Objective:To review the clinical findings in deep neck infections and identification predisposing factors of these complications. Methods:In this study, 270 patients with deep neck infections were studied retrospectiv...Objective:To review the clinical findings in deep neck infections and identification predisposing factors of these complications. Methods:In this study, 270 patients with deep neck infections were studied retrospectively, study conducted in the Department of Ear, Nose and Throat, Dr. Shankarrao Chavan Govern-ment Medical College, Nanded, Maharashtra, India, from March 2013 to March 2016. Results:Analysis showed that males are most likely to have deep neck space infections (DNSI). Odontogenic and tonsillar causes were the more frequent ones. Staphylococcus aureus and Streptococcus species were the microorganisms more commonly isolated. Conclusion:DNSI remains a common and challenging disease for otorhinolaryngologists, and should be treated on emergency basis. In developing countries, lack of adequate nutrition, poor oral hygiene, tobacco chewing, smoking and beetle nut chewing has led to an increased prevalence of dental and periodontal diseases. In present study, Odontogenic infections were the most common etiological factor for DNSI.展开更多
Objectives:To compare the effectiveness of vacuum-assisted closure(VAC)against traditional drainage technique,using a retrospective case-control study design,in terms of managing deep neck infections(DNIs).Methods:Pat...Objectives:To compare the effectiveness of vacuum-assisted closure(VAC)against traditional drainage technique,using a retrospective case-control study design,in terms of managing deep neck infections(DNIs).Methods:Patients presenting to Peking Union Medical College Hospital diagnosed with DNIs were recruited in this study.We analyzed the clinical characteristics of DNI patients and divided them into(a)VAC placement group(26 cases)and(b)traditional drainage group(57 cases)according to whether VAC was placed.The differences in length of stay(LOS),wound healing time,and debridement frequency were compared between the two groups.Results:Eighty-three patients had multiple-space infections,i.e.infection at two or more sites.The debridement frequency of the VAC group was significantly lower than that of the traditional drainage group(p=0.001).The wound healing time of the traditional drainage group and VAC group was 38 days(a range of 13-98 days)and 40 days(a range of 11-106 days),respectively;the average LOS was 15 days(a range of 2-68 days)and 16 days(a range of 4-35 days),respectively;and the debridement frequencies were one time(a range of 0-3 times)and zero times(a range of 0-2 times),respectively.The two groups did not differ significantly in wound healing time and hospitalization duration(p=0.319 and 0.937).Conclusions:VAC treatment of DNIs has significant advantages in reducing the frequency of debridement and patient suffering,but it does not show significant advantages in wound healing.Randomized trials are still needed to demonstrate its efficacy.展开更多
文摘Objective:To review the clinical findings in deep neck infections and identification predisposing factors of these complications. Methods:In this study, 270 patients with deep neck infections were studied retrospectively, study conducted in the Department of Ear, Nose and Throat, Dr. Shankarrao Chavan Govern-ment Medical College, Nanded, Maharashtra, India, from March 2013 to March 2016. Results:Analysis showed that males are most likely to have deep neck space infections (DNSI). Odontogenic and tonsillar causes were the more frequent ones. Staphylococcus aureus and Streptococcus species were the microorganisms more commonly isolated. Conclusion:DNSI remains a common and challenging disease for otorhinolaryngologists, and should be treated on emergency basis. In developing countries, lack of adequate nutrition, poor oral hygiene, tobacco chewing, smoking and beetle nut chewing has led to an increased prevalence of dental and periodontal diseases. In present study, Odontogenic infections were the most common etiological factor for DNSI.
基金Natural Science Foundation of Beijing Municipality(Grant/Award Number:7192171)Peking Union Medical Foundation,Pumch Healthcare Quality and Safety Incubation Program(Grant/Award Number:XHZJ2411)。
文摘Objectives:To compare the effectiveness of vacuum-assisted closure(VAC)against traditional drainage technique,using a retrospective case-control study design,in terms of managing deep neck infections(DNIs).Methods:Patients presenting to Peking Union Medical College Hospital diagnosed with DNIs were recruited in this study.We analyzed the clinical characteristics of DNI patients and divided them into(a)VAC placement group(26 cases)and(b)traditional drainage group(57 cases)according to whether VAC was placed.The differences in length of stay(LOS),wound healing time,and debridement frequency were compared between the two groups.Results:Eighty-three patients had multiple-space infections,i.e.infection at two or more sites.The debridement frequency of the VAC group was significantly lower than that of the traditional drainage group(p=0.001).The wound healing time of the traditional drainage group and VAC group was 38 days(a range of 13-98 days)and 40 days(a range of 11-106 days),respectively;the average LOS was 15 days(a range of 2-68 days)and 16 days(a range of 4-35 days),respectively;and the debridement frequencies were one time(a range of 0-3 times)and zero times(a range of 0-2 times),respectively.The two groups did not differ significantly in wound healing time and hospitalization duration(p=0.319 and 0.937).Conclusions:VAC treatment of DNIs has significant advantages in reducing the frequency of debridement and patient suffering,but it does not show significant advantages in wound healing.Randomized trials are still needed to demonstrate its efficacy.
