor G, Martinez-San Millan J, Martinez-Vidal A (2001) Is conservative treatment of deep neck space infections appropriate? Head Neck 23:126–133
Tom MB, Rice DH (1998) Presentation and management of neck abscess: a retrospective analysis. Laryngoscope 98:877–880
Weed HG, Forrest LA (1998) Deep neck infection. In: Cummings CW, Fredrickson JM, Harker LA, Krause CJ, Richardson MA, Schuller DE (eds) Otolaryngology head and neck surgery. Mosby Year Book, St Louis, pp 1700–1706
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Bottin, R., Marioni, G., Rinaldi, R. et al. Deep neck infection: a present-day complication. A retrospective review of 83 cases (1998–2001). Eur Arch Otorhinolaryngol 260, 576–579 (2003). https://doi.org/10.1007/s00405-003-0634-7
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DOI: https://doi.org/10.1007/s00405-003-0634-7