Medical-surgical management and clinical outcome in cervical abscesses.

Abstract:

INTRODUCTION:This study aims at defining through a retrospective evaluation, the clinical parameters affecting the clinical course and consequently the management of patients presenting with cervicofacial abscesses. METHODOLOGY:A total of 394 patients diagnosed with abscess at the University of Sassari Otorhinolaryngology Division between 2009 and 2017 were included; among these, eleven patients were diagnosed with necrotizing fasciitis. Personal and clinical parameters including the LRINEC score and the medical and/or surgical treatment used were analyzed for each patient. The most frequently affected site was the peritonsillar space (76.9%), followed by the parapharyngeal space. RESULTS:Mean age was 41(±17) years, the male population was slightly overrepresented (68%). An average of 6 (±7) days of hospitalization duration was recorded. The mortality rate was confirmed to be relatively low (1/349 patients) and was reported only in one patient diagnosed with necrotizing fasciitis (1/11). CONCLUSION:Diagnosis, correct clinical definition and early medical-surgical treatment of neck abscesses were crucial to reduce complications; LRNEC score, C-reactive protein, glycemia and creatininemia proved to be reliable prognostic indicators of difficult patient management and risk of complications.

journal_name

J Infect Dev Ctries

authors

Melis A,Riu F,Kihlgren C,Piras A,Rizzo D,Sotgiu A,Donadu M,Usai D,Zanetti S,Bussu F

doi

10.3855/jidc.12191

subject

Has Abstract

pub_date

2020-05-31 00:00:00

pages

527-531

issue

5

eissn

2036-6590

issn

1972-2680

journal_volume

14

pub_type

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