Treatment of life threatening head and neck space infection:A retrospective analysis of 32 cases
10.3969/j.issn.1001-3733.2014.05.022
- VernacularTitle:重度颌面颈部间隙感染的治疗--32例患者回顾性分析
- Author:
Mingchao DING
;
Koirala UJJWAL
;
Weiqi WANG
;
Jin SHI
;
Hongwei CAI
;
Bin BO
;
Jinlong ZHAO
;
Qin MA
- Publication Type:Journal Article
- Keywords:
Life threatening;
Head and neck;
Multi-space infection;
Retrospective analysis
- From:
Journal of Practical Stomatology
2014;(5):684-688
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To review the treatment of life threatening head and neck space infection.Methods:Retrospective was con-ducted to analyse the patient characterization,signs and symptoms at the time of presentation,presence of concomitant systemic co-morbidities,treatment,prognosis and bacteriology.Results:32 patients from 2007.01 to 2013.01(mean age was 57.71 years)were included.The cases were increased year by year.1 1 (34.37%)patients had breathing difficulty requiring tracheostomy and 19 (59.3%)had concomitant systemic comorbidities.23 cases recovered completely,8 with severe mediastinal infection were trans-ferred to the department of thoracic surgery or the department of respiratory medicine.1 patient died.Pus submission rate was 96.87%,the bacteria detection rate was 37.50%.Pus culture showed mixed infection dominated by streptococci.Staphylococcus au-reus,pseudomonas aeruginosa,enterococcus faecalis,prevotella and neisseria were detected.Conclusion:Annually incidence of life threatening head and neck space infection is increasing.Treatment of the infection should include:①Ensuring the airway patency;②Surgical incision and drainage as early as possible;③ Hypoglycemic control,maintenance of hemodynamic,nutritional support,and multi-disciplinary approach are the key points in the management of such infections;④ Systemic antibiotics.
