Yıl 2017, Cilt 7 , Sayı 2, Sayfalar 94 - 98 2017-09-30

Objective: The objective of this study was to review the management of deep neck space infections in pediatric patients and to evaluate the efficacy of intravenous antibiotic treatment alone before surgical drainage, and also to point out the indications for the drainage.

Methods: We reviewed sixty pediatric cases who were treated in our clinic because of deep neck space infections. The details of demographic data, medical history, initial complaints and physical examination, radiological examination, microbiology and laboratory results (C-reactive protein level and leukocyte count), treatment modality and follow-up findings were collected. The bacteriological results, management, complications, follow-up data and outcomes were also noted. A basic treatment algorithm for the management of the pediatric deep neck space infections was constituted.

Results: In 47 (78.3%) of the children, infection did not require any surgical intervention or puncture - in other words, needle aspiration - and it was successfully treated with antibiotic therapy alone. Fifty-six patients (93%) were initially treated with sulbactam-ampicillin.

Conclusion: We advise surgical drainage in cases of fluctuating large abscesses and infections without clinical improvement despite antibiotic treatment, and in complicated or life-threatening cases such as retropharyngeal abscess and mediastinitis. An otolaryngologist should be patient before any surgical intervention.

Deep neck infection, children, antibiotic treatment, surgery, Derin boyun enfeksiyonu, çocuklar, antibiyotik tedavisi, cerrahi
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Konular Sağlık Bilimleri ve Hizmetleri
Bölüm Makaleler
Yazarlar

Yazar: Emel Tahir

Yazar: Nilda Süslü

Yazar: R. Önder Günaydın

Yazar: Oğuz Kuşçu

Yazar: Onur Ergün

Yazar: Umut Akyol

Tarihler

Başvuru Tarihi : 6 Kasım 2017
Kabul Tarihi : 31 Mart 2020
Yayımlanma Tarihi : 30 Eylül 2017

Bibtex @araştırma makalesi { entupdates349472, journal = {ENT Updates}, issn = {2149-7109}, eissn = {2149-6498}, address = {}, publisher = {Sürekli Eğitim ve Bilimsel Araştırmalar Derneği}, year = {2017}, volume = {7}, pages = {94 - 98}, doi = {}, title = {Pediatric deep neck infections: efficacy of conservative treatment versus immediate surgical intervention}, key = {cite}, author = {Tahir, Emel and Süslü, Nilda and Günaydın, R. Önder and Kuşçu, Oğuz and Ergün, Onur and Akyol, Umut} }
APA Tahir, E , Süslü, N , Günaydın, R , Kuşçu, O , Ergün, O , Akyol, U . (2017). Pediatric deep neck infections: efficacy of conservative treatment versus immediate surgical intervention. ENT Updates , 7 (2) , 94-98 . Retrieved from https://dergipark.org.tr/tr/pub/entupdates/issue/31769/349472
MLA Tahir, E , Süslü, N , Günaydın, R , Kuşçu, O , Ergün, O , Akyol, U . "Pediatric deep neck infections: efficacy of conservative treatment versus immediate surgical intervention". ENT Updates 7 (2017 ): 94-98 <https://dergipark.org.tr/tr/pub/entupdates/issue/31769/349472>
Chicago Tahir, E , Süslü, N , Günaydın, R , Kuşçu, O , Ergün, O , Akyol, U . "Pediatric deep neck infections: efficacy of conservative treatment versus immediate surgical intervention". ENT Updates 7 (2017 ): 94-98
RIS TY - JOUR T1 - Pediatric deep neck infections: efficacy of conservative treatment versus immediate surgical intervention AU - Emel Tahir , Nilda Süslü , R. Önder Günaydın , Oğuz Kuşçu , Onur Ergün , Umut Akyol Y1 - 2017 PY - 2017 N1 - DO - T2 - ENT Updates JF - Journal JO - JOR SP - 94 EP - 98 VL - 7 IS - 2 SN - 2149-7109-2149-6498 M3 - UR - Y2 - 2020 ER -
EndNote %0 ENT Updates Pediatric deep neck infections: efficacy of conservative treatment versus immediate surgical intervention %A Emel Tahir , Nilda Süslü , R. Önder Günaydın , Oğuz Kuşçu , Onur Ergün , Umut Akyol %T Pediatric deep neck infections: efficacy of conservative treatment versus immediate surgical intervention %D 2017 %J ENT Updates %P 2149-7109-2149-6498 %V 7 %N 2 %R %U
ISNAD Tahir, Emel , Süslü, Nilda , Günaydın, R. Önder , Kuşçu, Oğuz , Ergün, Onur , Akyol, Umut . "Pediatric deep neck infections: efficacy of conservative treatment versus immediate surgical intervention". ENT Updates 7 / 2 (Eylül 2017): 94-98 .
AMA Tahir E , Süslü N , Günaydın R , Kuşçu O , Ergün O , Akyol U . Pediatric deep neck infections: efficacy of conservative treatment versus immediate surgical intervention. ENT Updates. 2017; 7(2): 94-98.
Vancouver Tahir E , Süslü N , Günaydın R , Kuşçu O , Ergün O , Akyol U . Pediatric deep neck infections: efficacy of conservative treatment versus immediate surgical intervention. ENT Updates. 2017; 7(2): 98-94.