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경부 심부감염에 대한 임상적 고찰
Published Online: May 31, 2020
ABSTRACT
Deep neck infections affecting soft tissue and fascial compartment of head and neck, have decreased after development of chemotherapeutic agents and antibiotics. But these infections may still remain in high motality and morbidity.
The authors have studied 50 cases of deep neck infection experienced at Hanyang University Hospital during recent 5 years and the following results were obtained.
The age of onset was from 15 months to 67 years old, average 31 years old, and 28 cases(56%) were male, and 22 cases(44% ) were female.
The sites of infections were submandibular space 22 cases(44%), parapharyngeal space 19 cases(38%), and retropharyngeal space 9 cases(18%).
The isolated orgarnism of 29 cases were 16 cases(55% ) of streptococcus, 7 cases(24%) ) of staphylococcus, 1 case(3%) of pseudomonas, 3 cases(10%) of anaerobes, 5 cases(17%) of no growth.
The origin of infections were dental disease 13 cases(26%), acute tonsillitis 12 cases (24%), trauma to oral cavity or nasopharynx 2 cases(4%), tuberculosis 1 case(2%), unknown origin 23 cases(46%).
1 case was died due to sepsis, the other cases were treated with surgical drainage with antibiotic therapy(35 cases, 70%), conservative treatment(l5 cases, 30%), tracheostomy(2 cases, 4%).
The CT scan was useful method for diagnosis, but concordance rates between CT and operative findings were 15 cases among 15 cases(100% ) in submandibular space, 8 cases among 11 cases(72.7%) in parapharyngeal space, 4 cases among 6 cases(66.7%) in retropharyngeal space.