A COMPREHENSIVE STUDY ON DEEP NECK SPACE INFECTIONS –TREATMENT & OUTCOME AT TERTIARY CARE CENTER.

Dr. Ch Ratna Teja, Dr. Sudhakar babu. U, Dr. Laasya V

Abstract


To review the clinical findings in deep neck infections and identification of predisposing factors and complications. In this study, 30 patients with deep neck infections were studied. This Study is conducted in the Department of Ear, Nose and Throat, ASRAM hospital, Eluru, West Godavari dst , Andhra Pradesh. The most common symptoms were neck swelling and pain, followed by odynophagia. Submandibular space and parapharyngeal space involvement were more common in odontogenic DNSI. Bacteriology reveals streptococcus species as the most common organism. Minimum duration of hospital stay was 14 days.  Immediate active intervention is required to prevent progress of the disease. Early stage of cellulitis needs intravenous antibiotics with control of secondary co-morbid conditions like diabetes mellitus, immunocompromised states. CECT scan of neck is useful to know the extent of disease. Surgical intervention in the form of incision and drainage is required followed by medical management. Tracheostomy is required if airway is compromised.

Keywords


Deep neck space infection, Incision and drainage, Odontogenic infections, Tracheostomy

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