Comprehensive treatment of deep neck space infection: a report of12cases

Abstract

Abstract:ObjectiveTo investigate the comprehensive treatment of deep neck space infection.MethodsThe clinical data of 12 patients with deep neck space infection were retrospectively analyzed in Department of Otolaryngo-logy, Ruijin Hospital from January 2005 to September 2018.ResultsFour cases had concurrent diabetes mellitus and pharyngalgia was the most common and first-episode symptom. All patients were diagnosed as deep neck space infection by neck CT scan. The parapharyngeal space was the most involved among deep neck spaces. Eight patients underwent abscess dissection including one case with dissection in one space and CT-guided percutaneous aspiration and drainage in another space. Three patients underwent tracheotomy simultaneously. Intravenous antibiotics was given all patients and nasogastric feeding in 5 patients. Hospital stay was (29.1± 7.3) days. Totally 11 patients were cured and 1 patient died.ConclusionsIt is indicated in this study that early and adequate use of broad-spectrum antibiotics, timely drainage, airway management and nutritional support are the key to treat deep neck space infection comprehensively.

Key words:Deep neck infection,Abscess,Surgery

CLC Number:

R653

YANG Chen, SUN Xiang, DING Jiazeng, DING Xiaoyi, ZHANG Hua, WANG Shili, CAI Changping. Comprehensive treatment of deep neck space infection: a report of12cases[J]. Journal of Surgery Concepts & Practice, 2019, 24(02): 135-140.

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