A study on deep neck space infections- at tertiary care centre

Abstract

Objectives: The purpose of this study is to determine the following aspects with respect to deep neck space infections:- 1. Aetiopathogenesis and risk factors associated. 2. Clinical presentation. 3. Different diagnostic modalities available. 4. Management and outcome. Materials and methods: Source of data – All patients attending OPD/admitted to department of E.N.T, MGM Hospital, attached to Kakatiya Medical College, Warangal, during the period from January 2021 to September 2021. Methods of collection of data. Study design: Prospective study. Study period- January 2021 to September 2021 Place of study – MGM Hospital, Warangal A minimum of 50 cases presenting with signs and symptoms of deep neck space infections were evaluated. Methodology: Data collection by detailed history taking and clinical examination, appropriate laboratory and radiological investigations, operative findings and follow up of cases. All patients with history and symptoms suggestive of deep neck space infections. Results: In this study, the most common age group presenting with deep neck space infection is31-40(24%), followed by third decade. There is male preponderance seen (68%), most common presenting symptom is odynophagia(90%), followed by restricted mouth opening(80%), the most common clinical finding is Trismus(80%) followed by neck swelling, Diabetes mellitus(18%) is the most common associated systemic disease, Dental infections is the most common etiology followed by recurrent tonsillitis, Ludwig’s angina is the most common abscess followed by peritonsillar abscess, Single space infection is found in (47%), diagnosis is made clinically and radiological assistance was required in (80%) of cases, Incision and drainage is the most effective treatment, Pseudomonas is the commonest organim, complications encountered are airway obstruction and necrotizing fasciitis. Conclusion: Deep neck space infections are still prevalent despite of the use of modern antibiotics, with dental etiology being the most common cause, Early detection and prompt treatment in the form of Incision and drainage supplemented with antiobiotics and supportive treatment in the form of intravenous fluids, systemic steroids and mouth gargles results in better outcome of the disease.