Deep neck infections mortal complications: Intrathoracic complications and necrotising fasciitis.

IF 1 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL World Journal of Clinical Cases Pub Date : 2024-10-26 DOI:10.12998/wjcc.v12.i30.6383
Kemal Koray Bal, Can Aslan, Harun Gür, Seda Turk Bal, Recep Okan Ustun, Murat Unal
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Abstract

Background: We planned this study considering that complications of deep neck infections can be seriously life threatening.

Aim: To raise awareness that introthoracic complications and necrotizing fasciitis are causes of serious mortality and morbidity.

Methods: This study was carried out with the participation of 188 patients who were treated at Mersin University Department of Otorhinolaryngology and Head and Neck Surgery at January 1, 2024. When the patient files were retrospectively examined, 16 of 188 patients (8.5%) were included in the study because they were observed to have necrotizing fasciitis and/or intrathoracic complications.

Results: There were a total of 16 patients in this study, 9 males (56.25%) and 7 females (43.75%). All patients were adults (> 18 years) and the mean age was 50.37 years ± 15.37 years. Female patients had a mean age of 40.42 years ±13.38 years, whereas for male patients was 58.11 years ± 12.44 years.

Conclusion: Patients with necrotizing fasciitis and/or intrathoracic complications require more complicated and serious surgeries, intensive care unit monitoring, and mechanical ventilator support. Higher rates of morbidity and mortality should be expected in these patients who are hospitalized for longer periods of time.

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颈部深部感染致命并发症:胸腔内并发症和坏死性筋膜炎。
背景:目的:提高人们对胸腔内并发症和坏死性筋膜炎是导致严重死亡和发病的原因的认识:这项研究的对象是 2024 年 1 月 1 日在梅尔辛大学耳鼻咽喉头颈外科接受治疗的 188 名患者。在对患者档案进行回顾性检查时,发现188名患者中有16名(8.5%)因患有坏死性筋膜炎和/或胸腔内并发症而被纳入研究范围:本研究共有 16 名患者,其中男性 9 名(56.25%),女性 7 名(43.75%)。所有患者均为成年人(18 岁以上),平均年龄为 50.37 岁 ± 15.37 岁。女性患者的平均年龄为(40.42岁±13.38岁),男性患者的平均年龄为(58.11岁±12.44岁):结论:患有坏死性筋膜炎和/或胸腔内并发症的患者需要更复杂、更严重的手术、重症监护室监护和机械呼吸机支持。预计这些住院时间较长的患者的发病率和死亡率会更高。
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World Journal of Clinical Cases
World Journal of Clinical Cases Medicine-General Medicine
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期刊介绍: The World Journal of Clinical Cases (WJCC) is a high-quality, peer reviewed, open-access journal. The primary task of WJCC is to rapidly publish high-quality original articles, reviews, editorials, and case reports in the field of clinical cases. In order to promote productive academic communication, the peer review process for the WJCC is transparent; to this end, all published manuscripts are accompanied by the anonymized reviewers’ comments as well as the authors’ responses. The primary aims of the WJCC are to improve diagnostic, therapeutic and preventive modalities and the skills of clinicians and to guide clinical practice in clinical cases.
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