SavedAdd your journal

Journals / The Turkish Journal of Ear Nose and Throat / 2026 / Volume: 25 Issue: 2

Clinical features of deep neck infection: analysis of 77 patients

Derin boyun enfeksiyonunun klinik özellikleri: 77 hastanın analizi

Engin Umut Sakarya(Department of Otolaryngology, İzmir Katip Çelebi University Atatürk Training and Research Hospital, İzmir, Turkey)
Erkan Kulduk(Department of Otolaryngology, İzmir Katip Çelebi University Atatürk Training and Research Hospital, İzmir, Turkey)
Onur Gündoğan(Department of Otolaryngology, İzmir Katip Çelebi University Atatürk Training and Research Hospital, İzmir, Turkey)
Fatih Kemal Soy(Department of Otolaryngology, İzmir Katip Çelebi University Atatürk Training and Research Hospital, İzmir, Turkey)
Rıza Dündar(Department of Otolaryngology, İzmir Katip Çelebi University Atatürk Training and Research Hospital, İzmir, Turkey)
Ahmet Erdem Kılavuz(Department of Otolaryngology, İzmir Katip Çelebi University Atatürk Training and Research Hospital, İzmir, Turkey)
Can Özbay(Department of Otolaryngology, İzmir Katip Çelebi University Atatürk Training and Research Hospital, İzmir, Turkey)
Erdem Eren(Department of Otolaryngology, İzmir Katip Çelebi University Atatürk Training and Research Hospital, İzmir, Turkey)
Abdülkadir İmre(Department of Otolaryngology, İzmir Katip Çelebi University Atatürk Training and Research Hospital, İzmir, Turkey)
Pages
—
Publication Date
2015-05-20
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Duration of hospital stay extended in patients who developed complications.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objectives: This retrospective study aims to detect the prognostic factors which affect the duration of hospital stay and evaluate the complications which develop in patients with deep neck infection.
📊
Key Findings & Data:Patients and Methods: The study included 77 patients 40 males, 37 females; mean age 42.4±20.1 years; range 11 to 88 years treated with a diagnosis of deep neck infection in our clinic between November 2006 and November 2012.
💡
Conclusion & Impact:Duration of hospital stay extended in patients who developed complications.
🔬Design:Article
📍Scope:2006 Verileri
⚙️Variables:Cervical necrotising fasciitis · deep neck infection · descending necrotizing mediastinitis

Abstract

Objectives: This retrospective study aims to detect the prognostic factors which affect the duration of hospital stay and evaluate the complications which develop in patients with deep neck infection. Patients and Methods: The study included 77 patients 40 males, 37 females; mean age 42.4±20.1 years; range 11 to 88 years treated with a diagnosis of deep neck infection in our clinic between November 2006 and November 2012. Patients’ demographic and clinical features were analyzed to detect their associations with development of complications and hospitalization time. Results: Odontogenic origin and submandibular localization were the most frequently observed clinical appearance. Of eight patients 10.4% who developed serious complications, two 2.6% died. Age, comorbidity, presence of anemia alone, Ludwig's angina and retropharyngeal involvement were associated with increased rate of complications p 0.05 . Submandibular localization and absence of leucopenia reduced the risk of complications p<0.05 . The mean duration of hospital stay was 12.9±8.7 days range 2-59 days . Age, presence of comorbidity and development of complications extended the hospitalization period p<0.05 . Conclusion: In spite of the improvements in diagnosis and treatment, deep neck infection may be an important cause of mortality if complications develop. Comorbid anemia, Ludwig's angina and retropharyngeal involvement were identified as the strongest predictors in terms of development of complications. Duration of hospital stay extended in patients who developed complications.

Özet

Amaç: Bu retrospektif çalışmada derin boyun enfeksiyonlu hastalarda hastanede kalım süresini etkileyen prognostik faktörler belirlendi ve bu hastalarda ortaya çıkan komplikasyonlar değerlendirildi.Hastalar ve Yöntemler: Kasım 2006 - Kasım 2012 tarihleri arasında derin boyun enfeksiyonu tanısıyla kliniğimizde tedavi gören 77 hasta 40 erkek, 37 kadın; ort. yaş 42.4±20.1 yıl; dağılım 11-88 yıl çalışmaya alındı. Hastaların demografik ve klinik özellikleri komplikasyon gelişimi ve hastanede kalım süreleri ile ilişkilerinin belirlenmesi için incelendi.Bulgular: Odontojenik orijin ve submandibüler yerleşim en sık görülen klinik görünümdü. Ciddi komplikasyon gelişen sekiz hastadan %10.4 ikisi %2.6 kaybedildi. Yaş, eşlik eden hastalık, yalnız anemi varlığı, Ludwig anjini ve retrofarengeal tutulum komplikasyon oranlarında artışla ilişkili iken p0.05 . Submandibüler yerleşim ve lökopeni yokluğu komplikasyon riskini azalttı p

🔖

Cite This Article

Sakarya, E. U., Kulduk, E., Gündoğan, O., Soy, F. K., Dündar, R., Kılavuz, A. E., Özbay, C., Eren, E., İmre, A. (2015). Clinical features of deep neck infection: analysis of 77 patients. The Turkish Journal of Ear Nose and Throat, Volume: 25 Issue: 2. https://ajindex.com/articles/1329510

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (16)

  1. Larawin V, Naipao J, Dubey SP. Head and neck space infections. Otolaryngol Head Neck Surg 2006;135:889-93.
  2. Vieira F, Allen SM, Stocks RM, Thompson JW. Deep neck infection. Otolaryngol Clin North Am 2008;41:459-83.
  3. Henrich DE, Smith TL, Shockley WW. Fatal craniocervical necrotizing fasciitis in an immunocompetent patient: a case report and literature review. Head Neck 1995;17:351-7.
  4. Ridder GJ, Maier W, Kinzer S, Teszler CB, Boedeker CC, Pfeiffer J. Descending necrotizing mediastinitis: contemporary trends in etiology, diagnosis, management, and outcome. Ann Surg 2010;251:528-34.
  5. Hsu RF, Wu PY, Ho CK. Transcervical drainage for descending necrotizing mediastinitis may be sufficient. Otolaryngol Head Neck Surg 2011;145:742-7.
  6. Daramola OO, Flanagan CE, Maisel RH, Odland RM. Diagnosis and treatment of deep neck space abscesses. Otolaryngol Head Neck Surg 2009;141:123-30.
  7. Kinzer S, Pfeiffer J, Becker S, Ridder GJ. Severe deep neck space infections and mediastinitis of odontogenic origin: clinical relevance and implications for diagnosis and treatment. Acta Otolaryngol 2009;129:62-70.
  8. Suehara AB, Gonçalves AJ, Alcadipani FA, Kavabata NK, Menezes MB. Deep neck infection: analysis of 80 cases. Braz J Otorhinolaryngol 2008;74:253-9.
  9. Maroldi R, Farina D, Ravanelli M, Lombardi D, Nicolai P. Emergency imaging assessment of deep neck space infections. Semin Ultrasound CT MR 2012;33:432-42.
  10. Yang SW, Lee MH, Lee YS, Huang SH, Chen TA, Fang TJ. Analysis of life-threatening complications of deep neck abscess and the impact of empiric antibiotics. ORL J Otorhinolaryngol Relat Spec 2008;70:249-56.
  11. Brook I. Microbiology and management of peritonsillar, retropharyngeal, and parapharyngeal abscesses. J Oral Maxillofac Surg 2004;62:1545-50.
  12. Boyanova L, Kolarov R, Gergova G, Deliverska E, Madjarov J, Marinov M, et al. Anaerobic bacteria in 118 patients with deep-space head and neck infections from the University Hospital of Maxillofacial Surgery, Sofia, Bulgaria. J Med Microbiol 2006;55:1285-9.
  13. Wang CP, Ko JY, Lou PJ. Deep neck infection as the main initial presentation of primary head and neck cancer. J Laryngol Otol 2006;120:305-9.
  14. Baba S, Baba M, Hagisawa M, Kimura M, Nakashima M, Nakahara H. A case of nasal natural killer/T lymphoma revealed by repeated deep neck abscess. Am J Otolaryngol 2009;30:269-72.
  15. Santos Gorjón P, Blanco Pérez P, Morales Martín AC, Del Pozo de Dios JC, Estévez Alonso S, Calle de la Cabanillas MI. Deep neck infection. Review of 286 cases. Acta Otorrinolaringol Esp 2012;63:31-41.
  16. Sarna T, Sengupta T, Miloro M, Kolokythas A. Cervical necrotizing fasciitis with descending mediastinitis: literature review and case report. J Oral Maxillofac Surg 2012;70:1342-50.