A2 Vertaisarvioitu katsausartikkeli tieteellisessä lehdessä
ESR Essentials: acute infections of the head and neck—practice recommendations by the European Society of Head and Neck Radiology
Tekijät: Hirvonen, Jussi; Lingam, Ravi Kumar; Connor, Steve
Kustantaja: Springer Science and Business Media LLC
Kustannuspaikka: NEW YORK
Julkaisuvuosi: 2025
Journal: European Radiology
Tietokannassa oleva lehden nimi: European Radiology
Lehden akronyymi: EUR RADIOL
Sivujen määrä: 10
ISSN: 0938-7994
eISSN: 1432-1084
DOI: https://doi.org/10.1007/s00330-025-11818-4
Verkko-osoite: https://doi.org/10.1007/s00330-025-11818-4
Rinnakkaistallenteen osoite: https://research.utu.fi/converis/portal/detail/Publication/499222488
Acute head and neck infections are common in the population and can have serious complications. Prompt diagnosis and treatment are necessary to avoid morbidity and mortality. Imaging is not indicated for uncomplicated acute rhinosinusitis, otomastoiditis, or limited face and neck soft tissue infections (such as tonsillar or odontogenic infections). However, the presence of facial swelling, severe pain, neurological symptoms, and eye signs suggests a complicated infection and warrants emergency imaging. Contrast-enhanced computed tomography (CT) is the primary imaging modality due to its wide availability and ability to show edema and drainable abscesses in the soft tissues, as well as bone resorption. Contrast-enhanced magnetic resonance imaging (MRI) benefits from superior soft tissue contrast, so it may be additive for the demonstration of orbital, skull base, and intracranial complications, as well as neck soft tissue involvement. Complications, such as orbital or intracranial extension, vascular thrombosis, and mediastinal involvement, should be noted on imaging. Follow-up imaging may be required based on clinical grounds and should mention residual disease and surgical drains.
Ladattava julkaisu This is an electronic reprint of the original article. |  |
Julkaisussa olevat rahoitustiedot:
This article was endorsed by the Executive Council of the European Society of Radiology (ESR) and the Executive Committee of the European Society of Head and Neck Radiology (ESHNR) in May 2025.
