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general surgery departments (n=78) during Bibliography:
the study period. While these patients were 1.Russell MD, Russell MS. Urgent infections of the head
and neck. Med Clin North Am. 2018 Nov;102(6):1109-1120.
not included in the analysis, this may have led doi: 10.1016/j.mcna.2018.06.015.
to bias that may influence the generalization 2.Prado-Calleros HM, Jiménez-Fuentes E, Jiménez-
of results. Escobar I. Descending necrotizing mediastinitis:
systematic review on its treatment in the last 6 years, 75
years after its description. Head Neck. 2016 Apr;38 Suppl
Conclusion 1:E2275-83. doi: 10.1002/hed.24183.
The most frequent DNI etiology was 3.Reynolds SC, Chow AW. Life-threatening infections of
odontogenic infection and the most common the peripharyngeal and deep fascial spaces of the head
abscess location was the submandibular and neck. Infect Dis Clin North Am. 2007 Jun;21(2):557-76,
viii. doi: 10.1016/j.idc.2007.03.002.
space. Furthermore, Streptococcus spp. were 4.Kimura A, Miyamoto S, Yamashita T. Clinical predictors
the most frequently isolated organisms in DNI of descending necrotizing mediastinitis after deep neck
cultures. The presence of a bilateral DNI and infections. Laryngoscope. 2020 Nov;130(11):E567-E572. doi:
10.1002/lary.28406.
NLR seem to be the most important clinical 5.Ma C, Zhou L, Zhao JZ, Lin RT, Zhang T, Yu LJ. et al.
predictors of mediastinitis. Multidisciplinary treatment of deep neck infection
associated with descending necrotizing mediastinitis:
Conflict of Interests a single-centre experience. J Int Med Res. 2019
Dec;47(12):6027-6040. doi: 10.1177/0300060519879308.
The authors declare that they have no conflict 6.Trevino-Gonzalez JL, Maldonado-Chapa F, Gonzalez-
of interest regarding this article. Larios A, Morales-Del Angel JA, Soto-Galindo GA, Zafiro
Garcia-Villanueva JM. Deep neck infections: demographic
and clinical factors associated with poor outcomes. ORL
Data Confidentiality J Otorhinolaryngol Relat Spec. 2022;84(2):130-138. doi:
The authors declare that they followed the 10.1159/000517026.
protocols of their work in publishing patient 7.Adovica A, Veidere L, Ronis M, Sumeraga G. Deep neck
data. infections: review of 263 cases. Otolaryngol Pol. 2017 Oct
30;71(5):37-42. doi: 10.5604/01.3001.0010.5315.
8.Mejzlik J, Celakovsky P, Tucek L, Kotulek M, Vrbacky A,
Human and animal protection Matousek P. et al. Univariate and multivariate models for
The authors declare that the procedures the prediction of life-threatening complications in 586
followed are in accordance with the regulations cases of deep neck space infections: retrospective multi-
institutional study. J Laryngol Otol. 2017 Sep;131(9):779-
established by the directors of the Commission 784. doi: 10.1017/S0022215117001153.
for Clinical Research and Ethics and in 9.Chi TH, Tsao YH, Yuan CH. Influences of patient age
accordance with the Declaration of Helsinki of on deep neck infection: clinical etiology and treatment
the World Medical Association. outcome. Otolaryngol Head Neck Surg. 2014 Oct;151(4):586-
90. doi: 10.1177/0194599814542589.
10.Hidaka H, Yamaguchi T, Hasegawa J, Yano H, Kakuta
Privacy policy, informed consent and Ethics R, Ozawa D. et al. Clinical and bacteriological influence
committee authorization of diabetes mellitus on deep neck infection: Systematic
review and meta-analysis. Head Neck. 2015 Oct;37(10):1536-
The authors declare that they have obtained 46. doi: 10.1002/hed.23776.
signed consent from the participants and that 11.Brajkovic D, Zjalić S, Kiralj A. Prognostic factors for
they have local ethical approval to carry out descending necrotizing mediastinitis development in
this work. deep space neck infections-a retrospective study. Eur
Arch Otorhinolaryngol. 2022 May;279(5):2641-2649. doi:
10.1007/s00405-021-07081-0.
Financial support 12.Zahorec R. Neutrophil-to-lymphocyte ratio, past,
This work did not receive any grant contribution, present and future perspectives. Bratisl Lek Listy.
funding or scholarship. 2021;122(7):474-488. doi: 10.4149/BLL_2021_078.
13.Tan M, Lu Y, Jiang H, Zhang L. The diagnostic accuracy
of procalcitonin and C-reactive protein for sepsis: a
Scientific data availability systematic review and meta-analysis. J Cell Biochem. 2019
There are no publicly available datasets related Apr;120(4):5852-5859. doi: 10.1002/jcb.27870.
to this work.
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