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Otolaryngol Head Neck Surg ; 135(6): 889-93, 2006 Dec.
Article in English | MEDLINE | ID: mdl-17141079

ABSTRACT

OBJECTIVE: The purpose of this study was to evaluate the incidence, causes, management, and complications of the different head and neck space infections in a Melanesian population. STUDY DESIGN AND SETTING: We conducted a retrospective study in a tertiary referral and teaching hospital. RESULTS: Of the total 103 patients with deep neck space infections (DNSI), odontogenic causes and suppurative lymphadenitis were responsible in 62 (60%) patients. A wide range of DNSI was encountered in our series. Ludwig's angina was the most commonly encountered infection seen in 38 (37%) patients, whereas prevertebral abscess was only seen in 1 (1%) patient. A combination of surgical drainage and medical treatment was the main mode of treatment. Nine (8.7%) patients with DNSI with upper airway obstruction underwent tracheostomy; 9 (8.7%) patients with DNSI succumbed to their infection. CONCLUSION: DNSI needs early detection and aggressive management in order to evade dreaded complications.


Subject(s)
Infections/epidemiology , Submandibular Gland Diseases/epidemiology , Adolescent , Adult , Child , Child, Preschool , Head , Hospitals, Teaching/statistics & numerical data , Humans , Incidence , Infant , Infections/complications , Infections/etiology , Ludwig's Angina/epidemiology , Neck , Papua New Guinea/epidemiology , Retropharyngeal Abscess/epidemiology , Retrospective Studies
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