Treatment of Deep Neck Abscess: A Review of 23 Cases of External Neck Incision

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  • Kimura Miwako
    Department of Otolaryngology, Head and Neck Surgery, The University of Tokyo Hospital Department of Otolaryngology, Takeda General Hospital
  • Nakashima Masato
    Department of Otolaryngology, Takeda General Hospital
  • Nito Takaharu
    Department of Otolaryngology, Head and Neck Surgery, The University of Tokyo Hospital
  • Tayama Niro
    Department of Otolaryngology, Head and Neck Surgery, The University of Tokyo Hospital Department of Otolaryngology and Tracheo-esophagology, International Medical Center of Japan
  • Senba Tetsuo
    Senba Otolaryngology Clinic

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Other Title
  • 頚部外切開を要した深頚部膿よう症例の臨床的検討
  • 頸部外切開を要した深頸部膿瘍症例の臨床的検討
  • ケイブ ガイ セッカイ オ ヨウシタ シンケイブ ノウヨウショウレイ ノ リンショウテキ ケントウ

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Abstract

We performed a retrospective analysis of 23 patients who were surgically treated for deep neck space abscesses at Takeda General Hospital, Fukushima, Japan, between January 1, 2001, and December 31, 2003. This institution is one of the country's largest health care facilities in an urban setting. Demographics, presentation, site of abscess, associated systemic diseases, bacteriology, treatment, airway management, and outcome were reviewed.<br>Enhanced neck CT was taken for all patients at the initial examination. We classified the severity of the deep neck abscesses according to the site of the abscess on the CT image. All patients were admitted and underwent an operation on the day of admission. Medical and surgical interventions for each patient were evaluated, and organisms isolated from pus drained intraoperatively were recorded. Findings indicated that airway management was very important, as was the decision to perform a tracheotomy.

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