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2019第一届全国口腔颌面-头颈肿瘤学术大会——聚合引领、协同发展

作者：魏栋浙江大学医学院附属第一医院/浙江省第一医院

Purpose/Background:deep neck infection(DNI) remains an important health risk with morbidity and mortality. But the treatment protocol for DNI and its complications, especially descending necrotizing mediastinitis(DNM), is still *** aim of this study is to summarize the clinical features of DNI/DNM, to conclude the clinic outcome of our management, so as to evaluate the effectiveness of less invasive management in treating DNM by a meta-analysis.

关键词： deep neck infection descending necrotizing mediastinitis less invasive surgery thoracotomy meta analysis

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deep neck infections mortal complications:Intrathoracic complications and necrotising fasciitis

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World Journal of Clinical Cases 2024年第30期12卷 6383-6390页

作者： Kemal Koray Bal Can Aslan Harun Gür Seda Turk Bal Recep Okan Ustun Murat Unal Department of Otorhinolaryngology Mersin UniversityMersin 33160Türkiye Department of Emergency Medicine Tarsus State HospitalMersin 33460Türkiye Department of Aestetic Division of Plastic and Reconstructive SurgeryUniversity of Health Sciences Mersin City HospitalMersin 33230Türkiye

BACKGROUND We planned this study considering that complications of deep neck infections can be seriously life *** To raise awareness that introthoracic complications and necrotizing fasciitis are causes of serious mortality and *** This study was carried out with the participation of 188 patients who were treated at Mersin University Department of Otorhinolaryngology and Head and neck Surgery at January 1,*** the patient files were retrospectively examined,16 of 188 patients(8.5%)were included in the study because they were observed to have necrotizing fasciitis and/or intrathoracic *** There were a total of 16 patients in this study,9 males(56.25%)and 7 females(43.75%).All patients were adults(>18 years)and the mean age was 50.37 years±15.37 *** patients had a mean age of 40.42 years±13.38 years,whereas for male patients was 58.11 years±12.44 *** Patients with necrotizing fasciitis and/or intrathoracic complications require more complicated and serious surgeries,intensive care unit monitoring,and mechanical ventilator *** rates of morbidity and mortality should be expected in Bal KK et *** neck infections mortal complications WJCC https://*** 6384 October 26,2024 Volume 12 Issue 30 these patients who are hospitalized for longer periods of time.

关键词： deep neck infection Necrotising fasciitis Mediastinitis Complications Mortality

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Management of pediatric peritonsillar and deep neck infections-cross-sectional retrospective analysis

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World Journal of Otorhinolaryngology-Head and neck Surgery 2019年第4期5卷 207-214页

作者： Ana Sousa Menezes Daniela Correia Ribeiro Joana Rocha Guimar(a)es António Fontes Lima Luís Dias Department of Otorhinolaryngology-Head and neck Surgery Hospital De BragaPortugal Department of Otorhinolaryngology Instituto Portugu(e)s de Oncologia Francisco Gentil do PortoPortugal

Objective:deep neck infections(DNI)are responsible for significant morbidity in children and healthcare *** studies exist specifically addressing the clinical and epidemiologic characterization and management of DNI's in the pediatric *** goal was to analyse the demographic characteristics,clinical presentation,diagnostic and therapeutic approaches of peritonsillar and DNI in pediatric ***:The medical records of patients,aged up to 18 years,admitted for peritonsillar and DNI at our department,from 2011 to 2016,were retrospectively reviewed and compared with the literature ***-eight patients were ***:The mean age was higher in patients with peritonsillar abscess and lower in patients with retropharyngeal and parapharyngeal *** have significantly increased from *** was a seasonal variation for DNI incidence,with a peak incidence in Summer and *** patients included were treated as inpatient and received empirical intravenous antibiotic therapy and steroids regardless of drainage *** and drainage was performed in 72 *** hospital length of stay was higher among patients with retropharyngeal abscess and in the group with *** 2 patients developed complications during hospital *** most common microbiological pattern was monomicrobial and the most commonly isolated pathogens were Streptococcus Pyogenes,Streptococcus Mitisand anaerobic ***:Surgical incision and drainage followed by intravenous antibiotic and steroids proved to be successfull with low morbidity related to surgical ***,in selected cases,medical therapy may be an alternative to surgical management in uncomplicated infections.

关键词： deep neck infection Abscess Peritonsillar Parapharyngeal Retropharyngeal Microbiology Epidemiology

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