Peritonsillar and deep neck infections: a review of 330 cases.

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Peritonsillar and deep neck infections: a review of 330 cases.

Braz J Otorhinolaryngol. 2017 Apr 09;:

Authors: Martínez Pascual P, Pinacho Martinez P, Friedlander E, Martin Oviedo C, Scola Yurrita B

Abstract
INTRODUCTION: Deep neck infections (DNI) are defined as suppurative infectious processes of deep visceral spaces of the neck.
OBJECTIVE: The aim of this study is to review different factors that may influence peritonsillar and deep neck Infections (DNI) and may play a role as bad prognosis predictors.
METHODS: We present a retrospective study of 330 patients with DNI and peritonsillar infections who were admitted between January 2005 and December 2015 in a tertiary referral hospital. Statistical analysis of comorbidities, diagnostic and therapeutic aspects was performed with Excel and SPSS.
RESULTS: There has been an increase in incidence of peritonsilar and DNI. Systemic comorbidities such as diabetes or hepatopathy are bad prognosis factors. The most common pathogen was S. viridans (32.1% of positive cultures). 100% of the patients received antibiotics and corticosteroids, 74.24% needed surgical treatment. The most common complications were mediastinitis (1.2%) and airway obstruction (0.9%).
CONCLUSION: Systemic comorbidities are bad prognosis predictors. Nowadays mortality has decreased thanks to multidisciplinary attention and improvements in diagnosis and treatment.

PMID: 28442374 [PubMed - as supplied by publisher]

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