Purulent and inflammatory diseases of the neck: modern view of patient management

Abstract

The problem of treatment of purulent-inflammatory diseases of the neck continues to be relevant. The number of patients with inflammatory diseases of the neck has no tendency to reduction. The number of patients with phlegmons of the neck, common in several cellular spaces, most often accompanied by the development of severe complications such as sepsis, mediastinitis, thrombosis of the cavernous sinus of the dura mater and others is increasing. Standards for the treatment of patients with purulent-inflammatory diseases of the neck, which include conducting an adequate surgical sanitation and drainage of the purulent focus, antibacterial, detoxification, anti-inflammatory therapy, correction of system homeostasis, were currently developed and put into practice. Each year new methods of purulent wounds management appear but none of them meets requirements of the modern surgeons fully. More and more authors are inclined to believe that routine methods of treatment of purulent processes become ineffective. This is due to increased antibiotic resistance, virulence and variability of microorganisms. Reduction of the morbidity of surgical treatment of a purulent focus is of great importance in the treatment of purulent wounds. In the treatment of patients with purulent-inflammatory diseases of the neck improvement of cosmetic results of treatment, lack of rough and deforming scarring, which directly affects the quality of life of patients, is very important.

Keywords

• purulent-inflammatory diseases of the neck
• surgical treatment
• systemic antibiotic therapy