Deep neck space infections: a retrospective cohort study of surgical risk factors.
10.3760/cma.j.cn115330-20220506-00253
- VernacularTitle:颈深间隙感染：一项关于手术风险因素的回顾性队列研究
- Author:
Chun Ge ZHENG
1
;
Yan JIANG
2
;
Long Gang YU
2
;
Xu Dong YAN
2
;
Li Wei JIANG
2
;
Ji Sheng ZHANG
2
;
Lin WANG
2
Author Information
1. Department of Otorhinolaryngology Head and Neck Surgery, the Affiliated Hospital of Qingdao University, Qingdao 266000, China.
2. Department of Otorhinolaryngology Head and Neck Surgery, the Affiliated Hospital of Qingdao University, Qingdao 266000, China Otorhinolaryngology Head and Neck Surgery Key Laboratory of Shandong Province, Qingdao 266000, China.
- Publication Type:Journal Article
- MeSH:
Male;
Female;
Humans;
Retrospective Studies;
Neck/surgery*;
Risk Factors;
Deglutition Disorders
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2023;58(1):59-63
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To explore risk factors affecting treatment for deep neck space infections (DNSIs) so as to provide guidance for appropriate early managements. Methods: A retrospective cohort study was conducted on inpatients with DNSIs admitted to the Department of Otolaryngology, Head and Neck Surgery, Affiliated Hospital of Qingdao University from March 2013 to February 2021. Patients were divided into surgical and non-surgical groups based on whether they had surgery or not. Information collected included demographic data, disease-related signs and symptoms, treatment history, systemic comorbidities, imaging data and laboratory indicators. Hypothesis testing, univariate Logistic regression and multivariate Logistic regression were used for data processing. Resuts A total of 61 patients were included, including 37 males and 24 females, aged 6-96 years. There were 35 cases (57.4%) in the surgical group and 26 cases (42.6%) in the non-surgical group. Multivariate analysis showed that risk factors for surgery as followings: neck dyskinesia (OR=0.03, 95%CI: 0.00-0.24), dysphagia (OR=0.10, 95%CI: 0.02-0.72), serum white blood cell count≥16.74×109/L (OR=1.18, 95%CI: 1.01-1.39) and interspace gas (OR=0.03, 95%CI: 0.00-0.30). Conclusion: Clinicians should be alert to these risk factors for surgery in the course of treatment and timely surgical treatment for patients who meet the conditions.
