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Abstract<br />
Deep neck infection in Bhumibol Adulyadej Hospital<br />
Rusamee Singthientrakool, M.D.<br />
Introduction: Deep neck infection (DNI) is a serious illness for patient and their families.<br />
Deep neck infection remain to be problematic in Bhumibol Adulyadej Hospital.<br />
Objectives: To find out incidence of inpatient disease with deep neck infection in<br />
department of otolaryngology - Bhumibol Adulyadej Hospital.<br />
Materials and Methods: We conducted a retrospective and descriptive study of 65<br />
inpatients with deep neck infection in department of otolaryngology, Bhumibol Adulyadej<br />
Hospital between January 2005 and June 2008<br />
Results: Deep neck infection occurred at any ages which peak incidence during 21-30<br />
year of age. Incidence rate of deep neck infection in department of otolaryngology,<br />
Bhumibol Adulyadej Hospital is 9.5%. More common in male than female about 2 time.<br />
Peritonsillar space was the most common(29.23 %) and submandibular space infection<br />
was the second most common (20%). The most common pathogen from culture was<br />
Klebsiella pneumoniae . Complication rate was 24.62% , airway distress was the most<br />
common complication and one patient died from sepsis with hospital acquired<br />
pneumonia.<br />
Conclusion: Deep neck infection continue to be problematic as encountered by<br />
otolaryngologist in diagnosis and treatment. Education about oral hygiene care and<br />
early to visiting the physician is importance to prevent morbidity and mortality rate. Early<br />
diagnosis and prompted treatment were the keys of success in treatment of these<br />
patients.<br />
Keywords: Deep neck infection, Submandibular space, Peritonsillar abscess