ESR Essentials: acute infections of the head and neck—practice recommendations by the European Society of Head and Neck Radiology - Summary - MDSpire

ESR Essentials: acute infections of the head and neck—practice recommendations by the European Society of Head and Neck Radiology

  • By

  • Jussi Hirvonen

  • Ravi Kumar Lingam

  • Steve Connor

  • July 23, 2025

  • 0 min

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Objective:

To provide practice recommendations for imaging choices and diagnostic considerations in evaluating acute infections of the head and neck.

Key Findings:
  • Cross-sectional imaging is not needed for uncomplicated dental, tonsillar, sinonasal, and middle ear infections (level of evidence: high).
  • Contrast-enhanced CT is essential in emergencies for complicated sinusitis or middle ear infections (level of evidence: high).
  • MRI is useful for evaluating orbital, skull base, and intracranial complications (level of evidence: moderate).
Interpretation:

Acute head and neck infections can lead to severe complications, necessitating careful imaging to guide management and prevent delays in treatment.

Limitations:
  • The article does not cover subacute or chronic infections.
  • Imaging recommendations may vary based on clinical presentation and patient history, which should be noted.
Conclusion:

Imaging plays a crucial role in the diagnosis and management of acute head and neck infections, particularly in complicated cases, to prevent severe complications.

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