Meeting abstract
Deep neck infection, management and predictors of poor prognosis
Šekib Umihanić
; Clinic for ear, nose, throat disease and head and neck surgery, University clinical center Tuzla; University of Tuzla, Medical faculty, Tuzla, Bosnia and Herzegovina
Abstract
This study reviews our experience with deep neck space infections (phlegmons) requiring surgical
intervention. The aim of the study was to identify predisposing and aggravating factors of the disease and
recognize the possible factors that can lead to life-threatening complications, and slow down the healing
process, or be predictors of poor disease outcome. Our retrospective study comprised 71 patients with neck
phlegmons, who were treated at the ENT Clinic, during 2000-2022. The study included the etiology,
predisposing factors, causative microbiological organisms, and the clinical outcomes associated with the
mortality. During the investigated time, 71 patients with deep neck infections were noted. The range of age of
the patients was 14-81 years, and the study population included 45 males (63.3%). Staphylococcus aureus was
the most commonly isolated bacteria. Death was noted in 13 patients (18.3%). Timely diagnosis together with
aggressive surgical treatment and appropriate antibacterial therapy were the key to success in the treatment of
the patients with deep neck infections. The factors associated with poor prognosis in our patients included
tonsillar disease, diabetes mellitus, mediastinitis, age above 65 years.
Keywords
Hrčak ID:
308128
URI
Publication date:
19.9.2023.
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