Deep Neck Abscess: A Retrospective Review of 210 Cases

@article{Parhiscar2001DeepNA,
  title={Deep Neck Abscess: A Retrospective Review of 210 Cases},
  author={Afshin Parhiscar and Gady Har-el},
  journal={Annals of Otology, Rhinology \& Laryngology},
  year={2001},
  volume={110},
  pages={1051 - 1054}
}
This study was performed to review our experience with deep neck abscesses (DNAs) and compare it to the experiences in the available literature, and to study changing trends within our patient population. We retrospectively studied 210 patients who had DNAs between 1981 and 1998. Peritonsillar abscesses and limited intraoral abscesses were excluded. Demographics, presentation, etiology, site of abscess, associated systemic diseases, bacteriology, radiology, treatment, airway management, and… 

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References

SHOWING 1-10 OF 10 REFERENCES
Deep neck abscesses--changing trends.
TLDR
The bacteriological pattern of deep neck abscesss is changing and may be responsible for the considerable mortality rate with which the abscesses are still associated despite anti-microbial therapy and early surgical intervention.
Presentation and management of neck abscess: A retrospective analysis
TLDR
Intravenous drug abuse was the most common etiology, and was an important source of primary carotid space infection, and this group was most commonly infected with Streptococcus species.
Predisposing factors of life-threatening deep neck infection: logistic regression analysis of 214 cases.
TLDR
Although complicated deep neck infection is a rapidly progressive disease with a high mortality, one can not thoroughly predict the prognosis or avoid it happening completely, but if one can detect and pay more attention to the high-risk group of patients with use of aggressive therapy, the incidence of complicated deepneck infection may be reduced.
Needle Aspiration of Neck Abscesses In Children
TLDR
Abscesses in younger children who presented with smaller neck masses on physical examination and smaller abscess cavities on CT scan resolved with needle aspiration, and the use of needle aspiration as an effective initial treatment for pediatric neck abscesses is supported.
Infection of the neck spaces: a present day complication.
TLDR
Three cases of neck space infection as a consequence of dental infection, pharyngitis and peritonsillar abscess are presented.
Deep neck infections in patients at risk for acquired immunodeficiency syndrome
TLDR
Although traditional antibiotic therapy is appropriate for deep neck infections in patients at risk for acquired immunodeficiency syndrome, vancomycin hydrochloride should be considered when staphylococcal infections are suspected in intravenous drug abusers.
Infections of the fascial spaces of the neck.
TLDR
Infections of fascial spaces of the neck continue to be life-threatening events and attention is given to the use of modern imaging and contemporary antibiotic management.
Infections of the fascial spaces of the neck.
  • P. Odell
  • Medicine
    The Journal of otolaryngology
  • 1990
TLDR
A clear understanding of regional anatomy remains critical to the proper resolution of these conditions, and attention is given to the use of modern imaging and contemporary antibiotic management.
Diseases of the pharynx and deep neck infections