Individualized treatment of deep neck space infections A retrospective
analysis of 51 patients
Abstract
Objectives Aim of this study was to investigate clinical characteristics
and individualized treatment experience of different types of deep neck
space infections(DNSI) . Design Retrospective study. Setting Tertiary
Referral Otolaryngology Centre. Participants 51 subjects with deep neck
space infections. Main outcome measures In 51 subjects with DNSI, 15
cases were not treated with abscess incision and drainage; 36 cases were
treated by incision, drainage and dressing change: 23 cases were treated
with traditional incision and drainage and dressing change; 13 cases
were given the combined treatment of incision and drainage, pyogenic
cavity aerobic therapy and negative pressure drainage. The average
number of days of dressing change and average hospital stay were
compared between the two groups Results The
average hospitalization days in the traditional dressing group were
(26.74±3.393) days, and the average days of postoperative dressing
change were (25.91±3.427) days. The average hospitalization days in
pyogenic cavity aerobic therapy + negative pressure drainage were
(11.08±2.108) days, and the average days of postoperative dressing
change were (3.692±0.208) days. All 51 patients were cured. Conclusion
Individualized treatment can minimize the trauma of patients according
to each patient’s own situation. The pyogenic cavity aerobic therapy has
proved to be a good method for dressing change after deep neck space
infections, and the satisfactory curative effect.