Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2022, Vol. 36 ›› Issue (2): 51-57.doi: 10.6040/j.issn.1673-3770.0.2021.105

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Clinical analysis of 220 cases of deep neck space infection

FENG Yiyuan, YANG Jing, YANG Hongbin   

  1. Department of Otorhinolaryngology & Head and Neck Surgery, Affiliated Hospital of North Sichuan Medical College, Nanchong 637000, Sichuan, China
  • Published:2022-04-15

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Abstract: Objective This study aimed to explore the clinical characteristics, treatment experience, and lessons learned in the treatment of DNI and improve DNI diagnosis and treatment. Methods The clinical characteristics, treatment measures, and prognosis of 220 patients with DNI were retrospectively analyzed. Results Among the 220 patients, 98 with deep cervical space cellulitis were cured by simple anti-infection and symptomatic supportive treatment in 88 cases, whereas 10 cases progressed to deep cervical space abscesses that were cured by further abscess puncture or incision and drainage. The other 122 patients with deep neck space abscesses were treated with anti-infection combined with abscess puncture or incision and drainage and symptomatic supportive treatment. Among them, 12 cases of tuberculosis infectious abscess were administered anti-tuberculosis treatment, 25 were treated with tracheotomy due to complicated severe laryngeal obstruction, and 118 healed. A total of 4 patients died of severe complications. Conclusion DNI is a critical illness. Effective anti-infective measures combined with abscess puncture or incision and drainage is the key to successful treatment. Tuberculosis or other special infections require combination anti-tuberculosis and other special treatments. The timely and correct treatment of comorbidities and complications can reduce mortality and disability rates.

Key words: Deep neck space infection, Cellulitis, Abscess, Surgery, Complication

CLC Number: 

  • R632.4
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