Neck abscess: 79 cases

INTRODUCTION: Neck abscess is a disease that might cause severe morbidities and mortalities if it’s not treated immediately. In our study, patients that get neck abscess diagnosis in our clinic were analyzed retrospectively and presented with literature.
METHODS: In our clinic, age distribution, enfection source, systemic disease, imaging methods that were used in diagnosis, prefered anaesthesia during drainage, abcsess localization, culture results of abscess metarial, complications during treatment procedure, any antibiotic treatments before admittance and duration of hospitalization of 79 cases with neck abscess between January 2008 and January 2015 were assessed.
RESULTS: Cases in our study were aged between 1-79 (mean 28.3) and 43 of them were females and 36 were males. Systemic diseases were determined in 19 of the cases. The most common systemic disease was diabetes mellitus. Abscess localization was mostly peritonsillar and 13 of the cases were interfered when abscess were in multipl localizations. In 74 of the cases, drainage was performed under local anaesthesia and in 5 cases it was performed under general anaesthesia. 4 of that 5 cases were limited with retropharyngeal abscess and 1 of them had multipl exessive abscess. Staphylococcus aereus was the most detected in culture results. 3 adult cases were fallowed up in intensive care because of mediastinitis. Exitus occured in 1 of that 3 cases because of sepsis. The hospitalization periods of 79 cases were between 2-21 days (mean 7.64 days). Hospitalization period of 19 cases with systemic diseases were 9.47 days (p<0.05) and statistically, they had more hospitalization period than those with no systemic disease.
DISCUSSION AND CONCLUSION: Neck abscess must be diagnosed early and treated with surgical drainage and parenteral therapy because it might cause severe complications.

Boyun apseleri: 79 olgu

GÝRÝÞ ve AMAÇ: Boyun apseleri, acil müdahale edilmezse ciddi morbidite ve mortalitelere sebep olabilen hastalýklardýr. Bu çalýþmamýzda kliniðimizde boyun apsesi tanýlý olgular retrospektif olarak incelenerek literatür eþliðinde sunuldu.
YÖNTEM ve GEREÇLER: Kliniðimizde Ocak 2008 ile Ocak 2015 arasýnda yatarak tedavi gören 79 boyun apseli olgunun yaþ daðýlýmý, enfeksiyon kaynaðý, sistemik hastalýðý, tanýda kullanýlan görüntüleme yöntemleri, drenaj esnasýnda tercih edilen anestezi, apse lokalizasyonu, apse materyalinin kültür sonuçlarý, tedavi sürecinde görülen komplikasyonlar, baþvuru öncesi antibiyoterapi alýp almadýðý ve hastanede yatýþ süreleri incelenmiþtir
BULGULAR: Çalýþmamýzdaki olgular 1 ile 79 yaþlarý arasýnda(ortalama28,3yýl) olup 43’ü kadýn,36’sý erkekten oluþmaktadýr. Olgularýn 19’unda sistemik hastalýk saptandý. Sistemik hastalýklarýndan en sýk diyabetis mellitus saptandý. Apse lokalizasyonu en çok peritonsiller alan olarak saptandý ve tüm boyun apselerini 13’ünde apse birden çok lokalizayonda iken müdahale edilmiþtir. 74 olguya lokal anestezi altýnda drenaj uygulanýrken 5 olguya genel anestezi altýnda drenaj uygulandý. Bu 5 olgunun 4’ü retrofarengeal apse ile sýnýrlýyken 1 olguda birden çok alanda yaygýn apse mevcuttu. Kültür sonuçlarýnda en sýk stafilokokkus aures saptandý. 3 yetiþkin olguda mediastinit geliþmesi üzerine yoðun bakým koþullarýnda takip edildi. Bu 3 olgunun 1’inde sepsis nedeniyle kaybedildi. Yetmiþ dokuz olgunun hastanede kalýþ süreleri 2 ile 21 gün arasýnda(ortalama7,64 gün) izlendi. Sistemik hastalýðý olan 19 olgunun yatýþ süresinin ortalama 9,47 gün olduðu (p<0,05) ve istatiksel olarak sistemik hastalýðý olmayanlara göre daha uzun süre yatýþ süresine sahip olduðu saptandý.
TARTIÞMA ve SONUÇ: Boyun apseleri, ciddi komplikasyonlara sebep olabileceðinden erken teþhis edilip cerrahi drenaj ve parenteral tedavi uygulanmalýdýr.