Zakażenia ropne głębokich przestrzeni szyi w Klinice Otolaryngologii PUM w okresie ostatnich 5 lat

Abstract

Purulent infections of deep neck spaces, due to the potential spread and generalization of inflammatory process requires the urgent antibioticotherapy and surgery. The aim of the study is the overview of the symptoms, diagnosis and treatment of neck abscesses and phlegmon in the group of patients of the Department of Otolaryngology of PUM. Over the last 5 years 18 patients (9 M and 9 F) aged 17–68 were treated. The patients revealed painful neck swelling (n = 12), sore throat (n = 12), dysphagia (n = 11), trismus (n = 10), fever (n = 7), elevated CRP (n = 18). The neck abscess (n = 3), neck phlegmon (n = 10) or parapharyngeal space phlegmon (n = 5) were diagnosed. The largest group were post-tonsillitis (n = 7) and odontogenic (n = 4) complications. Intravenous antibiotic therapy was administered. All the patients underwent surgery. The incision and drainage of the spaces of the neck was done in 11 cases, in 5 cases – tonsillectomy with the opening of parapharyngeal space, in 1 case – removal of suppurative cyst. In 1 patient the cavity of spontaneously ruptured abscess was drained. 2 patients required temporary tracheostomy. The regression of inflammation was obtained in all cases. Mean hospital stay was 11.6 day (3–25). The early diagnosis and urgent surgical treatment is essential to control infection of deep neck structures.