Characteristics of Deep Neck Infection in Children According to Weight Percentile
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Objectives. To evaluate the effect of weight percentile on deep neck infections in children. Methods. A retrospective evaluation of 79 patients who were treated for deep neck infections. The patients were divided into six groups according to weight percentile. Patients who had systemic and/or congenital disease were excluded. Their demographics, etiology, localization, laboratory, and treatment results were reviewed. Results. In total, 79 pediatric patients were recorded: 48.1% were females and 51.9% were males, with a mean age of 7.3 years. In total, 60 patients were under the 50th percentile according to their weight versus all children. The antero- posterior triangle (29.1%) and submandibular (26.5%) spaces were most commonly involved with deep neck infec- tion. However, the anteroposterior triangle space was the highest in the group below the 3rd percentile (44.4%). In the blood analysis, white blood cell levels in patients with at percentile values of 75–50 were higher than other groups (P<0.05). Significant differences were found between C-reactive protein and hemoglobin levels and diameter of abscesses. The need for surgical drainage in patients in lower percentiles was higher. The patients who needed sur- gical drainage consisted of 56 patients (93.3%) below the 50th percentile and 9 patients (100%) below the 3rd per- centile. Conclusion. Deep neck infection is more insidious and dangerous in low-weight-percentile children, especially those hav- ing low white blood cell counts, low hemoglobin levels, and high C-reactive protein in laboratory results.
Abstract
Objectives. To evaluate the effect of weight percentile on deep neck infections in children. Methods. A retrospective evaluation of 79 patients who were treated for deep neck infections. The patients were divided into six groups according to weight percentile. Patients who had systemic and/or congenital disease were excluded. Their demographics, etiology, localization, laboratory, and treatment results were reviewed. Results. In total, 79 pediatric patients were recorded: 48.1% were females and 51.9% were males, with a mean age of 7.3 years. In total, 60 patients were under the 50th percentile according to their weight versus all children. The antero- posterior triangle (29.1%) and submandibular (26.5%) spaces were most commonly involved with deep neck infec- tion. However, the anteroposterior triangle space was the highest in the group below the 3rd percentile (44.4%). In the blood analysis, white blood cell levels in patients with at percentile values of 75–50 were higher than other groups (P<0.05). Significant differences were found between C-reactive protein and hemoglobin levels and diameter of abscesses. The need for surgical drainage in patients in lower percentiles was higher. The patients who needed sur- gical drainage consisted of 56 patients (93.3%) below the 50th percentile and 9 patients (100%) below the 3rd per- centile. Conclusion. Deep neck infection is more insidious and dangerous in low-weight-percentile children, especially those hav- ing low white blood cell counts, low hemoglobin levels, and high C-reactive protein in laboratory results.
참고문헌 (25)
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