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Diagnostics (Basel) 2020 Jun 24;10(6). Epub 2020 Jun 24.

Laboratory for Innovation Science, Harvard University, 175 N. Harvard Street, Suite 1350, Boston, MA 02134, USA.

Periapical radiolucencies, which can be detected on panoramic radiographs, are one of the most common radiographic findings in dentistry and have a differential diagnosis including infections, granuloma, cysts and tumors. In this study, we seek to investigate the ability with which 24 oral and maxillofacial (OMF) surgeons assess the presence of periapical lucencies on panoramic radiographs, and we compare these findings to the performance of a predictive deep learning algorithm that we have developed using a curated data set of 2902 de-identified panoramic radiographs. The mean diagnostic positive predictive value (PPV) of OMF surgeons based on their assessment of panoramic radiographic images was 0. Read More

Trials 2020 Jun 26;21(1):576. Epub 2020 Jun 26.

Hospital Clínico Universitario de Valencia, Anaesthesia, Critical Care and Pain Management Unit, Valencia, Spain.

Objectives: Primary Objective: The primary objective is to reduce initiation of mechanical ventilator dependency in patients with moderate to severe CoViD- 19. This will be measured as the difference between the control group and active group for subjects admitted to the hospital for CoViD-19. Secondary Objectives: • To evaluate cytokine trends / Prevent cytokine storms • To evaluate supplemental oxygen requirements • To decrease mortality of CoViD-19 patients • Delay onset of ventilation TRIAL DESIGN: The study is a single centre, 2-arm, prospective, randomized (ratio 1:1), controlled trial with parallel groups design to compare the reduction of respiratory distress in a CoViD-19 population, using the intervention of the gammaCore®-Sapphire device plus standard of care (active) vs. Read More

Geriatr Orthop Surg Rehabil 2020 28;11:2151459320929581. Epub 2020 May 28.

Rubin Institute for Advanced Orthopedics, Center for Joint Preservation and Replacement, Sinai Hospital of Baltimore, MD, USA.

Background: Hip fractures are a common condition associated with high morbidity and mortality. In this study, we assess (1) yearly incidences, (2) demographic factors, (3) postoperative outcomes, (4) primary diagnoses, and (5) primary procedures.

Materials And Methods: The National Inpatient Sample was queried for patients admitted with hip fractures from 2009 to 2016 (n = 2 761 850). Read More

European J Pediatr Surg Rep 2020 Jan 28;8(1):e35-e38. Epub 2020 Apr 28.

Department of Pediatric Surgery, Hacettepe University Faculty of Medicine, Ankara, Turkey.

Prostatic utricle (PU) is incomplete regression of Müllerian duct and may cause recurrent urinary tract infections (UTIs), stone formation, postvoid dribbling, and recurrent epididymitis. Although surgical excision is recommended to avoid complications, surgical access to PU has been challenging. Cystoscopy-guided laparoscopic management of PU in a 3-year-old boy is reported to discuss use of other endoscopic aids in the surgical treatment of PU. Read More

Case Rep Dermatol 2020 May-Aug;12(2):83-91. Epub 2020 May 5.

Department of Dermatology, Alpert Medical School, Brown University, Providence, Rhode Island, USA.

Mannose-binding lectin (MBL) deficiency is associated with recurrent infections, autoimmune and inflammatory skin disease, and vascular complications. MBL deficiency is not a recognized comorbidity in hidradenitis suppurativa (HS); the latter is associated with the group of autoinflammatory disorders. A 32-year-old woman presented with a history of recurrent painful, deep-seated abscesses and pustular lesions since the age of 13 years. Read More

Clin Oral Investig 2020 May 29. Epub 2020 May 29.

Department of Oral & Maxillofacial Plastic Surgery, University Hospital Bonn, Venusberg Campus 1, Haus 11, 2. OG, D-53127, Bonn, Germany.

Objectives: The aim of this study was categorizing the microbial flora and susceptibility to antibiotics and to clarify to which degree the empiric administered antibiotics are suitable for therapy.

Materials And Methods: A 3.5-year retrospective study evaluated hospital records of 206 patients who suffered from head and neck infections of odontogenic origin. Read More

Int J Pediatr Otorhinolaryngol 2020 Aug 15;135:110115. Epub 2020 May 15.

Division of Pediatric Otolaryngology-Head and Neck Surgery, Ann and Robert H. Lurie Children's Hospital, Chicago, IL, USA; Department of Otolaryngology-Head and Neck Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.

Introduction: Peritonsillar (PT), parapharyngeal (PP), and retropharyngeal (RP) abscesses are common pediatric deep neck space infections (DNSI). Despite established literature on DNSI microbiology, obtaining intraoperative cultures remains commonplace. The objective was to evaluate the resource utilization of intraoperative cultures when draining PT, PP, and RP abscesses. Read More

Am J Obstet Gynecol 2020 Jul 12;223(1):113.e1-113.e11. Epub 2020 May 12.

Department of Obstetrics, Gynecology and Reproductive Sciences, Icahn School of Medicine at Mount Sinai, New York, NY.

Background: Surgical site infections after cesarean delivery are a cause of maternal morbidity and are typically caused by skin microbial flora. Preadmission application of chlorhexidine gluconate using impregnated cloths may decrease surgical site infections by decreasing the abundance of microbial flora.

Objective: To determine whether the application of chlorhexidine gluconate cloths the night before and the morning of scheduled cesarean delivery decreases the risk of surgical site infections by 6 weeks postoperatively compared with placebo. Read More

Neural Netw 2020 Jun 1;126:384-394. Epub 2020 Apr 1.

Department of Otorhinolaryngology-Head and Neck Surgery, Hallym University, Dongtan Sacred Heart Hospital, 7, Keunjaebong-gil, Hwaseong-si, Gyeonggi-do 18450, Republic of Korea. Electronic address:

Convolutional neural networks (CNNs), a popular type of deep neural network, have been actively applied to image recognition, object detection, object localization, semantic segmentation, and object instance segmentation. Accordingly, the applicability of deep learning to the analysis of medical images has increased. This paper presents a novel application of state-of-the-art CNN models, such as DenseNet, to the automatic detection of the tympanic membrane (TM) and middle ear (ME) infection. Read More

Cureus 2020 Mar 30;12(3):c29. Epub 2020 Mar 30.

Otolaryngology, King Saud Bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, Jeddah, SAU.

[This corrects the article DOI: 10.7759/cureus.6841. Read More

BMJ Case Rep 2020 Mar 31;13(3). Epub 2020 Mar 31.

University Hospitals Coventry and Warwickshire NHS Trust, Coventry, UK

Management of sore throat requires robust decision-making to balance successfully the conflicting risks of unnecessary antibiotic use against those of untreated bacterial infection. We present a case of fulminant sepsis caused by presenting as a sore throat, initially managed conservatively. Despite subsequent appropriate anti-microbial therapy and surgical drainage, contiguous spread ultimately involved the deep neck spaces, mediastinum and thoracic wall, and was complicated by severe aspiration pneumonia, pharyngocutaneous and bronchopleural fistulation. Read More

IDCases 2020 9;19:e00669. Epub 2019 Nov 9.

Unidade de Cuidados Intensivos Polivalentes, Centro Hospitalar Universitário do Porto, Portugal.

Introduction: Deep neck space infections most commonly arise from a septic focus of the mandibular teeth, tonsils, parotid gland, middle ear or sinuses, usually with a rapid onset and frequently with progression to life-threatening complications. Lemierre's syndrome is classically defined by an oropharyngeal infection with internal jugular vein thrombosis followed by metastatic infections in other organs.

Case Presentation: A 32-year-old female patient, with no significant past medical history, was diagnosed with a dental abscess on her left inferior 3 molar. Read More

Eur Arch Otorhinolaryngol 2020 Jun 28;277(6):1575-1591. Epub 2020 Mar 28.

Department and Clinic of Otolaryngology, Head and Neck Surgery, Medical University in Wroclaw, Borowska 213 Street, 50556, Wroclaw, Poland.

Purpose: Otorhinolaryngological abnormalities are common complications of chronic kidney disease (CKD) and its treatment. The main aim of this study was to provide a brief and precise review of the current knowledge regarding CKD and its treatment-related influence on head and neck organs.

Methods: The Medline and Web of Science databases were searched using the terms "chronic kidney disease", "kidney transplantation", "immunosuppression", "dialysis" in conjunction with "otorhinolaryngological manifestation". Read More

Infect Drug Resist 2020 9;13:781-788. Epub 2020 Mar 9.

Department of Oral and Craniomaxillofacial Surgery, Shanghai Ninth People's Hospital, College of Stomatology, Shanghai JiaoTong University School of Medicine; National Clinical Research Center for Oral Diseases; Shanghai Key Laboratory of Stomatology & Shanghai Research Institute of Stomatology, Shanghai, People's Republic of China.

Purpose: Although negative pressure wound therapy (NPWT) has been widely used in complicated wound care, there are still some obstacles regarding its use in the treatment of severe deep fascial space infections in the head and neck. The purpose of this study is to describe a new modified usage of NPWT and investigate the clinical efficacy of this system in a consecutive case series of severe deep fascial space infections.

Methods: The investigators implemented a new modification of NPWT for the management of severe deep fascial space infections. Read More

Orthop Surg 2020 Apr 22;12(2):480-487. Epub 2020 Mar 22.

Shanghai Key Laboratory of Orthopaedic Implants, Department of Orthopaedic Surgery, Shanghai Ninth People's Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.

Objective: This study aimed to investigate the optimal level of femoral neck for measuring femoral anteversion to predict postoperative stem anteversion in Crowe type I developmental dysplasia of the hip.

Methods: This retrospective study analyzed 108 Crowe type I hips that underwent THA between January 2016 and December 2017, including 70 women and 19 men with a mean age of 63.08 ± 9. Read More

J Orthop 2020 Mar-Apr;18:13-15. Epub 2019 Aug 14.

University Hospital Hairmyres, NHS Lanarkshire, Glasgow, United Kingdom.

Objective: To determine if there is a difference in the rate of early infection in hip fracture surgery performed under laminar flow and conventional turbulent ventilation.

Method: The impact on the rates of early surgical site infection (SSI) in patients who sustained a hip fracture after our trauma theatre was moved from a laminar to a non-laminar flow theatre was assessed. Data was retrospectively collected for six months prior to the merging of the trauma service and six months after. Read More

Cureus 2020 Feb 1;12(2):e6841. Epub 2020 Feb 1.

Otolaryngology - Head and Neck Surgery, King Saud Bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, Jeddah, SAU.

Objective Our study was performed to identify the clinical findings, risk factors, and complications of deep neck space infections (DNSI) at our center and compare our experience with the experiences of others. Methods Retrospectively, 183 cases of DNSI met our inclusion criteria from 2000 to 2018 at King Abdulaziz Medical City (KAMC) in Jeddah, Western Region, Saudi Arabia. Results In our study, analysis showed that males are more likely to have DNSI (88. Read More

Medicine (Baltimore) 2020 Mar;99(10):e19185

Department of Radiology, Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.

To investigate the characteristics of spiral computed tomography (CT), positron emission tomography-computed tomography (PET/CT) and clinical manifestations of talaromycosis to improve the diagnostic level and deepen its recognition in radiology.Radiological, clinical, and pathological manifestations of 15 patients of non-HIV talaromycosis confirmed by bronchofiberscope lung biopsy and/or abscess puncture fluid culture and/or blood culture and/or sputum culture were analyzed retrospectively. All patients underwent chest CT, among them, six had a brain MRI, and six had a PET/CT scan before treatment. Read More

Pediatrics 2020 04 4;145(4). Epub 2020 Mar 4.

Department of Pediatrics, Upstate Medical University, State University of New York, Syracuse, New York

An adolescent girl with a history of frequent electronic cigarette use of nicotine was hospitalized with severe necrotizing pneumonia. Blood cultures obtained before the administration of empirical broad-spectrum intravenous antibiotics had positive results for the growth of The pathogen is an uncommon but well-known cause of anaerobic pneumonia with unique features that are collectively referred to as Lemierre syndrome or postanginal sepsis. The syndrome begins as a pharyngeal infection. Read More

Pediatr Emerg Care 2020 Feb 24. Epub 2020 Feb 24.

Department for Woman and Child Health-Pediatric Emergency Department, University of Padua, Padua.

Background: Retropharyngeal and parapharyngeal abscesses (RPAs, PPAs) usually affect young children. Surgical drainage and/or antibiotic therapy are treatment of choice, but no specific guidelines exist. In order to reduce the risk of severe complications, appropriate diagnosis and therapy are necessary. Read More

J Infect Dev Ctries 2019 10 31;13(10):945-947. Epub 2019 Oct 31.

Department of Pediatric Infectious Disease, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey.

Eikenella corrodens is one of the HACEK bacteria that is commensal microorganism of the oropharngeal flora. E. corrodens has been increasingly reported to cause pyogenic abscesses, especially in diabetic or immunocompromised adults. Read More

World J Otorhinolaryngol Head Neck Surg 2019 Dec 18;5(4):207-214. Epub 2019 Oct 18.

Department of Otorhinolaryngology-Head and Neck Surgery, Hospital De Braga, Portugal.

Objective: Deep neck infections (DNI) are responsible for significant morbidity in children and healthcare expenditures. Few studies exist specifically addressing the clinical and epidemiologic characterization and management of DNI's in the pediatric population. Our goal was to analyse the demographic characteristics, clinical presentation, diagnostic and therapeutic approaches of peritonsillar and DNI in pediatric patients. Read More

Chirurg 2020 Apr;91(4):283-292

Klinik und Poliklinik für Mund‑, Kiefer- und Gesichtschirurgie, Klinikum der Universität München, LMU München, Lindwurmstraße 2a, 80337, München, Deutschland.

Background: This article gives an overview of severe and fulminant infections of the head and neck region. The focus is on the treatment, diagnostics and causes of abscesses, phlegmon and necrotizing fasciitis.

Objective: Despite guideline-conform treatment soft tissue infections of the head and neck can spread rapidly and be life-threatening. Read More

Semin Ultrasound CT MR 2020 Feb 13;41(1):74-84. Epub 2019 Oct 13.

UMMS-Baystate Radiology, Springfield, MA.

Identifying infections of the deep neck spaces and understanding how they spread can be a diagnostic challenge that is complicated by complex anatomy and far-reaching clinical implications. Deep neck infections have the potential to quickly spread throughout the neck and chest, leading to widespread disease that can be rapidly fatal and resistant to treatment. This article provides a foundation for evaluating deep neck infections through a review of essential anatomy and a discussion of important diseases that interact with these spaces. Read More

BMJ Case Rep 2020 Jan 8;13(1). Epub 2020 Jan 8.

Otolaryngology, Aberdeen Royal Infirmary, Aberdeen, UK.

A 76-year-old man presented with neck swelling associated with pain and fever. On examination, there was a submental neck swelling. His initial CT scan showed multiloculated abscess centred in the left submandibular gland. Read More

J Craniofac Surg 2020 Jun;31(4):e324-e326

Department of Otorhinolaryngology Head and Neck Surgery.

Carotid artery pseudoaneurysm are a rare complication of deep neck infections, especially in the antibiotic era. Although it is rare, it may result in life-threatening conditions. Here, the authors present a case of pseudoaneurysm of the carotid artery caused by parapharyngeal abscess and causing massive oropharyngeal bleeding and treat with endovascular approach in a 40-year-old woman presenting with neck swelling and fever. Read More

J Oral Maxillofac Surg 2020 Mar 2;78(3):394-399. Epub 2019 Dec 2.

Otorhinolaryngologist, Department of Otolaryngology, University of the Witwatersrand, Johannesburg, South Africa.

Purpose: We studied the clinical presentation and microbiology of patients with deep neck space infection in a developing nation to aid in determining the relevant, appropriate, and effective empirical antimicrobial treatment. We have also described the demographic data of pediatric versus adult patients and the predominant age-related subtypes of deep neck space infections.

Patients And Methods: A retrospective review of the data from patients with deep neck space infections during a 5. Read More

Eur J Orthop Surg Traumatol 2020 May 19;30(4):569-573. Epub 2019 Dec 19.

Department of Trauma Surgery, Tergooi Hospital, Van Riebeeckweg 212, 1213 XZ, Hilversum, The Netherlands.

Background: A hip hemiarthroplasty is the treatment of choice for a displaced femoral neck fracture in elderly patients not eligible for total hip arthroplasty. There is continuing debate about the optimal surgical approach for this operation, with the most commonly used approaches being posterior and lateral.

Objective: To compare the outcomes of the posterior and the lateral approaches in patients with a displaced femoral neck fracture treated by hemiarthroplasty. Read More

Isr Med Assoc J 2019 Dec;12(21):806-811

Department of Oral and Maxillofacial Surgery, Soroka University Medical Center and Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, Israel.

Background: Untreated dental caries or even dental manipulations, such as a tooth extraction, might cause direct spread of an odontogenic infection and consequently the development of life-threatening conditions such as deep neck infections (DNI). The most common source of DNI is of odontogenic origin (38.8-49%). Read More

Eur Arch Otorhinolaryngol 2020 Mar 3;277(3):863-872. Epub 2019 Dec 3.

Department of Otorhinolaryngology and Head and Neck Surgery, Turku University Hospital and University of Turku, Kiinanmyllynkatu 4-8, 20520, Turku, Finland.

Purpose: This study reviews our experience with deep neck space infections (DNIs) requiring surgical intervention, including cervical necrotizing fasciitis. The aim of the study was to identify predisposing and aggravating factors of the disease and recognize the possible factors that can lead to life-threatening complications and slow down the healing process.

Methods: We compare the results to previous data from 1985 to 2005 to find possible alterations and changing trends. Read More

Laryngoscope 2019 Nov 25. Epub 2019 Nov 25.

Department of Otolaryngology-Head and Neck Surgery, University of Kentucky, Lexington, Kentucky, U.S.A.

Objectives: Analyze risk factors affecting length of stay (LOS) for patients presenting with deep neck space infections including care by medical versus surgical team.

Methods: This is a retrospective chart review from January 2005 through May 2018 at the University of Kentucky analyzing factors related to deep neck space abscesses. Patients included adults >18 years old admitted for deep neck space infections undergoing surgical intervention. Read More

Ann Otol Rhinol Laryngol 2020 Apr 24;129(4):376-379. Epub 2019 Nov 24.

Department of Otolaryngology, Le Bonheur Children's Hospital, University of Tennessee Health Science Center, Memphis, TN, USA.

Objectives: Assess the outcome of Intravenous (IV) dexamethasone in the treatment of pediatric deep neck space infections (DNSI) in combination with IV antibiotics.

Methods: Retrospective chart review of pediatric patients admitted for a DNSI from March 2014 to June 2016. Patient characteristics including demographics, abscess type, antibiotic, dexamethasone, surgery, culture, and length of stay (LOS) were obtained. Read More

Laryngoscope 2019 Nov 20. Epub 2019 Nov 20.

Department of Otorhinolaryngology-Head and Neck Surgery, Kitasato University School of Medicine, Kanagawa, Japan.

Objectives/hypothesis: To identify the clinical predictors of descending necrotizing mediastinitis (DNM) secondary to deep neck infections (DNIs) before treatment.

Study Design: Retrospective case series.

Methods: We reviewed 73 patients with DNIs who had been treated with external drainage at our institute between April 2009 and March 2019. Read More

Indian J Otolaryngol Head Neck Surg 2019 Oct 9;71(Suppl 1):923-926. Epub 2019 Feb 9.

Department of ENT Head and Neck Surgery, Sri Ramachandra Medical College and Hospital, Porur, Chennai, 600116 India.

Deep neck spaces are still common in developing countries like India, even though its less prevalent in developed nations. It can lead to serious complications like jugular vein thrombosis and dissemination of infection if not diagnosed early and intervened. This is a retrospective chart review of 52 patients from 2014 to 2017 in a tertiary care hospital. Read More

Indian J Otolaryngol Head Neck Surg 2019 Oct 21;71(Suppl 1):912-917. Epub 2019 Jan 21.

Department of Otorhinolaryngology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India.

Deep neck space infections (DNSI) are serious diseases that involve several spaces in the neck. These are commonly seen in low socioeconomic group with poor oral hygiene, and nutritional disorders. These are bacterial infections originating from the upper aerodigestive tract. Read More

Indian J Otolaryngol Head Neck Surg 2019 Oct 7;71(Suppl 1):594-604. Epub 2018 Jun 7.

Department of ENT, Shri Guru Ram Rai Institute of Medical Sciences, Dehradun, Uttarakhand India.

The diagnosis and management of deep neck space infections remain a challenging task for otolaryngologists. A retrospective observational analysis of 137 cases of deep neck infections at a tertiary care centre was reviewed. We present 137 treated cases of DNSIs in a retrospective 5 years clinical study conducted in the department of otolaryngology at a tertiary care center from January 2012 to December 2016. Read More

Ear Nose Throat J 2019 Oct-Nov;98(9):547-548. Epub 2019 Jan 31.

Division of Otorhinolaryngology, Azienda USL Toscana Nord Ovest, Apuane Hospital, Massa, Italy.

J Neurosurg Spine 2019 Sep 20:1-6. Epub 2019 Sep 20.

1Department of Neurosurgery, Rush University Medical Center, Chicago, Illinois; and.

Objective: Cervical spondylotic myelopathy (CSM) is a progressive degenerative pathology that frequently affects older individuals and causes spinal cord compression with symptoms of neck pain, radiculopathy, and weakness. Anterior decompression and fusion is the primary intervention to prevent neurological deterioration; however, in severe cases, circumferential decompression and fusion is necessary. Published data regarding perioperative morbidity associated with these complex operations are scarce. Read More

J Microbiol Immunol Infect 2020 Apr 28;53(2):357-359. Epub 2019 Oct 28.

Division of Pulmonary Medicine, Department of Internal Medicine, Wan Fang Medical Center, Taipei Medicine University, Taipei, Taiwan; Department of Medicine, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan. Electronic address:

Acta Med Okayama 2019 Oct;73(5):449-456

Department of Pathophysiology-Periodontal Science, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama 700-8558, Japan.

We report a case of acute prevertebral abscess caused by traumatic tooth fractures in a 77-year-old Japanese man. After being transferred to our hospital the patient was initially diagnosed with a neck hematoma; however, blood culture showed Streptococcus parasanguinis, an oral bacterium, and an MRI examination suggested prevertebral abscesses. Tooth fractures, severe periodontitis, and peri-implantitis with Streptococcus parasanguinis were observed. Read More

JAMA Facial Plast Surg 2019 Dec;21(6):491-497

Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, Stanford Hospital and Clinics, Stanford, California.

Importance: Best practices for antibiotic use after facial plastic and reconstructive procedures have been the subject of much debate, and there is a need for large-scale data to guide further development of evidence-based guidelines for antibiotic use in this setting.

Objective: To assess patterns of postoperative antibiotic prescriptions and infection rates after nasal and oculoplastic procedures.

Design, Setting, And Participants: A retrospective population-based cohort study was conducted using IBM MarketScan Commercial and Medicare Supplemental research databases of 294 039 patients who underwent facial plastic surgery procedures between January 1, 2007, and December 31, 2015. Read More

J Int Med Res 2019 Dec 23;47(12):6027-6040. Epub 2019 Oct 23.

Department of Stomatology, Peking Union Medical College Hospital (PUMCH), Chinese Academy of Medical Science (CAMS) and Peking Union Medical College (PUMC), Beijing, China.

J Maxillofac Oral Surg 2019 Dec 5;18(4):584-588. Epub 2018 Oct 5.

Division of Otorhinolaryngology, Department of Neurosciences, School of Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.

Introduction: The submandibular space is part of the deep neck fascial spaces. Infection within these spaces can cause significant mortality and morbidity.

Materials And Methods: The study is a review of the microbiology of the submandibular space infections seen at the tertiary academic referral hospitals, University of the Witwatersrand. Read More

Aust Dent J 2020 03 13;65(1):39-45. Epub 2019 Nov 13.

Oral & Maxillofacial Surgery, Royal Adelaide Hospital, Adelaide, South Australia, Australia.

Background: Acute odontogenic infections are a common surgical emergency managed by public hospitals in Australia which cause considerable patient morbidity and occasionally, mortality. Despite posing a significant public health burden, Australian data evaluating the cost of the management of these patients are lacking. This study assessed the patient and treatment variables associated with inpatient management of deep odontogenic infections, and their respective financial impact, at a statewide Oral & Maxillofacial service. Read More

BMC Infect Dis 2019 Oct 15;19(1):850. Epub 2019 Oct 15.

Department of Otorhinolaryngology, University Hospital of Larissa, Larissa, Greece.

Background: To determine, from October 2010 to October 2018, the epidemiology of Deep Neck Infections (DNIs), regarding the detection, the identification and the susceptibility to antimicrobials of causative microorganisms, in Thessaly-Central Greece.

Methods: An analysis of data from a prospective database was conducted on 610 consecutive patients with DNIs treated in the Otolaryngology / Head & Neck Surgery Department of University Hospital of Larissa. Demographics, clinical features and microbiological data were analyzed. Read More

Int J Environ Res Public Health 2019 10 12;16(20). Epub 2019 Oct 12.

Health Information and Epidemiology Laboratory, Chiayi Chang Gung Memorial Hospital, Chiayi 613, Taiwan.

Background: Deep neck infection (DNI) can progress to become a life-threatening complication. Liver cirrhosis, which is related to poor immune conditions, is a likely risk factor for DNI. This study investigated the risk and mortality of DNI in patients with decompensated liver cirrhosis (DLC). Read More

Cureus 2019 Aug 12;11(8):e5369. Epub 2019 Aug 12.

Cardiothoracic Surgery, The Aga Khan University, Karachi, PAK.

Cervical necrotizing fasciitis (CNF) is a rapidly spreading deep neck infection with a high mortality rate if left untreated. The occurrence of necrotizing infections in the head and neck region is uncommon; therefore, it is a rare cause of chest pain presenting to the emergency department. Here, we present an interesting case of fungal cervical skin abscess complicated by necrotizing fasciitis that progressed to involve the mediastinum, causing necrotizing mediastinitis with pneumomediastinum in an elderly female. Read More

Clin Exp Otorhinolaryngol 2020 Feb 11;13(1):77-82. Epub 2019 Oct 11.

Department of Pediatrics, College of Medicine, The Catholic University of Korea, Seoul, Korea.

Objectives: Deep neck infections (DNIs) can cause life-threatening complications, and prompt diagnosis and management are necessary. Kawasaki disease (KD) may be accompanied by deep neck inflammation; making it difficult to distinguish from DNIs. This study was performed to evaluate clinical features and outcomes of children with parapharyngeal and retropharyngeal inflammation. Read More

Facial Plast Surg Clin North Am 2019 Nov;27(4):529-555

Department of Plastic Surgery, University of Louisville, 132 Chenoweth Lane, Louisville, KY 40207, USA.

This article provides facial plastic surgeons with the insight to avoid and address common pitfalls in neck procedures. Many aesthetic issues are created from overtreatment or undertreatment of components of the neck. Using the platysma muscle as the divide, ease of access to superficial anatomy leads to overtreatment problems, whereas difficulty of access to deeper structures leads to undertreatment problems and to overall imbalances. Read More

Niger J Surg 2019 Jul-Dec;25(2):183-187

National Ear Care Centre, Kaduna, Nigeria.

Background: Deep neck space infection (DNSI) is a potentially fatal condition that more commonly results from dental and tonsillar infections. Timely intervention is, therefore, crucial when such patients present to the managing physician.

Objective: The objective of this study is to review the etiology, clinical presentation, and treatment outcome of patients managed for DNSIs over a period of 7 years at National Ear Care Centre, Kaduna. Read More