{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T23:17:22Z","timestamp":1768346242047,"version":"3.49.0"},"reference-count":24,"publisher":"Cambridge University Press (CUP)","issue":"2","license":[{"start":{"date-parts":[[2007,6,29]],"date-time":"2007-06-29T00:00:00Z","timestamp":1183075200000},"content-version":"unspecified","delay-in-days":4896,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[1994,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>A retrospective review was conducted of 64 patients with deep neck abscesses. Based on clinical and operative findings, these abscesses were categorized as retropharyngeal abscess (29 patients), parapharyngeal abscess (10 patients), Ludwig's angina (19 patients), or necrotizing cervical fasciitis (six patients). Regional trauma from an ingested foreign body was the cause for 59 per cent of the patients with a retropharyngeal abscess. In 90 per cent of subjects with Ludwig's angina, an odontogenic cause was established; however, in the majority of cases of parapharyngeal abscess (80 per cent) and necrotizing fasciitis of the neck (85 per cent), aetiology was unknown.<\/jats:p><jats:p>Fifty-five patients (86 per cent) required open neck drainage. In the remaining nine (14 per cent) endoscopic drainage of the abscess was possible. Eight patients (12 per cent) needed a tracheotomy for airway control. The overall mortality was eight per cent despite aggressive anti-microbial therapy and early surgical intervention. Thirty-four cultures grew aerobic organisms. Seventy-six per cent of these were gram-negative microorganisms. The bacteriological pattern of deep neck abscesses is changing and may be responsible for the considerable mortality rate with which the abscesses are still associated despite anti-microbial therapy.<\/jats:p>","DOI":"10.1017\/s0022215100126106","type":"journal-article","created":{"date-parts":[[2007,11,30]],"date-time":"2007-11-30T10:16:23Z","timestamp":1196417783000},"page":"138-143","source":"Crossref","is-referenced-by-count":152,"title":["Deep neck abscesses \u2013 changing trends"],"prefix":"10.1017","volume":"108","author":[{"given":"Dharambir S.","family":"Sethi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ralph E.","family":"Stanley","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2007,6,29]]},"reference":[{"key":"S0022215100126106_ref024","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(67)90283-8"},{"key":"S0022215100126106_ref016","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1971.00770070693011"},{"key":"S0022215100126106_ref015","first-page":"14","volume-title":"Otolaryngology","volume":"3","author":"Kaplow","year":"1980"},{"key":"S0022215100126106_ref014","first-page":"128","article-title":"Perioesophageal abscesses: the importance of early surgical interference","volume":"48","author":"Hunt","year":"1939","journal-title":"Annals of Otology"},{"key":"S0022215100126106_ref012","doi-asserted-by":"publisher","DOI":"10.1001\/archopht.1984.01040030078040"},{"key":"S0022215100126106_ref011","doi-asserted-by":"publisher","DOI":"10.1148\/130.1.29"},{"key":"S0022215100126106_ref013","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1963.00750010135003"},{"key":"S0022215100126106_ref007","doi-asserted-by":"publisher","DOI":"10.1002\/hed.2890030513"},{"key":"S0022215100126106_ref006","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100093981"},{"key":"S0022215100126106_ref017","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-197103000-00008"},{"key":"S0022215100126106_ref021","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198806000-00001"},{"key":"S0022215100126106_ref020","first-page":"841","article-title":"Ludwig's angina: an analysis of 45 cases","volume":"11","author":"Taffel","year":"1942","journal-title":"Surgery"},{"key":"S0022215100126106_ref004","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-191901000-00003"},{"key":"S0022215100126106_ref023","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198412000-00008"},{"key":"S0022215100126106_ref001","doi-asserted-by":"crossref","first-page":"655","DOI":"10.1016\/S0030-6665(20)32670-0","article-title":"Anaerobic infections of the head and neck","volume":"9","author":"Bartlett","year":"1976","journal-title":"Otolaryngological Clinics of North America"},{"key":"S0022215100126106_ref002","first-page":"515","article-title":"The influence of chemotherapeutic and antibiotic drugs on the incidence and course of deep neck infections","volume":"61","author":"Beck","year":"1952","journal-title":"Annals of Otology"},{"key":"S0022215100126106_ref005","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-88-3-392"},{"key":"S0022215100126106_ref008","doi-asserted-by":"publisher","DOI":"10.1177\/019459988108900610"},{"key":"S0022215100126106_ref009","first-page":"678","article-title":"Ludwig's angina: an anatomical and clinical study with review of the literature","volume":"5","author":"Grodinsky","year":"1939","journal-title":"Surgery"},{"key":"S0022215100126106_ref010","first-page":"525","article-title":"Total necrotizing fasciitis developing after tooth extraction","volume":"39","author":"Growson","year":"1973","journal-title":"Annals of Surgery"},{"key":"S0022215100126106_ref018","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198204000-00003"},{"key":"S0022215100126106_ref003","first-page":"91","article-title":"Surgical approach to deep neck infections","volume":"64","author":"Beck","year":"1955","journal-title":"Annals of Otology"},{"key":"S0022215100126106_ref019","first-page":"730","article-title":"Necrotizing fasciitis","volume":"35","author":"Rosen","year":"1977","journal-title":"Journal of Oral Surgery"},{"key":"S0022215100126106_ref022","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-199106000-00008"}],"container-title":["The Journal of Laryngology &amp; 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