Clinical Presentation, Diagnostic Challenges, and Management of Bezold’s Abscess: A Narrative Review
DOI:
https://doi.org/10.52221/jvnus.v7i2.885Keywords:
bezold's abscess, mastoiditis, deep neck infection, otitis media, diagnosis, narrative reviewAbstract
Bezold’s abscess is a rare yet severe complication of otitis media that poses significant diagnostic challenges due to its non-specific and often misleading symptoms, which can mimic less serious conditions. This review aims to summarize recent literature (2015–2025) on the clinical presentation, diagnostic approaches, and management of Bezold’s abscess. A narrative review was conducted through a systematic search of electronic databases, including PubMed, ScienceDirect, SpringerLink, Wiley Online Library, and Frontiers. Twenty relevant case reports and case series published between 2015 and 2025 met the inclusion criteria. The findings show that Bezold’s abscess frequently presents with atypical manifestations that deviate from classical features, leading to delays in recognition. Consequently, diagnosis relies heavily on a high index of clinical suspicion, supported by definitive imaging modalities such as contrast-enhanced computed tomography (CT) or magnetic resonance imaging (MRI). Early detection requires heightened clinical vigilance, especially in patients with persistent otitis media symptoms and new-onset neck swelling. Management typically involves a combination of broad-spectrum intravenous antibiotics and surgical procedures, such as abscess drainage and mastoidectomy. Early diagnosis and timely intervention are essential to prevent complications and improve patient outcomes.
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Copyright (c) 2025 Ainun Ni'mah Syawaliyah, Burhannudin Ichsan, Naura Alifa Khairunnisa, Fira Fajrin Ramadhani, Nabilla Pramata Zadha Sinta, Aulya Rahmanisa Paramitha Asy’ari
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