Management of deep space infections of the neck
Infections of the deep neck spaces often present a clinical challenge for the ENT surgeon. Management of these complex suppurations of the neck requires in fact a multidisciplinary approach due to possible complications like mediastinitis, septic shock and MSOF, life threatening bleeding and ICU man...
Main Authors: | , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Ion Motofei, Carol Davila University
2018-04-01
|
Series: | Journal of Mind and Medical Sciences |
Subjects: | |
Online Access: | https://scholar.valpo.edu/cgi/viewcontent.cgi?article=1107&context=jmms |
id |
doaj-71b4cf486121454e8b10f32b8660d67c |
---|---|
record_format |
Article |
spelling |
doaj-71b4cf486121454e8b10f32b8660d67c2020-11-25T00:28:08ZengIon Motofei, Carol Davila UniversityJournal of Mind and Medical Sciences2392-76742392-76742018-04-0151535810.22543/7674.51.P5358Management of deep space infections of the neckCiprian Venter0Alina Pantiș1Oana Vălenaș2Ildiko Sorban3Maria Domuța4Cristian Bălălău5Razvan V. Scaunasu6Bogdan Popescu7Oradea University of Medicine and Pharmacy, Department of Otorhinolaryngology, Surgery and NeurosurgeryOradea University of Medicine and Pharmacy, Department of Otorhinolaryngology, Surgery and NeurosurgeryOradea University of Medicine and Pharmacy, Department of Otorhinolaryngology, Surgery and NeurosurgeryOradea University of Medicine and Pharmacy, Department of Otorhinolaryngology, Surgery and NeurosurgeryOradea University of Medicine and Pharmacy, Department of Otorhinolaryngology, Surgery and NeurosurgeryCarol Davila University of Medicine and Pharmacy, Department of General SurgeryCarol Davila University of Medicine and Pharmacy, Department of General SurgeryDepartment of Otorhinolaryngology and Cervico-Facial SurgeryInfections of the deep neck spaces often present a clinical challenge for the ENT surgeon. Management of these complex suppurations of the neck requires in fact a multidisciplinary approach due to possible complications like mediastinitis, septic shock and MSOF, life threatening bleeding and ICU management. The spread of infection from the primary site to other regions is possible through the lymphatic, arterial and venous vessels, or directly along the fasciae. There are several classifications for the etiology, pathogenic mechanism and site of evolution, the most frequently encountered clinical forms being peritonsillar abscess, retropharyngeal abscess, lateropharyngeal abscess, and the deep cervical abscess. All of these abscesses are suppurative complications of primary neck infections. Extensive inflammation and suppuration of the neck requires in most cases multiple incisions for drainage such that patients experience significant scarring of the neck. Along with the presence of the tracheostomy and nazo-gastric feeding tube, the aesthetic aspect of the neck surgery involves a high degree of psychological stress for the patients. As a conclusion and in line with literature data, patients must be fully informed about the technique and the outcome of the surgery so that they can provide informed consent since the pathology can be both life- threatening and mutilating.https://scholar.valpo.edu/cgi/viewcontent.cgi?article=1107&context=jmmsdeep neck spaceabscesssurgeryquality of lifestress |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Ciprian Venter Alina Pantiș Oana Vălenaș Ildiko Sorban Maria Domuța Cristian Bălălău Razvan V. Scaunasu Bogdan Popescu |
spellingShingle |
Ciprian Venter Alina Pantiș Oana Vălenaș Ildiko Sorban Maria Domuța Cristian Bălălău Razvan V. Scaunasu Bogdan Popescu Management of deep space infections of the neck Journal of Mind and Medical Sciences deep neck space abscess surgery quality of life stress |
author_facet |
Ciprian Venter Alina Pantiș Oana Vălenaș Ildiko Sorban Maria Domuța Cristian Bălălău Razvan V. Scaunasu Bogdan Popescu |
author_sort |
Ciprian Venter |
title |
Management of deep space infections of the neck |
title_short |
Management of deep space infections of the neck |
title_full |
Management of deep space infections of the neck |
title_fullStr |
Management of deep space infections of the neck |
title_full_unstemmed |
Management of deep space infections of the neck |
title_sort |
management of deep space infections of the neck |
publisher |
Ion Motofei, Carol Davila University |
series |
Journal of Mind and Medical Sciences |
issn |
2392-7674 2392-7674 |
publishDate |
2018-04-01 |
description |
Infections of the deep neck spaces often present a clinical challenge for the ENT surgeon. Management of these complex suppurations of the neck requires in fact a multidisciplinary approach due to possible complications like mediastinitis, septic shock and MSOF, life threatening bleeding and ICU management. The spread of infection from the primary site to other regions is possible through the lymphatic, arterial and venous vessels, or directly along the fasciae. There are several classifications for the etiology, pathogenic mechanism and site of evolution, the most frequently encountered clinical forms being peritonsillar abscess, retropharyngeal abscess, lateropharyngeal abscess, and the deep cervical abscess. All of these abscesses are suppurative complications of primary neck infections. Extensive inflammation and suppuration of the neck requires in most cases multiple incisions for drainage such that patients experience significant scarring of the neck. Along with the presence of the tracheostomy and nazo-gastric feeding tube, the aesthetic aspect of the neck surgery involves a high degree of psychological stress for the patients. As a conclusion and in line with literature data, patients must be fully informed about the technique and the outcome of the surgery so that they can provide informed consent since the pathology can be both life- threatening and mutilating. |
topic |
deep neck space abscess surgery quality of life stress |
url |
https://scholar.valpo.edu/cgi/viewcontent.cgi?article=1107&context=jmms |
work_keys_str_mv |
AT ciprianventer managementofdeepspaceinfectionsoftheneck AT alinapantis managementofdeepspaceinfectionsoftheneck AT oanavalenas managementofdeepspaceinfectionsoftheneck AT ildikosorban managementofdeepspaceinfectionsoftheneck AT mariadomuta managementofdeepspaceinfectionsoftheneck AT cristianbalalau managementofdeepspaceinfectionsoftheneck AT razvanvscaunasu managementofdeepspaceinfectionsoftheneck AT bogdanpopescu managementofdeepspaceinfectionsoftheneck |
_version_ |
1725336863392137216 |