The Study of Etiopathogenesis and Management of Deep Neck Space Infections

Kousalya Devi, S (2020) The Study of Etiopathogenesis and Management of Deep Neck Space Infections. Masters thesis, Tirunelveli Medical College, Tirunelveli.


Download (15MB) | Preview


INTRODUCTION: DNSI are potentially lethal infection & need immediate appropriate treatment. Poor dental hygiene is responsible for the DNSI. AIM OF THE STUDY: To evaluate the etiopathogenesis and management of deep neck space infections. MATERIALS AND METHODS: Patient attending or reffered to ENT OPD were included in this study. All patients underwent a thorough history taking and a detailed clinical examination, X-ray neck lateral and antero-posterior view, chest X-ray, Ultra Sound neck, computed tomography scan neck and culture & sensitivity studies was done in selected individuals according to their finding. Then the patients were started on broad spectrum antibiotics and converted to selective antibiotics based on culture report. Incision and drainage were done in patients with diabetes mellitus, patients with no improvement after 48 hours of parentral antibiotics, patients with airway compromise.Management and the improvement were analysed. RESULTS: In our Study there were 78 patients in which 41 (52.5%) were male, 37 (47.4%) were female, with a male female ratio of 1 : 1.1 In our Study, the etiological factor in majority of cases was found to be, The mean age of patients in our study was with minimum age of patients was 5 yrs and a maximum age was 78 yrs. Majority of patients were in the age group of 31-40 years followed by 41 - 50 infections (38 Patients 48.7%) followed by Tonsillopharyngitis (16 Patients 20.5%). In 20 Patients the etiological factor was unknown.All the 78 Patients were treated with IV antibiotics during admission. Among the various risk factors, diabetes mellitus was the common and found in 20 Patients. Among this 78 Patients 56 underwent incision and drainage. 22 Patients were treated conservatively with IV antibiotics and other supportive measures. Among the 78 Patients of Deep Neck Space infections, Ludwigs Angina was the most common neck infection in 30 Patients (38.4%) followed by peritonsillar abscess in 16 Patients (20.5%), In our study the most commonly encountered complication is airway compromise followed by septic shock. CONCLUSION: The most common cause of dnsi is odontogenic infections. Therefore prevention of dnsi can be achieved by making population aware of oral and dental hygiene and encouraging regular checkups for odontogenic infections. Patients with dnsi with diabetes are more prone to develop complications. It is very important to give special attention to high risk groups such as diabetic, elderly and patients with systemic diseases as these patients may progress to life threatening complications. Early diagnosis and treatment is essential in DNSI. All patients should be started on empirical antibiotics and later changed as per c/s reports.

Item Type: Thesis (Masters)
Additional Information: 221714302
Uncontrolled Keywords: deep neck space infections, ludwigs angina, peritonsillar abscess, odontogenic infections, submandibullar abscess, retropharyngeal abscess, parapharyngeal abscess, incision and drainage, culture and sensitivity, tonsillitis, tracheostomy.
Subjects: MEDICAL > Otolaryngology
Depositing User: Subramani R
Date Deposited: 15 Feb 2021 04:55
Last Modified: 15 Feb 2021 04:55

Actions (login required)

View Item View Item