Open Access, Peer Reviewed

Management of Deep Neck Space Infections in a Nigerian Referral Center

Abdullahi Musa Kirfi, Mohammed Bello Fufore, Umaru Sambo Grema, Adeyi Adogwu Adoga

Date of Publication: 2019-09-28

Abstract

Background: Deep Neck Space Infections (DNSI) used to be a life-threatening infection especially during the pre-antibiotic era. The incidence of DNSI appears to be rising in both the developed and developing countries.

Methodology: A prospective observational study conducted over a 30 months period at a tertiary referral center. Ethical approval was obtained from the institution’s Ethics Committee. Informed consent obtained from participants and parents of minors. Relevant information generated, entered in to a proforma and analysed with SPSS version 20. Descriptive statistics was used to analyse the data.

Results: Fifty-five patients were diagnosed with deep neck space infections/abscesses during the period under review. Mean age of the patients was 31.7±22.56 years, minimum age was 4 months and maximum age was 90 years. Thirty (54.5%) males and 25(45.5%) females were seen with a male to female ratio of 1:0.83. The most affected age group was 18-29 years, constituting 25.5%. The most common presenting complaints were dysphagia 50(90.9%), neck pain 47(85.5%) and neck swelling 42(76.4%) while the least complaint was difficulty with breathing 9(16.4%). The commonest risk factor was tooth extraction/dental procedure seen in 29(52.7%) patients while foreign body impaction accounted for 2(3.6%) cases. Peritonsillar space was the commonest space involved 16(29.1%) while the least involved space was masticator space in 1(1.82%) patient.

Conclusion: DNSI of odontogenic origin is the commonest in this study resulting in poor clinical outcomes worsened by late presentation. Early diagnosis and treatment remain the pivot to realizing better outcomes.

References:

  • References 1. Motahari SJ, Poormoosa R, Nikkhah M, Bahari M, Shirazy SMH, Khavarinejad F. Treatment and Prognosis of Deep Neck Infections. Indian J Otolaryngol Head Neck Surg.2015; 67:134-7. 2. Nirmal KJ, Sankaranaarayanan G, Greeshma A. A Study on Deep Neck Space Infections. Otolaryngology Online Journal.2017;7:159-164. 3. Gujrathi AB, Ambulgekar V, Kathait P. Deep neck space infection- A retrospective study of 270 cases at tertiary center. World Journal of Otorhinolaryngology- Head and Neck Surgery.201