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Clinico-Pathological Profile of Deep Neck Space Infection: A Prospective Study

机译:深颈部空间感染的临床病理特征:前瞻性研究

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摘要

Deep neck space infections (DNI) has been a common and serious disease, involving several spaces created by planes of greater and lesser resistance between the fascial layers of the neck. Infection of deep neck space has been dangerous due to its potential ease of spread from one space to other space, associated sepsis and upper airway obstruction. This prospective study was done in 45 patients of DNI over a period of 1 year. Patients with age of 1 month to 80 years of both the sexes were included. Patient’s particular, clinical presentation and associated co-morbid conditions, physical examination, routine laboratory investigations and radiological investigations were analyzed. Patients were treated, response to the treatment was assessed and follow-up was done. In present study, DNI was more commonly seen in rural population (67%) with a male predominance (69%). Mean age of presentation was 34.4 years. Odontogenic infection (64.11%) was the commonest etiological factor and diabetes mellitus (26.66%) was the commonest co-morbid condition. Most common presenting symptom was neck pain and neck swelling (91.1%) and submandibular space (66.6%) was the most commonly involved space followed by sublingual space (44.6%). Both medical and surgical treatment was needed in most of the cases (77.77%). 77.7% cases showed complete regression, 15.5% showed partial regression and they lost to follow-up, 4.4% expired and 2.2% showed progressive deterioration. DNI is a common and life-threatening disease. Early diagnosis and management is necessary for complete cure and to prevent complications associated with DNIs.
机译:深颈部空间感染(DNI)是一种常见且严重的疾病,涉及由颈部筋膜层之间阻力较大和较小的平面所形成的多个空间。颈部深部感染的危险性很强,因为它很容易从一个空间扩散到另一空间,并伴有败血症和上呼吸道阻塞。这项前瞻性研究在45年的DNI患者中进行了1年。年龄在1个月至80岁之间的男女都包括在内。分析了患者的特殊情况,临床表现以及相关的合并病状,身体检查,常规实验室检查和放射检查。对患者进行了治疗,评估了对治疗的反应并进行了随访。在本研究中,DNI在农村人口中占多数(67%),其中男性占多数(69%)。报告的平均年龄为34.4岁。牙源性感染(64.11%)是最常见的病因,糖尿病(26.66%)是最常见的合并病。最常见的症状是颈部疼痛和颈部肿胀(91.1%),下颌下间隙(66.6%)是最常见的空间,其次是舌下间隙(44.6%)。大多数情况下都需要药物治疗和手术治疗(77.77%)。 77.7%的病例显示完全消退,15.5%的患者显示部分消退,失去随访,4.4%过期,2.2%进行性恶化。 DNI是一种常见且危及生命的疾病。早期诊断和治疗对于彻底治愈和预防DNI相关并发症至关重要。

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