Volume 6, Issue 1 (Winter 2017)                   JOHE 2017, 6(1): 40-46 | Back to browse issues page

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Farahani Z, Farahani F, Seif-Rabiee M. Clinical and epidemiological profile of deep neck space infections: A retrospective study in Hamadan, Western Iran, during 2008-2013. JOHE. 2017; 6 (1) :40-46
URL: http://johe.rums.ac.ir/article-1-241-en.html
1- Medical Student Student Research Committee, Hamadan University of Medical Sciences, Hamadan, Iran.
2- Professor Dept. of Otolaryngology, Besat Hospital, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran , farahani@umsha.ac.ir
3- Assistant Prof., Dept. of Community Medicine, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran.
Abstract:   (3578 Views)
Background: The diagnosis of deep neck space infection (DNSI) is difficult due to lack of common clinical symptoms and signs and covering of deep seated infections by regular tissues of neck. There is no evidence of clinical and epidemiological profile of deep neck space infections in western Iran. This study was designed to analyze demographic features, clinical presentations, and outcomes of DNSIs in order to promote diagnosis, management and treatment of the disease.
Materials and Methods: This retrospective study was carried out on 202 patients with the diagnosis of DNSI hospitalized in Hamadan hospitals, Iran, during 2008-2013. All parameters including demographic characteristics, geographical location, symptoms, site of infection, required interventions and treatments, and complications and outcomes were studied. Finally, the data were reported by descriptive statistics like mean ± standard deviation (SD), median for quantitative parameters, and frequency tables and percentages for qualitative parameters.
Results: Among 202 patients, 58.9% (119 patients) were men. The mean age ± SD was 28.4 ± 14.7 years and ranged from 4 months to 82 years. Most admissions were in winter with 25.7% (52 patients), the majority of which came from urban background (60%). The most common site of infection was submandibular abscess (50%). Airway obstruction occurred in 11.8% of the patients as the most common complication. Two top antibiotics were metronidazole (80.8%) and penicillin G (79.8%). Surgical intervention was carried out in 82.7% of the cases. One patient died of Ludwig’s angina.
Conclusions: The results of this study showed that although DNSIs have proven to be life-threatening diseases, proper diagnosis and management can effectively defeat them and provide cure without complications.
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Type of Study: original article | Subject: Epidemiology
Received: 2017/04/5 | Accepted: 2017/06/21 | ePublished: 2017/08/1

1. Daramola OO, Flanagan CE, Maisel RH, Odland RM. Diagnosis and treatment of deep neck space abscesses. Otolaryngol Head Neck Surg 2009; 141(1):123-30. [PubMed]
2. Flint P, Haughey B, Lund V, Niparko J, Robbins K, Thomas JR, Lesperance M. Cummings Otolaryngology. 6th ed. Philadelphia, United States: Saunders (imprint); 2015. p.164-75. (Head and neck surgery; Vol 3) [Book]
3. Hegde A, Mohan S, Lim WE. Infections of the deep neck spaces. Singapore Med J 2012; 53(5):305-11. [PubMed]
4. Dalla Torre D, Burtscher D, Höfer D, Kloss FR. Odontogenic deep neck space infection as life‐threatening condition in pregnancy. Aust Dent J 2014; 59(3):375-8. [PubMed]
5. Parhiscar A, Har-El G. Deep neck abscess: a retrospective review of 210 cases. Ann Otol Rhinol Laryngol 2001; 110(11):1051-4.. [PubMed]
6. Poeschl PW, Spusta L, Russmueller G, Seemann R, Hirschl A, Poeschl E, et al. Antibiotic susceptibility and resistance of the odontogenic microbiological spectrum and its clinical impact on severe deep space head and neck infections. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010; 110(2):151-6. [PubMed]
7. Vieira F, Allen SM, Stocks RM, Thompson JW. Deep neck infection. Otolaryngol Clin North Am 2008; 41(3):459-83. [PubMed]
8. Chi TH, Tsao YH, Yuan CH. Influences of patient age on deep neck infection clinical etiology and treatment outcome. Otolaryngol Head Neck Surg 2014; 151(4):586-90. [PubMed]
9. Meher R, Jain A, Sabharwal A, Gupta B, Singh I, Agarwal AK. Deep neck abscess: a prospective study of 54 cases. J Laryngol Otol 2005; 119(4):299-302. [PubMed]
10. Huang TT, Liu TC, Chen PR, Tseng FY, Yeh TH, Chen YS. Deep neck infection: analysis of 185 cases. Head Neck 2004; 26(10):854-60. [PubMed]
11. Kataria G, Saxena A, Bhagat S, Singh B, Kaur M, Kaur G. Deep neck space infections: a study of 76 cases. Iran J Otorhinolaryngol 2015; 27(81):293-9. [PubMed]
12. Chen MK, Wen YS, Chang CC, Huang MT, Hsiao HC. Predisposing factors of life-threatening deep neck infection: logistic regression analysis of 214 cases. J Otolaryngol 1998; 27(3):141-4. [PubMed]
13. Boscolo-Rizzo P, Stellin M, Muzzi E, Mantovani M, Fuson R, Lupato V, et al. Deep neck infections: a study of 365 cases highlighting recommendations for management and treatment. Eur Arch Otorhinolaryngol 2012; 269(4):1241-9. [PubMed]
14. Bakir S, Tanriverdi MH, Gün R, Yorgancilar AE, Yildirim M, Tekbaş G, et al. Deep neck space infections: a retrospective review of 173 cases. Am J Otolaryngol 2012; 33(1):56-63. [PubMed]
15. Marioni G, Staffieri A, Parisi S, Marchese-Ragona R, Zuccon A, Staffieri C, et al. Rational diagnostic and therapeutic management of deep neck infections: analysis of 233 consecutive cases. Ann Otol Rhinol Laryngol 2010; 119(3):181-7. [PubMed]
16. Bottin R, Marioni G, Rinaldi R, Boninsegna M, Salvadori L, Staffieri A. Deep neck infection: a present-day complication. A retrospective review of 83 cases (1998–2001). Eur Arch Otorhinolaryngol 2003; 260(10):576-9. [PubMed]
17. Zamiri B, Hashemi SB, Hashemi SH, Rafiee Z, Ehsani S. Prevalence of odontogenic deep head and neck spaces infection and its correlation with Length of hospital stay. J Dent (Shiraz) 2012; 13(1):29-35. [Article]
18. Eftekharian A, Roozbahany NA, Vaezeafshar R, Narimani N. Deep neck infections: a retrospective review of 112 cases. Eur Arch Otorhinolaryngol 2009; 266(2):273-7. [PubMed]
19. Yeghane-Moghadam A, Farajipour H, Haji-Jafari M, Zahedi MR, Tabatabaee B. Epidemiologic evaluation of deep neck infections among the hospitalized patients in Kashan Matini hospital (September 2006-August 2007). Feyz 2012; 16(3):282-7. [Article]
20. Rega AJ, Aziz SR, Ziccardi VB. Microbiology and antibiotic sensitivities of head and neck space infections of odontogenic origin. J Oral Maxillofac Surg 2006; 64(9):1377-80. [PubMed]
21. Mumtaz R, Arain A, Suhail A, Rajput Sh, Adeel M, Hassan N. Deep neck space infections; retrospective review of 46 patients. Journal of Cranio-Maxillary Diseases 2014; 3(1):21. [Article]
22. Har-El G, Aroesty JH, Shaha A, Lucente FE. Changing trends in deep neck abscess: A retrospective study of 110 patients. Oral Surg Oral Med Oral Pathol 1994; 77(5):446-50. [PubMed]

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