Difficult Cases of Odontogenic Deep Neck Infections: A Report of Three Patients

Yıl 2017, Cilt: 34 Sayı: 2, 172 - 179, 01.03.2017

Onur İsmi Mesut Yeşilova Cengiz Özcan Yusuf Vayisoğlu Kemal Görür

Öz

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

Anahtar Kelimeler

Odontogenic infection, deep neck infection, abscess, tracheotomy, mediastinitis, complication

Kaynakça

• 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.