Pediatric deep neck infections: efficacy of conservative treatment versus immediate surgical intervention

Emel Tahir; Nilda Süslü; R. Önder Günaydın; Oğuz Kuşçu; Onur Ergün; Umut Akyol

Makale detayları

Pediatric deep neck infections: efficacy of conservative treatment versus immediate surgical intervention

Yazarlar:

Emel Tahir | Nilda Süslü | R. Önder Günaydın | Oğuz Kuşçu | Onur Ergün | Umut Akyol

Yayıncı:

Sürekli Eğitim ve Bilimsel Araştırmalar Derneği

Ana Başlıklar:

Sağlık teşvikleri

Dergi:

ENT Updates 2017 Vol.7 Issue 2, pp.94-98

Belge Tipi:

Makale

Yayın Tarihi:

9/2017

Belge Dili:

Türkçe

Document ID (Org No.):

2000781869

Sıklık:

Üç Yıllık

eISSN:

2149-6498

pISSN:

2149-7109

Özet:

 


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. 


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Makale detayları

Pediatric deep neck infections: efficacy of conservative treatment versus immediate surgical intervention

Yazarlar: Emel Tahir | Nilda Süslü | R. Önder Günaydın | Oğuz Kuşçu | Onur Ergün | Umut Akyol

Yayıncı: Sürekli Eğitim ve Bilimsel Araştırmalar Derneği

Ana Başlıklar: Sağlık teşvikleri

Dergi: ENT Updates 2017 Vol.7 Issue 2, pp.94-98

Belge Tipi: Makale

Yayın Tarihi: 9/2017

Belge Dili: Türkçe

Document ID (Org No.): 2000781869

Sıklık: Üç Yıllık

eISSN: 2149-6498

pISSN: 2149-7109

Sayı

Yazarlar:

Emel Tahir | Nilda Süslü | R. Önder Günaydın | Oğuz Kuşçu | Onur Ergün | Umut Akyol

Yayıncı:

Sürekli Eğitim ve Bilimsel Araştırmalar Derneği

Ana Başlıklar:

Sağlık teşvikleri

Dergi:

ENT Updates 2017 Vol.7 Issue 2, pp.94-98

Belge Tipi:

Makale

Yayın Tarihi:

9/2017

Belge Dili:

Türkçe

Document ID (Org No.):

2000781869

Sıklık:

Üç Yıllık

eISSN:

2149-6498

pISSN:

2149-7109