Nowak Katarzyna, Szyfter Witold
Klinika Otolaryngologii i Onkologii Laryngologicznej Akademii Medycznej w Poznaniu.
Otolaryngol Pol. 2006;60(4):507-11.
Deep neck infection is relatively rare but potentially life threatening complication of common oropharyngeal infections. This retrospective study was aimed at analyzing the occurrence of complications, diagnostic methods and proper management of deep neck infection. A review was conducted in 32 cases who were diagnosed as having deep neck infection from 1995 to 2005. The causes of deep neck infections were tonsillitis (16 cases), tooth diseases (6 cases), paratonsillar abscess (4 cases), parotitis (1 case), pussy lymphonodes after tonsillectomy (2 cases), pussy congenital neck cyst (1 case), chronic otitis media (1 case), parotitis (1 case), foreign body of the esophagus (1 case). All the puss bacterial cultivation were positive. All the patients were treated by different ways of chirurgical drainage and use of large dosage of antibiotics. Deep neck infection should be suspected in patients with long lasting fever and painful swelling of the neck and treatment should begin quick as possible.
深部颈部感染相对少见,但却是常见口咽感染潜在的危及生命的并发症。这项回顾性研究旨在分析深部颈部感染的并发症发生情况、诊断方法及恰当的治疗措施。对1995年至2005年期间诊断为深部颈部感染的32例病例进行了回顾。深部颈部感染的病因包括扁桃体炎(16例)、牙齿疾病(6例)、扁桃体周围脓肿(4例)、腮腺炎(1例)、扁桃体切除术后脓性淋巴结(2例)、先天性脓性颈部囊肿(1例)、慢性中耳炎(1例)、腮腺炎(1例)、食管异物(1例)。所有脓液细菌培养均为阳性。所有患者均采用不同方式的手术引流并使用大剂量抗生素进行治疗。对于持续发热且颈部疼痛肿胀的患者应怀疑深部颈部感染,治疗应尽早开始。