Diagnosis and treatment of otogenic deep neck abscess

VernacularTitle:耳源性颈深部脓肿的诊断和治疗
Author: Zhaosheng LI ; Bin HONG ; Ruikun CHEN ; Qingwen HUANG ; Jincheng LIN ; Weimin PU
Publication Type:Journal Article
Keywords: Mastoiditis; Neck; Abscess; Diagnosis; Clinical Protocols
From: Chinese Archives of Otolaryngology-Head and Neck Surgery 2015;(10):516-519
CountryChina
Language:Chinese
Abstract: [ABSTRACT]OBJECTIVETo improve the understanding and treatment of otogenic deep neck abscess.METHODSTo analyse the treatments of 2 cases retrospectively and do the literature review.RESULTS 2 cases had long history of otitis media, showed abnormal signal connection on MRI image between neck lesion and middle ear. They were cured by mastoidectomy and drainage from neck abscess to mastoid cavity.CONCLUSIONThe otogenic deep neck abscess is different from other one in the etiology, pathogenesis, pathogenic bacteria, treatment and so on. The neck MRI examination has obvious advantages in the nature of the lesion, the resolution of the soft tissue and the correlation of lesions between the neck and the mastoid, and can be used as the predominant treatment. Incision and drainage of the neck abscess is unnecessary if operated on time. Before the neck abscess is cured thoroughly, keeping drainage of the mastoid tip is very important for prevention of recurrence. Postoperative change dressing should also be strengthened.