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Chapter-106 Deep Neck Space Infections

BOOK TITLE: Head & Neck Surgery (2 Volumes)

Author
1. Bhattacharyya Abir K
2. Sen Purushothaman
3. Reading Nicholas
ISBN
9788184486797
DOI
10.5005/jp/books/10351_106
Edition
1/e
Publishing Year
2009
Pages
9
Author Affiliations
1. Whipps Cross University Hospital London, UK, Whipps Cross University Hospital, Barts Health NHS Trust, London, UK, Whipps Cross University, Hospital, London
2. Whipps Cross University Hospital, London, UK
3. Whipps Cross University Hospital, London
Chapter keywords
tonsillar infections, retropharyngeal space, visceral division, potential complications, digastric muscle, lymphatic channels, surgical treatment, complex anatomy, terminologies, cervical fascia, platysma muscle, pharyngomaxillary space, thyrohyoid muscles, prevertebral divisions, suprahyoid spaces, lymphatic drainage, submaxillary space

Abstract

This chapter discusses deep neck space infections, which are associated with high morbidity, and occasionally mortality if treatment is not instituted promptly. Poor dental hygiene and intravenous drug abuse are now the most common non-surgical causes of deep neck space infection in adults. Tonsillitis still remains the most common cause in children. The deep neck spaces are formed by fascial planes, which divide the neck into real and potential spaces. The cervical fascia is divided into two layers such as superficial and deep. The space deep to the superficial cervical fascia and above the superficial layer of the deep cervical fascia contains fat, neurovascular bundles including the external and anterior jugular veins and lymphatics. The deep cervical fascia divides the neck into a series of clinically definite but anatomically intercommunicating potential spaces. The potential space between the two divisions is called the danger space.

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