A Clinical Study of Deep Neck Infection

Kwak, Sin II; Seo, Jung Jae; Kim, Dong Hoon; Shin, Tae Hyun; Sohn, Jin Ho; Park, Jae Yul

doi:10.35420/jcohns.1994.5.2.298

J Clin Otolaryngol Head Neck Surg 1994; 5(2):298-304

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

DOI: https://doi.org/10.35420/jcohns.1994.5.2.298

원저

경부 심부 감염의 임상적 고찰

곽신일¹, 서정재¹, 김동훈¹, 신태현¹, 손진호¹, 박재율¹

A Clinical Study of Deep Neck Infection

Sin II Kwak¹, Jung Jae Seo¹, Dong Hoon Kim¹, Tae Hyun Shin¹, Jin Ho Sohn¹, Jae Yul Park¹

Author Information & Copyright ▼

¹대구가톨릭대학교 의과대학 이비인후과학교실

¹Department of Otolaryngology, School of Medicine, Taegu Catholic 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, which affect soft tissue and fascial compartment of head and neck, may cause life-threatening complications despite the advent of antibiotics. The authors recently experienced 26 cases of these infections at Taegu Catholic University Hospital and the following results were obtained.

The age of onset was from two to sixty one with the mean age of thirty eight, and 15 cases(57.7%) were male and 11 cases(42.3%) were female.
The sites of infections were submandibular space 9 cases(34.6%), parapharyngeal space 9 cases(34.6%), and retropharyngeal space 6 case(23.1%), where more than a site were involved in 2 cases.
The origins of infection were 9 cases of URI(34.6%), 6 cases of dental disease(23.1%), 5 cases of acute tonsillitis(19.2% ), 2 cases of recent tooth extraction(7.6% ), 1 case of acute epiglottitis(3.8%), and 3 cases of unknown origin(11.5%).
The isolated organisms were 11 cases of hemolytic streptococcus (42.3 %), 7 cases of staphylococcus aureus(26.9%), 1 case of enterobacter(3.8% ), 1 case of anaerobe(3.8%), and 6 cases of no growth(23.1 %).
Without any remarkable complications, all cases were treated with surgical drainage with antibiotics 18 cases(69.2%), and conservative treatment 8 cases(30.8%).
CT scan play an essential role in guiding diagnosis and treatment for deep neck infection.

Keywords: Deep neck infection; Clinical study