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. 2004 Dec;124(10):1191-6.
doi: 10.1080/00016480410017864.

Deep neck space infections remain a surgical challenge. A study of 72 patients

Joacim Stalfors  1 , Anna Adielsson, Anders Ebenfelt, Gunnar Nethander, Thomas Westin
Affiliations

Deep neck space infections remain a surgical challenge. A study of 72 patients

Joacim Stalfors et al. Acta Otolaryngol. 2004 Dec.

Abstract

Objective: The treatment of deep neck space infections (DNSIs) remains a clinical challenge and these infections are associated with significant risks of mortality.

Material and methods: We analyzed records over a 4.5-year period for all patients with DNSIs who required hospitalization. We recorded age, previous disease, delay in diagnosis, body temperature at admission, C-reactive protein level, X-ray results, location of DNSIs, origin of the infection, spread of infection, use of antibiotics, bacteriology, surgery and outcome.

Results: A total of 72 patients (average age 45 years) were included. The locations and spread of DNSIs were described in detail. The commonest origins of DNSIs were dental (n = 35) or salivary gland infections (n = 15).

Conclusion: Continuous assessment of the patient using CT scans, fine-needle aspiration and physical examinations will determine if and when surgery is necessary. As a large number of DNSIs are of dental origin, it is of great importance that diagnosis and treatment be performed in close cooperation with dental surgeons.

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