Ten years of deep neck space abscesses

J. Buckley, A. S. Harris, J. Addams-Williams

    Research output: Contribution to journalArticle

    Abstract

    Background: The incidence of deep neck space abscesses, which can result in significant morbidity and mortality, is rising. The aetiology is thought to be dental. However, this study suggests a reduction in tonsillectomies may be associated with the rise.

    Method: In a retrospective cohort study, patients were identified by a clinical code within one hospital over 10 years. Evidence of preceding infection source, management, lifestyle risks, comorbidities and demographics were extracted.

    Results: Fifty-two patients were included: 23 (44 per cent) had concurrent or recent tonsillitis; 11 (21 per cent) had poor dental hygiene; 22 (42 per cent) were smokers; and 9 (17 per cent) had diabetes. The incidence of deep neck space abscess cases increased from 1 in 2006, to 15 in 2015 (correlation value 0.9; p = 0.00019).

    Conclusion: The incidence of deep neck space abscess cases is increasing. Risk factors include tonsillitis, smoking and dental infection. This paper adds to the growing evidence that deep neck space abscesses are increasingly related to tonsillitis, and questions whether the threshold for tonsillectomy has been raised too high.

    Original languageEnglish
    Number of pages5
    JournalJournal of Laryngology and Otology
    Early online date29 Mar 2019
    DOIs
    Publication statusE-pub ahead of print - 29 Mar 2019

    Fingerprint

    Tonsillitis
    Abscess
    Neck
    Tonsillectomy
    Incidence
    Tooth
    Oral Hygiene
    Risk Management
    Infection
    Life Style
    Comorbidity
    Cohort Studies
    Retrospective Studies
    Smoking
    Demography
    Morbidity
    Mortality

    Keywords

    • Abscess
    • Neck
    • Peritonsillar Abscess
    • Retropharyngeal Abscess
    • Tonsillectomy
    • Tonsillitis

    Cite this

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    title = "Ten years of deep neck space abscesses",
    abstract = "Background: The incidence of deep neck space abscesses, which can result in significant morbidity and mortality, is rising. The aetiology is thought to be dental. However, this study suggests a reduction in tonsillectomies may be associated with the rise.Method: In a retrospective cohort study, patients were identified by a clinical code within one hospital over 10 years. Evidence of preceding infection source, management, lifestyle risks, comorbidities and demographics were extracted.Results: Fifty-two patients were included: 23 (44 per cent) had concurrent or recent tonsillitis; 11 (21 per cent) had poor dental hygiene; 22 (42 per cent) were smokers; and 9 (17 per cent) had diabetes. The incidence of deep neck space abscess cases increased from 1 in 2006, to 15 in 2015 (correlation value 0.9; p = 0.00019).Conclusion: The incidence of deep neck space abscess cases is increasing. Risk factors include tonsillitis, smoking and dental infection. This paper adds to the growing evidence that deep neck space abscesses are increasingly related to tonsillitis, and questions whether the threshold for tonsillectomy has been raised too high.",
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    author = "J. Buckley and Harris, {A. S.} and J. Addams-Williams",
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    Ten years of deep neck space abscesses. / Buckley, J.; Harris, A. S.; Addams-Williams, J.

    In: Journal of Laryngology and Otology, 29.03.2019.

    Research output: Contribution to journalArticle

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    AB - Background: The incidence of deep neck space abscesses, which can result in significant morbidity and mortality, is rising. The aetiology is thought to be dental. However, this study suggests a reduction in tonsillectomies may be associated with the rise.Method: In a retrospective cohort study, patients were identified by a clinical code within one hospital over 10 years. Evidence of preceding infection source, management, lifestyle risks, comorbidities and demographics were extracted.Results: Fifty-two patients were included: 23 (44 per cent) had concurrent or recent tonsillitis; 11 (21 per cent) had poor dental hygiene; 22 (42 per cent) were smokers; and 9 (17 per cent) had diabetes. The incidence of deep neck space abscess cases increased from 1 in 2006, to 15 in 2015 (correlation value 0.9; p = 0.00019).Conclusion: The incidence of deep neck space abscess cases is increasing. Risk factors include tonsillitis, smoking and dental infection. This paper adds to the growing evidence that deep neck space abscesses are increasingly related to tonsillitis, and questions whether the threshold for tonsillectomy has been raised too high.

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