Publication details
Retrospective Analysis of Deep Neck Space Infections at FNUSA Brno ENT-HNS Clinic (2018-2023); 22nd Czech - German ENT Days 13 - 14 September 2024; Prague
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| Year of publication | 2024 |
| Type | Appeared in Conference without Proceedings |
| Citation | |
| Description | Introduction: This retrospective study analyzes the clinical data of patients diagnosed with deep neck space infections (DNSI) at the ENT-HNS Clinic of FNUSA Brno over a five-year period from 2018 to 2023. The objective was to evaluate the epidemiology, clinical presentation, diagnostic methods, treatment approaches, and outcomes associated with DNSI. Methods: Data from patient records, including demographic information, etiology, imaging findings, microbiological results, treatment modalities, and complications, were systematically reviewed and analyzed. The results were contrasted with the most recent studies. Results: Key findings indicate a notable prevalence of DNSI in middle-aged adults, with odontogenic and tonsilogenic sources being the most frequent causes. Advanced imaging techniques, particularly CT scans, played a crucial role in diagnosis. A combination of surgical drainage and antibiotic therapy was the predominant treatment strategy. Mediastinitis was identified as the most feared complication, with a lethality rate of approximately 33%. The overall lethality across all patient groups was 6%. Risk factors such as drug substance abuse and immunosuppression were identified as significant contributors to the development of severe complications Conclusion: The study underscores the importance of prompt diagnosis and multidisciplinary management in improving patient outcomes for DNSI. Further research is suggested to optimize treatment protocols and reduce the incidence of severe complications associated with these infections. |