Comprehensive Clinical Insights into the Diagnosis, Management, and Interprofessional Approaches to Deep Neck Infections for Healthcare Professionals

Document Type : Review Articles

Authors

1 ‏ Ministry of National Guard, Saudi Arabia

2 Ministry of National Guard, Saudi Arabia

Abstract

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.

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Volume 68, Issue 13 - Serial Number 13
(In Loving Memory of Late Professor Doctor”Zeinab M. Nofal” In progress
December 2025
Pages 1301-1311
  • Receive Date: 05 July 2025
  • Revise Date: 07 October 2025
  • Accept Date: 08 October 2025