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KMID : 0361020150580020115
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Korean Journal of Otolaryngology - Head and Neck Surgery
2015 Volume.58 No. 2 p.115 ~ p.119
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Usefulness of the Modified LRINEC Score in the Treatment of Patient with Deep Neck Infection
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Moon Jeong-Hwan
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Abstract
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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.
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KEYWORD
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Deep neck infection, LRINEC score, Necrotizing fasciitis, Treatment
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