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10.22543/7674.51.P5358
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Journal of Mind and Medical Sciences is published by MDPI from Volume 12 Issue 1 (2025). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Valparaiso University (ValpoScholar).
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Review

Management of Deep Space Infections of the Neck

by
Emil Mărginean
1,
Sargarovschi Egor
2,
Ciprian Venter
1,
Alina Pantiș
1,
Oana Vălenaș
1,
Ildiko Sorban
1,
Maria Domuța
1,
Cristian Bălălău
3,
Răzvan Scaunasu
3,* and
Bogdan Popescu
4
1
Department of Otorhinolaryngology, Surgery and Neurosurgery, Oradea University of Medicine and Pharmacy, Oradea, Romania
2
Department of Thoracic Surgery, Oradea Clinical Emergency Hospital, Oradea, Romania
3
Department of General Surgery, Carol Davila University of Medicine and Pharmacy, Colțea Clinical Hospital, I.C. Brătianu Ave. no. 1-3, 3rd District, Bucharest, Romania
4
Department of Otorhinolaryngology and Cervico-Facial Surgery, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
*
Author to whom correspondence should be addressed.
J. Mind Med. Sci. 2018, 5(1), 53-58; https://doi.org/10.22543/7674.51.P5358
Submission received: 25 January 2018 / Revised: 25 February 2018 / Accepted: 25 March 2018 / Published: 31 March 2018

Highlights

  • Deep neck infections imply a certain degree of psychological stress for the patients
  • They must be fully informed about the technique and surgical outcomes, because
  • Such pathology is not only mutilating but also life-threatening

Abstract

Infections of the deep neck spaces often present a clinical challenge for the ENT surgeon. Management of these complex suppurations of the neck requires in fact a multidisciplinary approach due to possible complications like mediastinitis, septic shock and MSOF, life threatening bleeding and ICU management. The spread of infection from the primary site to other regions is possible through the lymphatic, arterial and venous vessels, or directly along the fasciae. There are several classifications for the etiology, pathogenic mechanism and site of evolution, the most frequently encountered clinical forms being peritonsillar abscess, retropharyngeal abscess, lateropharyngeal abscess, and the deep cervical abscess. All of these abscesses are suppurative complications of primary neck infections. Extensive inflammation and suppuration of the neck requires in most cases multiple incisions for drainage such that patients experience significant scarring of the neck. Along with the presence of the tracheostomy and nazo-gastric feeding tube, the aesthetic aspect of the neck surgery involves a high degree of psychological stress for the patients. As a conclusion and in line with literature data, patients must be fully informed about the technique and the outcome of the surgery so that they can provide informed consent since the pathology can be both life- threatening and mutilating.
Keywords: deep neck space; abscess; surgery; quality of life; stress deep neck space; abscess; surgery; quality of life; stress

Share and Cite

MDPI and ACS Style

Mărginean, E.; Egor, S.; Venter, C.; Pantiș, A.; Vălenaș, O.; Sorban, I.; Domuța, M.; Bălălău, C.; Scaunasu, R.; Popescu, B. Management of Deep Space Infections of the Neck. J. Mind Med. Sci. 2018, 5, 53-58. https://doi.org/10.22543/7674.51.P5358

AMA Style

Mărginean E, Egor S, Venter C, Pantiș A, Vălenaș O, Sorban I, Domuța M, Bălălău C, Scaunasu R, Popescu B. Management of Deep Space Infections of the Neck. Journal of Mind and Medical Sciences. 2018; 5(1):53-58. https://doi.org/10.22543/7674.51.P5358

Chicago/Turabian Style

Mărginean, Emil, Sargarovschi Egor, Ciprian Venter, Alina Pantiș, Oana Vălenaș, Ildiko Sorban, Maria Domuța, Cristian Bălălău, Răzvan Scaunasu, and Bogdan Popescu. 2018. "Management of Deep Space Infections of the Neck" Journal of Mind and Medical Sciences 5, no. 1: 53-58. https://doi.org/10.22543/7674.51.P5358

APA Style

Mărginean, E., Egor, S., Venter, C., Pantiș, A., Vălenaș, O., Sorban, I., Domuța, M., Bălălău, C., Scaunasu, R., & Popescu, B. (2018). Management of Deep Space Infections of the Neck. Journal of Mind and Medical Sciences, 5(1), 53-58. https://doi.org/10.22543/7674.51.P5358

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