Difficult Cases of Odontogenic Deep Neck Infections: A Report of Three Patients
Difficult Cases of Odontogenic Deep Neck Infections: A Report of Three Patients
Background: Deep neck infections are important otolaryngologic emergencies due to serious complications and the risk of airway compromise, which can lead to mortality. Although the most common causes among pediatric patients are tonsillitis and pharyngeal infections, odontogenic infections are an important cause in adults. Case Report: We present three patients with multiple deep neck space abscess formation due to odontogenic infection. Two of them required tracheotomy due to airway compromise, and one had mediastinitis. Conclusion: An underestimated tooth infection can cause hazardous complications such as mediastinitis and respiratory distress requiring tracheotomy.
___
- 1. Vieira F, Allen SM, Stocks RSS, Thompson JW. Deep Neck Infections. Otolaryngol Clin North Am 2008;41:459-83.
- 2. Torre DD, Brunold S, Kisielewsky I, Kloss FR, Burtsher D. Lifethreatening complications of deep neck space infections. Wien Klin Wochenschr 2013;125:680-6.
- 3. Motahari SJ, Poormoosa R, Nikkhah M, Bahari M, Shirazy SM, Khavarinejad F. Treatment an prognosis of deep neck infections. Indian J Otolaryngol Head Neck Surg 2015;67(Suppl 1):134-7.
- 4. Kınzer S, Pfeiffer J, Becker S, Ridder GJ. Severe deep neck infections and mediastinitis of odontogenic origin: clinical relevance and implications for diagnosis and treatment. Acta Otolaryngol 2009;129:62-70.
- 5. Marioni G, Rinaldi R, Staffieri C, Marchese-Ragona R, Saia G, Stramare R, et al. Deep neck infections with dental origin: analysis of 85 consecutive cases (2000-2006). Acta Otolaryngol 2008;128:201-6.
- 6. Celakovsky P, Kalfert D, Smatanova K, Tucek L, Cermakova E, Mejzlik J, et al. Bacteriology of deep neck infections: analysis of 634 patients. Aust Dent J 2015;60:212-5.
- 7. Torre DD, Burtscher D, Höfer D, Kloss FR. Odontogenic deep neck space infections as life-threatening condition in pregnancy. Aust Dent J 2014;59:375-8.
- 8. Boscolo-Rizzo P, Stellin M, Muzzi E, Mantovani M, Fuson R, Lupato V, et al. Deep neck infections: a study of 365 cases highlighting recommendations for management and treatment. Eur Arch Otorhinolaryngol 2012;269:1241-9.
- 9. Smith JL, Hsu JM, Chang J. Predicting deep neck abscess using computed tomography. Am J Otolaryngol 2006;27:244-7.
- 10. Freling N, Roele E, Schaefer-Prokop C, Fokkens W. Prediction of deep neck abscesses by contrast-enhanced computerized tomography in 76 clinically suspect consecutive patients. Laryngoscope 2009;119:1745-52.
- 11. Mora R, Jankowska B, Catrambone U, Passali GC, Mora F, Leoncini G, et al. Descending necrotizing mediastinitis: Ten years’ experience. Ear Nose Throat J 2004;83:776-80.
- 12. Sakamoto H, Aoki T, Kise Y, Watanabe D, Sasaki J. Descending necrotizing mediastinitis due to odontogenic infections. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2000;89:412-9.
- 13. Exarhos DN, Malagari K, Tsatalou EG, Benakis SV, Peppas C, Kotanidou A, et al. Acute mediastinitis: spectrum of computed tomography findings. Eur Radiol 2005;15:1569-74.
- 14. Marty-Ane CH, Alauzen M, Alric P, Serres-Cousine O, Mary H. Descending necrotizing mediastinitis. Advantage of mediastinal drainage with thoracotomy. J Thorac Cardiovasc Surg 1994;107:55-61.
- 15. Ovassapian A, Tuncbilek M, Weitzel EK, Joshi CW. Airway management in adult patients with deep neck infections: A case series and review of the literature. Anesth Analg 2005;100:585-9.
- 16. Huang TT, Tseng FY, Yeh TH, Hsu CJ, Chen YS. Factors affecting the bacteriology of deep neck infections: a retrospective study of 128 patients. Acta Oto-Laryngologica 2006;126:396-401.
- 17. Wang LF, Kuo WR, Tsai SM, Huang KJ. Characterization of lifethreatening deep cervical space infections: a review of one hundred ninetysix cases. Am J Otolaryngol 2003;24:111-7.