A Study on Deep Neck Abscesses Treated with Surgical Drainage

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  • Katsube Yasuaki
    Department of Otolaryngology, Head and Neck Surgery, Tokyo Medical University Hachiouji Medical Center
  • Tsukahara Kiyoaki
    Department of Otolaryngology, Head and Neck Surgery, Tokyo Medical University Hachiouji Medical Center
  • Motohasi Rei
    Department of Otolaryngology, Head and Neck Surgery, Tokyo Medical University Hachiouji Medical Center
  • Endo Minoru
    Department of Otolaryngology, Head and Neck Surgery, Tokyo Medical University Hachiouji Medical Center
  • Sato Hiroki
    Department of Otolaryngology, Head and Neck Surgery, Tokyo Medical University Hachiouji Medical Center
  • Ueda Yuri
    Department of Otolaryngology, Head and Neck Surgery, Tokyo Medical University Hachiouji Medical Center
  • Nakamura Kazuhiro
    Department of Otolaryngology, Head and Neck Surgery, Tokyo Medical University Hachiouji Medical Center
  • Fujii Takeshi
    Department of Infectious Disease Medicine, Tokyo Medical University Hachiouji Medical Center
  • Suzuki Mamoru
    Department of Otolaryngology, Tokyo Medical University

抄録

Deep neck abscesses represent a severe infection that requires prompt treatment. We report herein on cases of deep neck abscess requiring surgical drainage. The subjects of this study were 25 patients treated in our department between January 2009 and June 2013. They consisted of 12 males and 13 females ranging in age from 5 to 89 years with an average of 60 years. Hypertension and diabetes were predominant in their medical histories and the major causes of the abscesses were pharyngolaryngitis, tonsillitis and dental infections. All patients underwent emergency surgery on the day of consultation. In bacteriological examinations, 19 patients tested positive with aerobic bacteria being detected in four patients and anaerobic bacteria in 17. Tracheotomy was jointly conducted in 20 patients and four patients underwent repeat surgery. The mean length of hospital stay was 31 days and three patients were in hospital for eight weeks or longer. All three were elderly patients aged 75 or above and two had also undergone tracheotomy. Diabetes did not contribute to prolonging hospital stays. Among the factors prolonging hospital stays were advanced age, tracheotomy and the accompanying swallowing difficulty.

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