A Clinical Study of Deep Neck Infections

Koh, Kwang Min; Koh, Jae Sung; Tae, Kyung; Kim, Kyung Rae; Ahn, Kyung Sung

doi:10.35420/jcohns.1994.5.2.290

J Clin Otolaryngol Head Neck Surg 1994; 5(2):290-297

pISSN: 1225-0244, eISSN: 2713-833X

DOI: https://doi.org/10.35420/jcohns.1994.5.2.290

원저

경부 심부감염에 대한 임상적 고찰

고광민¹, 고재성¹, 태경¹, 김경래¹, 안경성¹

A Clinical Study of Deep Neck Infections

Kwang Min Koh¹, Jae Sung Koh¹, Kyung Tae¹, Kyung Rae Kim¹, Kyung Sung Ahn¹

Author Information & Copyright ▼

¹한양대학교 의과대학 이비인후과학 교실

¹Department of Otolaryngology, College of Medicine, Hanyang University

© Copyright 1994 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Published Online: May 31, 2020

ABSTRACT

Deep neck infections affecting soft tissue and fascial compartment of head and neck, have decreased after development of chemotherapeutic agents and antibiotics. But these infections may still remain in high motality and morbidity.

The authors have studied 50 cases of deep neck infection experienced at Hanyang University Hospital during recent 5 years and the following results were obtained.

The age of onset was from 15 months to 67 years old, average 31 years old, and 28 cases(56%) were male, and 22 cases(44% ) were female.
The sites of infections were submandibular space 22 cases(44%), parapharyngeal space 19 cases(38%), and retropharyngeal space 9 cases(18%).
The isolated orgarnism of 29 cases were 16 cases(55% ) of streptococcus, 7 cases(24%) ) of staphylococcus, 1 case(3%) of pseudomonas, 3 cases(10%) of anaerobes, 5 cases(17%) of no growth.
The origin of infections were dental disease 13 cases(26%), acute tonsillitis 12 cases (24%), trauma to oral cavity or nasopharynx 2 cases(4%), tuberculosis 1 case(2%), unknown origin 23 cases(46%).
1 case was died due to sepsis, the other cases were treated with surgical drainage with antibiotic therapy(35 cases, 70%), conservative treatment(l5 cases, 30%), tracheostomy(2 cases, 4%).
The CT scan was useful method for diagnosis, but concordance rates between CT and operative findings were 15 cases among 15 cases(100% ) in submandibular space, 8 cases among 11 cases(72.7%) in parapharyngeal space, 4 cases among 6 cases(66.7%) in retropharyngeal space.

Keywords: Deep neck infection; Parapharyngeal abscess; Retropharyngeal abscess