Deep neck infections - Prognostic complications factors analysis
DOI:
https://doi.org/10.34631/sporl.367Keywords:
Deep neck infection, microbiology, computed tomography, treatment, complicationsAbstract
Objective: Review the experience of our department between 2009 and 2014, with deep neck infections (DNI) and compare it with the previous years. Identify independent significant factors influencing prognosis in terms of complications.
Material and Methods: Retrospective analysis of 223 consecutive adult patients with DNI, admitted to the Otorhinolaryngology Service, between 2009 and 2014. The results were compared with those of a similar previous study. Aiming to identify independent prognostic factors of complications, a Cox regression was applied.
Results: There was an average increase of hospitalizations per year of 58.3% and a decrease in mortality by half (1.3%). Advanced age, dental infection, multiple abscesses, dyspnea and neck swelling were independently significant in prognosticating complications of DNI.
Conclusion: Deep neck infections are life-threatening clinical entities. The reduction in mortality may be related to changes in diagnostic techniques, use of broad spectrum antibiotic protocol and with the achievement of early surgical treatment. An older age, dental etiology, involvement of multiple cervical spaces, dyspnea and cervical swelling at presentation were identified as independent predictors of complication.
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