KHẢO SÁT ĐẶC ĐIỂM BỆNH NHÂN NHIỄM TRÙNG CỔ SÂU PHẪU THUẬT DẪN LƯU ÁP XE CỔ TẠI KHOA TAI MŨI HỌNG BỆNH VIỆN CHỢ RẪY TỪ 2023 ĐẾN 2025

Abstract

Objective: To investigate the epidemiological, clinical, radiological, and microbiological characteristics of patients with deep neck infections (DNI) who underwent surgical drainage at Cho Ray Hospital. Subjects and Methods: A cross-sectional descriptive study was conducted on 209 patients aged ≥16 years, diagnosed with DNI and treated with surgical drainage at the Department of Otorhinolaryngology, Cho Ray Hospital, from December 2023 to June 2025. Data collected included demographic features, comorbidities, etiology, clinical symptoms, CT-scan findings, surgical approach, and length of hospital stay. Results: The median age of patients was 57.0 years, with a male predominance. Most patients were from provinces outside Ho Chi Minh City, and the majority had at least one comorbidity, most commonly diabetes mellitus and hypertension. Odontogenic infection was the leading cause. The typical clinical manifestations were pain, swelling, and erythema. The submandibular space was most frequently affected, and some cases extended into the mediastinum. Abscesses accounted for the majority, while necrotizing fasciitis was observed in nearly 15%. CT-scan findings commonly included fluid collection, fat stranding, and rim enhancement; gas formation was detected in about one-third of cases. The cervical incision was the most common surgical approach. The median hospital stay was 7 days. Conclusion: DNI remains a severe condition predominantly affecting middle-aged and elderly male patients, strongly associated with chronic comorbidities, especially diabetes mellitus and hypertension. Early recognition of clinical symptoms, etiology and radiological plays an important role in diagnosis, prognosis, and treatment planning.