Deep-Neck Space Infections: Diagnosis and Management

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Abstract
• Deep-neck space infections, which affect soft tissues and fascial compartments of the head and neck, can lead to lethal complications. Eight cases treated over a two-year period were reviewed, and the experience was used to formulate management guidelines. Specific clinical variables analyzed included patient presentation, work-up, treatment, complications, and length of hospital stay. Seven of eight cases required surgery for treatment, one of which was complicated by airway obstruction. Treatment of deep-neck space infections requires knowledge of the natural history of the disease and a detailed understanding of anatomy. Management guidelines include (1) hospitalization, (2) culture and sensitivity tests, (3) antibiotic therapy, (4) diagnostic radiographic procedures, and (5) surgical intervention. (Arch Otolaryngol Head Neck Surg1986;112:1274-1279)