Deep neck abscesses of non-odontogenic origin are characterised by different microbiological and clinical manifestations. Based on clinical presentations, the possible complications and results of different methods of treatment were described. We present five cases of non-odontogenic deep neck infections. Computed tomography was used to confirm the diagnosis and monitor the treatment’s effectiveness. In three cases, the cause of infection was unidentified, while in the remaining cases pharyngitis and sialoadenitis were non-odontogenic causes of infection. Usually the causative flora were not identified, but in the remaining cases Streptococcus anginosus and Eschericha coli predominated. Computed tomography is the most recommended diagnostic method to detect infection and monitor its progression and treatment. The choice of surgical approach depends on the location of the abscess and its progression. Empirical antibiotic therapy provides additional medical support and complements surgical treatment. Diabetes is an important predisposing factor of deep neck infections.
REFERENCES(11)
1.
Brook I. Current management of upper respiratory tract and head and neck infections. Eur Arch Otorhinolaryngol 2009; 266: 315-323.
Herzon FS, Martin AD. Medical and surgical treatment of peritonsillar, retropharyngeal, and parapharyngeal abscesses. Curr Infect Dis Rep 2006; 8: 196-202.
Celakovsky P, Kalfert D, Smatanova K, Tucek L, Cermakova E, Mejzlik J, Kotulek M, Vrbacky A, Matousek P, Stanikova L, Hoskova T. Bacteriology of deep neck infections: analysis of 634 patients. Aust Dent J 2015; 60: 212-215.
Hasegawa J, Hidaka H, Tateda M, Kudo T, Sagai S, Miyazaki M, Katagiri K, Nakanome A, Ishida E, Ozawa D, Kobayashi T. An analysis of clinical risk factors of deep neck infection. Auris Nasus Larynx 2011; 38: 101-107.
Kalmovich LM, Gavriel H, Eviatar E, Kessler A. Accuracy of ultrasonography versus computed tomography scan in detecting parapharyngeal abscess in children. Pediatr Emerg Care 2012; 28: 780-782.
Huang TT, Tseng FY, Liu TC, Hsu CJ, Chen YS. Deep neck infection in diabetic patients: comparison of clinical picture and outcomes with nondiabetic patients. Otolaryngol Head Neck Surg 2005; 132: 943-947.
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