Deep neck space suppurative infections in the Clinic of Otolaryngology of PMU in the last 5 years
Journal Title: Polski Przegląd Otorynolaryngologiczny - Year 2012, Vol 1, Issue 4
Abstract
Purulent infections of deep neck spaces, due to the potential spread and generalization of inflmmatory process requires the urgent antibioticotherapy and surgery. The aim of the study is the overview of the symptoms, diagnosis and treatment of neck abscesses and phlegmon in the group of patients of the Department of Otolaryngology of PUM. Over the last 5 years 18 patients (9 M and 9 F) aged 17–68 were treated. The patients revealed painful neck swelling (n=12), sore throat (n=12), dysphagia (n=11), trismus (n=10), fever (n=7), elevated CRP (n=18). The neck abscess (n=3), neck phlegmon (n=10) or parapharyngeal space phlegmon (n=5) were diagnosed. The largest group were post-tonsillitis (n=7) and odontogenic (n=4) complications. Intravenous antibiotic therapy was administered. All the patients underwent surgery. The incision and drainage of the spaces of the neck was done in 11 cases, in 5 cases – tonsillectomy with the opening of parapharyngeal space, in 1 case – removal of suppurative cyst. In 1 patient the cavity of spontaneously ruptured abscess was drained. 2 patients required temporary tracheostomy. The regression of inflmmation was obtained in all cases. Mean hospital stay was 11.6 day (3–25). The early diagnosis and urgent surgical treatment is essential to control infection of deep neck structures.
Authors and Affiliations
Maciej Kawczyński, Katarzyna Amernik, Izabela Kelar, Ewa Jaworowska, Beata Paradowska-Opałka
Keywords
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