Acta Scientific Otolaryngology (ASOL) (ISSN: 2582-5550)

Research Article Volume 5 Issue 6

Diagnosis and Management of Severe Deep Neck Infections

Ghada Kharrat1, Fatma Ajlani1*, Sana Ferchichi1 and Salma Aloui2

1ENT Department of Taheur Maamouri Hospital in Nabeul, University of Tunis El Manar, Faculty of Medicine of Tunis, Tunisia
2Radiology Department of Taheur Maamouri Hospital in Nabeul, University of Tunis El Manar, Faculty of Medicine of Tunis, Tunisia

*Corresponding Author: Fatma Ajlani, ENT Department of Taheur Maamouri Hospital in Nabeul, University of Tunis El Manar, Faculty of Medecine of Tunis, Tunisia.

Received: April 03, 2023; Published: May 16, 2023

Abstract

Purpose: Report the clinical, paraclinical, therapeutic and evolutive characteristics of severe deep neck infection (DNI).

Methods: It was a descreptive, retrospective study about 15 patients managed for a severe DNI, in the ENT department of "Taheur Maamouri Universitary Hospital" in Tunisia, over a period of 15 years [2019-2021].

Results: A male predominance was noted with a sex-ratio of 2. The mean age was 42 years old. The most frequent risk factors were diabetes mellitus (6 cases), chronic renal failure (2 cases) and an inappropriate initial treatment (anti inflammatory drugs: 10 cases). The most common complaints were a cervico-facial swelling, dysphagia and fever. Clinical features often include neck pain and swelling (12 cases), torticollis (3 cases), subcutaneous emphysema (5 cases) and trismus (9 cases). Contrast enhanced computed tomography confirmed severe DNI in all cases. An abscess was found in all cases. Etiologies were dominated by dental causes (8 cases). Complications were frequently encountered. Eleven patients had upper airway compromise, six had mediastinitis, three had internal jugular vein thrombosis and three necrotizing fasciitis. One patient died during his hospital stay due to septic shock. The therapeutic management was medico-surgical and urgent. Seven patients (46,6%) required emergency tracheotomy for initial airway management. One patient needed hyperbaric oxygen therapy.

The average hospital stay was of 23 days. The outcome was favorable in 93% of cases.

Conclusion: DNI is a serious life-threatening disease. Early diagnosis and immediate medico-surgical treatment are essentiel.

 Keywords: Deep Neck Infection; Mediastinitis; Mortality; Surgical Drainage; Tracheostomy

References

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Citation

Citation: Fatma Ajlani., et al. “Diagnosis and Management of Severe Deep Neck Infections".Acta Scientific Otolaryngology 5.6 (2023): 26-32.

Copyright

Copyright: © 2023 Fatma Ajlani., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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