Abstract
Deep neck space infection (DNI), is defined as infections in the deep fascia enclosing potential spaces of the neck. In the past the diagnosis and treatment of DNI have challenged. The health care personnel at all levels. The complex anatomy and the deep location of this region remains a big problem with significant risks of morbidity and mortality. The aim of this study is to analyse the difference in clinical presentation and microbiology of DNI in different age groups. Eighty two patients with DNI which were managed at the Department of Otorhinolaryngology, ABVIMS and Dr. Ram Manohar Lohia Hospital New Delhi, between November 2017 and March 2019 formed the basis of our prospective cross sectional observational study. We observed that DNI is a frequent and potentially life threatening condition in children and adults despite the use of antibiotics. For appropriate surgical management knowledge of complex spaces of the neck and their communication with the other spaces is necessary.
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References
Chi TH, Tsao YH, Yuan CH (2014) Influences of patient age on deep neck space infection: clinical etiology and treatment outcome. Otolaryngol Head Neck Surg 151(4):586–590
Kitamura S (2018) Anatomy of the fasciae and fascial spaces of the maxillofacial and the anterior neck regions. Anat Sci Int 93(1):1–13
Christian JM, Goddard AC, Gillespie MB (2015) Deep neck and odontogenic infection. In: Cummings CW, Flint PW, Haughey BH et al (eds) Otolaryngology: head and neck surgery, 6th edn. Elsevier Saunders, Philadelphia, pp 164–175
Wasson J, Hopkins C, Bowdler D (2006) Did Ludwig’s angina kill Ludwig? J Laryngol Otol 120(5):363–365
Vieira F, Allen SM, Stocks RM, Thompson JW (2008) Deep neck infection. Otolaryngol Clin N Am 41(3):459–483
Clarke P (2008) Benign neck disease: infections and swellings. In: Scott-Brown WG, Gleeson M, Browning GG et al (eds) Otorhinolaryngology, head and neck surgery, vol 2, 7th edn. Hodder Arnold, London, pp 1777–1788
Lee K, Tami T, Echavez M, Wilde TO (1990) Deep neck infections in patients at risk for acquired immunodeficiency syndrome. Laryngoscope 100(9):915–919
Kluka EA (2011) Emerging dilemmas with methicillin-resistant Staphylococcus aureus infections in children. Curr Opin Otolaryngol Head Neck Surg 19(6):462–466
Duggal P, Naseri I, Sobol SE (2011) The increased risk of community acquired methicillin-resistant Staphylococcus aureus neck abscess in young children. Laryngoscope 121(1):51–55
Brook I (2012) The increased risk of community acquired methicilin-resistant Staphlococcus aureus in neck infections in younger children. Curr Infect Dis Rep 14(2):119–120
Huang CM, Huang FL, Chien YL, Chen PY (2017) Deep neck infections in children. J Microbiol Immunol Infect 50(5):627–633
Yang W, Hu L, Wang Z, Nie G, Li X, Lin D et al (2015) Deep neck infection: a review of 130 cases in Southern China. Med Baltim 94(27):e994
Kauffmann P, Cordesmeyer R, Tröltzsch M, Sömmer C, Laskawi R (2017) Deep neck infections: a single-center analysis of 63 cases. Med Oral Patol Oral Cir Bucal 22(5):e536–e541
Adoviča A, Veidere L, Ronis M, Sumeraga G (2017) Deep neck infections: review of 263 cases. Otolaryngol Pol 71(5):37–42
Das R, Nath G, Mishra A (2017) Clinico-pathological profile of deep neck space infection: a prospective study. Indian J Otolaryngol Head Neck Surg 69(3):282–290
Marioni G, Rinaldi R, Staffieri C, Marchese-Ragona R, Saia G, Stramare R et al (2008) Deep neck infection with dental origin: analysis of 85 consecutive cases (2000–2006). Acta Otolaryngol 128(2):201–206
Sharma K, Das D, Joshi M, Barman D, Sarma AJ (2018) Deep neck space infections-a study in diabetic population in a tertiary care centre. Indian J Otolaryngol Head Neck Surg 70(1):22–27
Eftekharian A, Roozbahany NA, Vaezeafshar R, Narimani N (2009) Deep neck infections: a retrospective review of 112 cases. Eur Arch Otolaryngol 266(2):273–277
Crespo AN, Chone CT, Fonseca AS, Montenegro MC, Pereira R, Milani JA (2004) Clinical versus computed tomography evaluation in the diagnosis and management of deep neck infection. Sao Paulo Med J 122(6):259–263
Shimizu Y, Hidaka H, Ozawa D, Kakuta R, Nomura K, Yano H et al (2017) Clinical and bacteriological differences of deep neck infection in pediatric and adult patients: review of 123 cases. Int J Pediatr Otorhinolaryngol 99:95–99
Celakovsky P, Kalfert D, Smatanová K, Tucek L, Cermakova E, Mejzlík J et al (2015) Bacteriology of deep neck infections: analysis of 634 patients. Aust Dent J 60(2):212–215
Boscolo-Rizzo P, Marchiori C, Montolli F et al (2006) Deep neck infections: a constant challenge. ORL J Otorhinolaryngol Relat Spec 68(5):259–265
Meher R, Jain A, Sabharwal A, Gupta B, Singh I, Agarwal AK (2005) Deep neck abscess: a prospective study of 54 cases. J Laryngol Otol 119(4):299–302
Huang TT, Liu TC, Chen PR, Tseng FY, Yeh TH, Chen YS (2004) Deep neck infection: analysis of 185 cases. Head Neck 26(10):854–860
Tsai YW, Liu YH, Su HH (2018) Bacteriology of peritonsillar abscess: the changing trend and predisposing factors. Braz J Otorhinolaryngol 84(5):532–539
Hidaka H, Yamaguchi T, Hasegawa J, Yano H, Kakuta R, Ozawa D et al (2015) Clinical and bacteriological influence of diabetes mellitus on deep neck infection: systematic review and meta-analysis. Head Neck 37(10):1536–1546
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Singhal, G., Jain, S. & Sen, K. Clinical Presentation and Microbiological Profile of Deep Neck Space Infections in Different Age Groups. Indian J Otolaryngol Head Neck Surg 74 (Suppl 2), 1870–1876 (2022). https://doi.org/10.1007/s12070-020-01869-y
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DOI: https://doi.org/10.1007/s12070-020-01869-y