ArticleEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery2020
Deep neck space infections: an upward trend and changing characteristics.
Article in European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 65 papers, 2 of them syntheses that pooled it.
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Who cites it
65 citing papers in PubMed, 2 syntheses or guidelines pooled it, 139 citations in OpenAlex.
- Clinical Outcomes of Adjunctive Corticosteroid Therapy Versus Standard Treatment Alone in Patients With Bacterial Facial Infections: A Systematic Review and Meta-Analysis.Clinical and experimental dental research · 2026Pooled it
- Evaluating the risk factors for complications of patients with oral and maxillofacial space infections: a systematic review and meta-analysis.BMC oral health · 2025Pooled it
- Indigenous Status and Outcomes in Deep Neck Space Infections: An ICU Cohort Study.ANZ journal of surgery · 2026Article
- Temporal Trends in Pathogens and Clinical Outcomes of Adult Deep Neck Infections: An 18-Year Multicenter Cohort Study of 12,063 Cases.Microorganisms · 2026Article
- Factors associated with complications among deep neck infections in a community-based hospital in Thailand.BMC infectious diseases · 2026Article
- Article
- Cultured microbial community complexity is associated with antimicrobial resistance and Enterobacterales enrichment in adult odontogenic infections.Oral and maxillofacial surgery · 2026Article
- Admission prognostic nutritional index predicts prolonged hospitalization in severe odontogenic deep neck infections.Odontology · 2026Article
- Predictors of mediastinitis in deep neck space infections - ten-year experience from tertiary referral center.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026Article
- Global Burden of Deep Neck Space Abscesses: Epidemiology, Challenges, and Outcomes.Journal of personalized medicine · 2026Review
- Clinical red flags and referral strategies for odontogenic deep neck space infections: The primary care dentist's role as the first line of defense.Journal of dental sciences · 2026Article
- Comparing vacuum-assisted closure against conventional approach in severe deep neck infection: A retrospective case-control study.World journal of otorhinolaryngology - head and neck surgery · 2025Article
- Honey as a Wound Care Modality in Treating Deep Neck Space Abscesses: Protocol for a Randomized Controlled Trial.JMIR research protocols · 2025Article
- Treatment Behaviors of Patients With Odontogenic Infections During the COVID-19 Pandemic.Cureus · 2025Article
- Oropharyngeal abscesses with repeated health care visits - the characteristics in patients with odontogenic and peritonsillar abscesses.Head & face medicine · 2025Article
- Management of Deep Neck Infection Associated with Descending Necrotizing Mediastinitis: A Scoping Review.Medicina (Kaunas, Lithuania) · 2025Article
- Risk factors and preventive measures for severe orofacial and neck infections: a three-year observational study.BMC oral health · 2025Observational
- Deep Neck Infections: The Effectiveness of Therapeutic Management and Bacteriological Profile.Medicina (Kaunas, Lithuania) · 2025Observational
- Admittance to the intensive care unit due to acute odontogenic cervicofacial infections; a single centre retrospective cohort study.Oral and maxillofacial surgery · 2025Article
- Results of bacterial cultivation are infrequently utilized in the treatment of patients hospitalized with severe odontogenic infections - a retrospective cohort study.Journal of oral microbiology · 2025Article
5 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThis 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.
methodsWe compare the results to previous data from 1985 to 2005 to find possible alterations and changing trends. The characteristics of four lethal cases are described. This retrospective analysis includes patient data from 2004 to 2015 in tertiary referral hospital and in total, 277 patients were found.
resultsSurgical drainage through a neck opening ± intraoral incision was made in 215 (77.6%) patients, an intraoral incision was only made in 62 patients (22.4%). ICU care was needed in 66 (23.8%) cases. Odontogenic etiology (44.8%) was the most common origin. The most common comorbidity was a psychiatric disorder and/or dementia and occurred in 55 (19.9%) patients. Patients with underlying illnesses were more likely to be admitted to the ICU (p = 0.020), required a longer ICU stay (p = 0.004) and repeated surgery (p = 0.009). Gas formation seemed to be predictive of a more severe course of infection. Early extraction of the odontogenic foci was related to a lower length of stay (LOS) (p = 0.039).
conclusionThe annual numbers have risen from 14 to 24 cases per year when compared to previous data. DNIs remain a cause of lethal complications; the mortality was 1.4% and overall complications occurred in 61 (22.0%) patients.
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