Korean J Otorhinolaryngol-Head Neck Surg.  2015 Feb;58(2):115-119. 10.3342/kjorl-hns.2015.58.2.115.

Usefulness of the Modified LRINEC Score in the Treatment of Patient with Deep Neck Infection

• Moon JH

• KMID: 1784961
• DOI: http://doi.org/10.3342/kjorl-hns.2015.58.2.115

Abstract

BACKGROUND AND OBJECTIVES
Deep neck infection can occur at any age and is a potentially life-threatening diseases. However, an early recognition of aggravating infections is clinically difficult. In this study, we aimed to determine the Modified Laboratory Risk Indicator for Necrotizing Fasciitis (M-LRINEC) scores to predict aggravating deep neck infections.
SUBJECTS AND METHOD
We retrospectively analyzed 72 patients with deep neck infection from January 2010 and December 2012 in a tertiary hospital. Differences in patient characteristics, radiographic findings, LRINEC scores, and M-LRINE scores were compared between the non-surgical group and the surgical group.
RESULTS
The mean M-LRINEC scores were 4.35 and 1.39 in the surgical group and non-surgical group, respectively. Significant differences between the two groups were found in age, size of abscess, multiple spaces involvement, air collection, and mediastinitis.
CONCLUSION
The M-LRINEC score is an useful indicator that signals the need to initiate early surgery and also to predict aggravating deep neck infections.

Keyword

Deep neck infection; LRINEC score; Necrotizing fasciitis; Treatment

MeSH Terms

Abscess
Fasciitis, Necrotizing
Humans
Mediastinitis
Neck*
Retrospective Studies
Tertiary Care Centers