DOI: 10.36347/sjams.2016.v04i04.010

Pages: 1143-1156

A study of 101 cases of deep neck space infection in period of two and half years. In DNSI included Ludwig’s angina, Para pharyngeal abscess, retropharyngeal abscess, Peritonsllar abscess, Cervical necrotizing fasciitis and parotid abscess. Common etiology is dental pathology in most of cases. Tender swelling with fluctuation was main sign in most of cases but in CNF discolouration of skin overlying the swelling and fluctuation. Most of culture was sterile. 92% were managed by medical and surgical treatment. In surgical treatment include incision and drainage, tracheostomy, surgical debridement and reconstruction. Antibiotic therapy included cephalosporin, amino glycoside and metronidazole in most of cases. CNF was associated with DM, immunocompromised, steroid therapy taking patients, severe anaemia, pulmonary tuberculosis and old age and it was very severe condition. It requires skilled treatment with control of past disease.