caa a22 4500 606187650 CHVBK 20210128100841.0 cr unu---uuuuu 210128e20151101xx s 000 0 eng 10.1007/s00405-014-3367-x doi (NATIONALLICENCE)springer-10.1007/s00405-014-3367-x Severe neck infections that require wide external drainage: clinical analysis of 17 consecutive cases [Elektronische Daten] [Tamás Horváth, Barnabás Horváth, Zsuzsa Varga, Bálint Liktor Jr., Hajnalka Szabadka, László Csákó, Bálint Liktor] Infections in the neck layers and spaces are potentially life-threatening diseases causing further complications, like mediastinitis, airway obstruction, or sepsis. Despite of the need for a conservative approach, they still regularly require surgical intervention. Records of 17 patients with severe neck infections that were treated by wide external incision and open wound management were retrospectively analyzed. The aim of the study was to clinically characterize these most serious neck infections. The most common presenting symptoms were neck pain and tense neck mass (94-94%) regularly with fever (65%), always accompanied by a marked elevation of C reactive protein level (average 192uG/l). These findings were constant and very similar among both the deep neck infection and necrotizing fasciitis cases. More than half of the patients (53%) had at least one systemic co-morbidity. The parapharyngeal space was most commonly affected (83%), but extended disease involving more than two major neck regions was found in 13 cases (76%). Dental (29%) was the most common primary infection, followed by peritonsillar abscess (23%), Microbiological results showed a wide variety of corresponding bacteria. Mediastinitis was developed in three cases (18%), and airway obstruction requiring tracheostomy in two cases (12%). All the patients survived. Severe neck infections are a heterogenous group of diseases regarding to the primary site of infection, microbiology, localisation and host reaction. However, rapidly developed, painful, tense neck mass with a highly elevated CRP level should always alert for an extended or phlegmonous process in the layers or spaces of the neck. Springer-Verlag Berlin Heidelberg, 2014 Deep neck infection nationallicence Necrotizing fasciitis nationallicence External drainage nationallicence Surgery nationallicence Horváth Tamás Department of Otolaryngology and Head and Neck Surgery, Bajcsy-Zsilinszky Hospital, Maglódi Street 89-91, 1106, Budapest, Hungary aut Horváth Barnabás Department of Otolaryngology and Head and Neck Surgery, Bajcsy-Zsilinszky Hospital, Maglódi Street 89-91, 1106, Budapest, Hungary aut Varga Zsuzsa Department of Otolaryngology and Head and Neck Surgery, Bajcsy-Zsilinszky Hospital, Maglódi Street 89-91, 1106, Budapest, Hungary aut Liktor Jr. Bálint Department of Otolaryngology and Head and Neck Surgery, County Hospital, Oberwart, Austria aut Szabadka Hajnalka Department of Otolaryngology and Head and Neck Surgery, Bajcsy-Zsilinszky Hospital, Maglódi Street 89-91, 1106, Budapest, Hungary aut Csákó László Department of Otolaryngology and Head and Neck Surgery, Jahn Ferenc Hospital, Budapest, Hungary aut Liktor Bálint Department of Otolaryngology and Head and Neck Surgery, Bajcsy-Zsilinszky Hospital, Maglódi Street 89-91, 1106, Budapest, Hungary aut European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/11(2015-11-01), 3469-3474 0937-4477 272:11<3469 2015 272 405 https://doi.org/10.1007/s00405-014-3367-x text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00405-014-3367-x text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Horváth Tamás Department of Otolaryngology and Head and Neck Surgery, Bajcsy-Zsilinszky Hospital, Maglódi Street 89-91, 1106, Budapest, Hungary aut NATIONALLICENCE 700 1- Horváth Barnabás Department of Otolaryngology and Head and Neck Surgery, Bajcsy-Zsilinszky Hospital, Maglódi Street 89-91, 1106, Budapest, Hungary aut NATIONALLICENCE 700 1- Varga Zsuzsa Department of Otolaryngology and Head and Neck Surgery, Bajcsy-Zsilinszky Hospital, Maglódi Street 89-91, 1106, Budapest, Hungary aut NATIONALLICENCE 700 1- Liktor Jr Bálint Department of Otolaryngology and Head and Neck Surgery, County Hospital, Oberwart, Austria aut NATIONALLICENCE 700 1- Szabadka Hajnalka Department of Otolaryngology and Head and Neck Surgery, Bajcsy-Zsilinszky Hospital, Maglódi Street 89-91, 1106, Budapest, Hungary aut NATIONALLICENCE 700 1- Csákó László Department of Otolaryngology and Head and Neck Surgery, Jahn Ferenc Hospital, Budapest, Hungary aut NATIONALLICENCE 700 1- Liktor Bálint Department of Otolaryngology and Head and Neck Surgery, Bajcsy-Zsilinszky Hospital, Maglódi Street 89-91, 1106, Budapest, Hungary aut NATIONALLICENCE 773 0- European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/11(2015-11-01), 3469-3474 0937-4477 272:11<3469 2015 272 405