[ XXXX : clinical analyses of 95 cases].

@entity1 @entity32 @entity697 @entity548 @entity326 @entity2396 @entity2688 @entity1764 @entity281 @entity733 @entity37397
OBJECTIVE: To review the recent diagnosis and treatment experience with @entity281 and emphasize the importance of radiologic evaluation, microbiology and appropriate treatment selection in these @entity1 . METHODS: A respective review was conducted in 95 cases who were diagnosed as having deep neck from Jan. 2006 to March 2015. RESULTS: The primary diseases in 95 @entity1 with @entity281 were @entity697 or @entity697 (27 cases), @entity281 of upper respiratory tract (23 cases), odontogenic @entity32 (16 cases), foreign bodies in esophagus (9 cases), @entity697 (5 cases) and cause uncertain (15 cases). Computed tomography was performed in all of @entity1 to identify the location, extent, and character ( @entity2688 in 47 cases or abscesses in 48 cases) of the @entity281 . The locations of abscess were @entity733 (25 cases), @entity37397 (9 cases), submaxillary space abscess (6 cases), pretracheal space abscess (5 cases) and esophageal abscess (3 cases). COMPLICATIONS: @entity1764 (2 cases), @entity2396 (1 case), bilateral pneumothorax (2 cases), and upper digestive tract (1 case). Bacterial cultivation performed in 35 @entity1 and positive results were detected in 21. All @entity1 were given intravenous antibiotic therapy. Tracheotomy was performed in 4 cases. Preoperative contrast enhanced CT was performed in 42 @entity1 and indicated the formation of abscess. Three cases with the symptoms of @entity326 were transferred to ICU and one was cured. All the @entity1 were cured except two who died of massive @entity548 of upper digestive tract and @entity326 . CONCLUSIONS: The airway patency in @entity1 with @entity281 must be ensured. Drainage may be mandatory in selected cases at presentation or in cases who fail to respond to parenteral antibiotics within the first 24-48 hours. Imaging evaluation plays a significant role in the diagnosis and rational therapeutic management in @entity281 . Bacterial cultivation can help to make the effective treatment and provide reliable evidence for the etiopathogenisis.
