INTRODUCTION: This study aims at defining through a retrospective evaluation, the clinical parameters affecting the clinical course and consequently the management of patients presenting with cervicofacial abscesses. METHODOLOGY: A total of 394 patients diagnosed with abscess at the University of Sassari Otorhinolaryngology Division between 2009 and 2017 were included; among these, eleven patients were diagnosed with necrotizing fasciitis. Personal and clinical parameters including the LRINEC score and the medical and/or surgical treatment used were analyzed for each patient. The most frequently affected site was the peritonsillar space (76.9%), followed by the parapharyngeal space. RESULTS: Mean age was 41(±17) years, the male population was slightly overrepresented (68%). An average of 6 (±7) days of hospitalization duration was recorded. The mortality rate was confirmed to be relatively low (1/349 patients) and was reported only in one patient diagnosed with necrotizing fasciitis (1/11). CONCLUSION: Diagnosis, correct clinical definition and early medical-surgical treatment of neck abscesses were crucial to reduce complications; LRNEC score, C-reactive protein, glycemia and creatininemia proved to be reliable prognostic indicators of difficult patient management and risk of complications.

Medical-surgical management and clinical outcome in cervical abscesses / Melis, A.; Riu, F.; Kihlgren, C.; Piras, A.; Rizzo, D.; Sotgiu, A.; Donadu, M.; Usai, D.; Zanetti, S.; Bussu, F.. - In: JOURNAL OF INFECTION IN DEVELOPING COUNTRIES. - ISSN 1972-2680. - 14:5(2020), pp. 527-531. [10.3855/jidc.12191]

Medical-surgical management and clinical outcome in cervical abscesses

Melis A.;Riu F.;Kihlgren C.;Piras A.;Rizzo D.
;
Sotgiu A.;Donadu M.;Usai D.;Zanetti S.;Bussu F.
2020-01-01

Abstract

INTRODUCTION: This study aims at defining through a retrospective evaluation, the clinical parameters affecting the clinical course and consequently the management of patients presenting with cervicofacial abscesses. METHODOLOGY: A total of 394 patients diagnosed with abscess at the University of Sassari Otorhinolaryngology Division between 2009 and 2017 were included; among these, eleven patients were diagnosed with necrotizing fasciitis. Personal and clinical parameters including the LRINEC score and the medical and/or surgical treatment used were analyzed for each patient. The most frequently affected site was the peritonsillar space (76.9%), followed by the parapharyngeal space. RESULTS: Mean age was 41(±17) years, the male population was slightly overrepresented (68%). An average of 6 (±7) days of hospitalization duration was recorded. The mortality rate was confirmed to be relatively low (1/349 patients) and was reported only in one patient diagnosed with necrotizing fasciitis (1/11). CONCLUSION: Diagnosis, correct clinical definition and early medical-surgical treatment of neck abscesses were crucial to reduce complications; LRNEC score, C-reactive protein, glycemia and creatininemia proved to be reliable prognostic indicators of difficult patient management and risk of complications.
2020
Medical-surgical management and clinical outcome in cervical abscesses / Melis, A.; Riu, F.; Kihlgren, C.; Piras, A.; Rizzo, D.; Sotgiu, A.; Donadu, M.; Usai, D.; Zanetti, S.; Bussu, F.. - In: JOURNAL OF INFECTION IN DEVELOPING COUNTRIES. - ISSN 1972-2680. - 14:5(2020), pp. 527-531. [10.3855/jidc.12191]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11388/235698
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