Comprehensive Clinical Insights into the Diagnosis, Management, and Interprofessional Approaches to Deep Neck Infections for Healthcare Professionals
Background: Deep neck infections (DNIs) are serious suppurative processes within the fascial planes of the neck, often originating from odontogenic or oropharyngeal sources. They pose a significant risk due to their potential for rapid progression, airway compromise, and life-threatening complications like mediastinitis and sepsis.Aim: This article provides a comprehensive clinical overview of DNIs for healthcare professionals, covering etiology, epidemiology, pathophysiology, diagnostic evaluation, and evidence-based management strategies to improve patient outcomes.Methods: The review synthesizes current medical knowledge, highlighting that DNIs are typically polymicrobial, involving oral flora such as streptococci, staphylococci, and anaerobes. Diagnosis relies on a high clinical suspicion based on history and physical exam, confirmed primarily with contrast-enhanced computed tomography (CECT) to localize abscesses and define anatomical extent. Laboratory markers like elevated neutrophil-to-lymphocyte ratio (NLR) and C-reactive protein (CRP) aid in severity assessment.Results: Management is multidisciplinary. The cornerstone treatment involves prompt administration of broad-spectrum intravenous antibiotics and timely surgical or image-guided drainage of established abscesses. Securing the airway is the paramount initial priority in cases of potential compromise.Conclusion: DNIs represent a medical emergency requiring swift diagnosis and aggressive management. A coordinated interprofessional approach is essential for successful outcomes, emphasizing early imaging, appropriate antimicrobial therapy, source control, and vigilant airway management to prevent morbidity and mortality.
Authors
- Mona Alanazi (ORCID: https://orcid.org/0000-0001-6539-2664)
- Najla Awadh Sattam Alanazi
- Zaina Zaki Almohammed
- A. Alanazi
- Bader Majed Alotaibi
- Ramzi Hasan Al Hamad
- Ghadah Mousa Naseeb
- Fatimah Tuwaileh Almasoudi
- Fatmah Ali Khrami
- Ilham Muhammad Albalawi
Institutions
- National Guard Health Affairs (SA)
Publication Details
- Journal
- Egyptian Journal of Chemistry
- Published
- 2025-10-08
- DOI
- https://doi.org/10.21608/ejchem.2025.400755.12004
- Primary Topic
- Otolaryngology and Infectious Diseases
- Type
- article
- Field-Weighted Citation Impact
- 0.00