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Deep Neck Space Infections (aetiology (most commonly complications of…
Deep Neck Space Infections
types
PTA/quinsy
Retropharyngeal abscess
Parapharyngeal abscess
Prevertebral abscess
submandibular abscess
aetiology
most commonly complications of pharyngitis or dental infection
sialadenitis
IV drug use
malignancy
pathophysiology
spread of infection can be from oral cavity, face, or superficial neck to the deep via lymphatic system
lymphadenopathy may lead to suppuration and finally focal abscess formation
infection can spread among the deep neck spaces by the paths of communication between spaces
direct infection by penetrating trauma
incidence
?
diagnosis
CT neck
ancillary
FBC and U+E
blood cultures
FNA
treatment
ABCs
Abx
Surgery
I+D
prognosis
number of neck spaces involved prognostic
good
complications
disease
vascular
internal jugular vein
thrombopheblitis (Lemierre Syndrome)
sepsis
emboli
carotid artery rupture
cavernous sinus thrombosis
mediastitnitis
meningitis
airway obstruction
aspiration
necrotising fasciitis
surgery
bleeding
infection
clinical
symptoms
sore throat, dysphagia, odynophagia, trismus
neck pain - passive and active
painful neck mass
examination
posterior pharynx erythema and swelling in retropharyngeal abscess
medial displacement of tonsil and lateral pharyngeal wall in parapharyngeal abscess
torticollis (holds neck in rotated position)
tender lymphadenopathy
neurological deficit
horner syndrome
