{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T20:18:33Z","timestamp":1771532313669,"version":"3.50.1"},"reference-count":49,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2023,2,15]],"date-time":"2023-02-15T00:00:00Z","timestamp":1676419200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"\u201cDunarea de Jos\u201d University","award":["VAT-RO27232142"],"award-info":[{"award-number":["VAT-RO27232142"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Life"],"abstract":"<jats:p>As medical-surgical emergencies, regardless of the causal agent, deep cervical space suppurations are not only a diagnostic challenge, but also a therapeutic one. In some cases, in spite of proper therapeutic measures, extremely severe complications can develop. A 5-year retrospective study (2016\u20132020) was conducted on a group of 107 patients suffering from cervical suppurations, being hospitalized and treated in the ENT Clinic of the \u201cSf. Apostol Andrei\u201d Emergency County Hospital of Gala\u021bi. This research is a clinical-statistical study based on the experience of this ENT clinic and was carried out based on the analysis of the patients\u2019 medical records. Descriptive analysis\u2019 statistical methods of the data series collected from the clinical observation sheets were used, with the patients\u2019 informed consent for the processing of the aforementioned data, with the agreement of the Ethics Commission of the Emergency Clinical Hospital \u201cSf. Apostol Andrei\u201d Gala\u021bi and the College of Physicians Gala\u021bi, Rom\u00e2nia. The patients\u2019 clinical and multidisciplinary treatment features included in the study group are presented. The results highlight the clinical particularities of deep cervical space suppurations treatment, including under COVID-19 impact, or with other comorbidities, having consequences on the case mix index increase or directly on the costs, admittance duration and the clinical status of the patient at discharge. The conclusions of the clinical study are based on the fulfillment of the research objectives in terms of treatment and symptomatology of deep cervical space suppurations and under the impact of comorbidities (global health crisis and pandemic, triggering of comorbidities due to health care access difficulty in the context of anti-COVID-19 government-implemented measures and the infection-rate that overburdened the medical system in the early period of the pandemic). Individualized treatment of deep cervical space suppurations is recommended to be approached multidisciplinary. Of particular importance is early diagnosis combined with prompt and correctly instituted multidisciplinary treatment. In this context, an appropriate medical measure that we recommend is patient health education, as it was observed in the clinical study: most times, patients address medical services with advanced disease, hence the generally unfavorable prognosis and outcome (about 25% of patients develop unfavorable prognosis and 4% die).<\/jats:p>","DOI":"10.3390\/life13020535","type":"journal-article","created":{"date-parts":[[2023,2,15]],"date-time":"2023-02-15T03:37:24Z","timestamp":1676432244000},"page":"535","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Principles of Treatment and Clinical-Evolutionary Peculiarities of Deep Cervical Spaces Suppurations\u2014Clinical Study"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5278-962X","authenticated-orcid":false,"given":"Daniela","family":"Jicman (Stan)","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology, \u201cSf\u00e2ntul Apostol Andrei\u201d Emergency Clinical Hospital, 800578 Gala\u021bi, Romania"},{"name":"Biomedical Doctoral School, Faculty of Medicine and Pharmacy, \u201cDun\u0103rea de Jos\u201d University, 800010 Gala\u021bi, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicolae","family":"S\u00e2rbu","sequence":"additional","affiliation":[{"name":"Department of Radiology and Medical Imaging, \u201cSf. Ioan\u201d Clinical Hospital for Children, 800487 Gala\u021bi, Romania"},{"name":"Clinical Medical Department, Faculty of Medicine and Pharmacy, \u201cDun\u0103rea de Jos\u201d University, 800008 Gala\u021bi, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8187-7984","authenticated-orcid":false,"given":"Laura-Florentina","family":"Rebegea","sequence":"additional","affiliation":[{"name":"Clinical Medical Department, Faculty of Medicine and Pharmacy, \u201cDun\u0103rea de Jos\u201d University, 800008 Gala\u021bi, Romania"},{"name":"Radiotherapy Department, \u201cSf\u00e2ntul Apostol Andrei\u201d Emergency Clinical Hospital Gala\u021bi, 800578 Gala\u021bi, Romania"},{"name":"Research Center in the Field of Medical and Pharmaceutical Sciences, ReFORM-UDJ, 800010 Gala\u021bi, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mihaela","family":"Cr\u0103escu","sequence":"additional","affiliation":[{"name":"Radiotherapy Department, \u201cSf\u00e2ntul Apostol Andrei\u201d Emergency Clinical Hospital Gala\u021bi, 800578 Gala\u021bi, Romania"},{"name":"Department of Morphology and Functional Sciences, Faculty of Medicine and Pharmacy, 800010 Gala\u021bi, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9249-5247","authenticated-orcid":false,"given":"Elena","family":"Nicule\u021b","sequence":"additional","affiliation":[{"name":"Department of Morphology and Functional Sciences, Faculty of Medicine and Pharmacy, 800010 Gala\u021bi, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria-Daniela","family":"\u021au\u021ba","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, \u201cSf\u00e2ntul Apostol Andrei\u201d Emergency Clinical Hospital, 800578 Gala\u021bi, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aurel","family":"Nechita","sequence":"additional","affiliation":[{"name":"Clinical Medical Department, Faculty of Medicine and Pharmacy, \u201cDun\u0103rea de Jos\u201d University, 800008 Gala\u021bi, Romania"},{"name":"Department of Pediatrics, \u201cSf. Ioan\u201d Clinical Hospital for Children, 800487 Gala\u021bi, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4828-464X","authenticated-orcid":false,"given":"Alin Codru\u021b","family":"Nicolescu","sequence":"additional","affiliation":[{"name":"\u201cAgrippa Ionescu\u201d Emergency Clinical Hospital, 011773 Bucharest, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4290-7068","authenticated-orcid":false,"given":"Alin Lauren\u021biu","family":"Tatu","sequence":"additional","affiliation":[{"name":"Clinical Medical Department, Faculty of Medicine and Pharmacy, \u201cDun\u0103rea de Jos\u201d University, 800008 Gala\u021bi, Romania"},{"name":"Research Center in the Field of Medical and Pharmaceutical Sciences, ReFORM-UDJ, 800010 Gala\u021bi, Romania"},{"name":"Dermatology Department \u201cSf\u00e2nta Cuvioas\u0103 Parascheva\u201d Clinical Hospital of Infectious Diseases, 800179 Gala\u021bi, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2023,2,15]]},"reference":[{"key":"ref_1","first-page":"e536","article-title":"Deep neck infections: A single-center analysis of 63 cases","volume":"22","author":"Kauffmann","year":"2017","journal-title":"Med. 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