Deep neck space infection is a relatively common condition with potentially catastrophic,
life-threatening complications. A detailed understanding of the topography of the
neck, relationships between compartments of the neck, and the propagation of infection
is essential for accurate assessment and formulation of a propitious and timely treatment
plan. This article focuses on approaches to the deepest spaces in the anterior neck—the
parapharyngeal space and retropharyngeal space (RPS). Treatment starts with assessment
and assurance of a safe, stable airway, broad spectrum intravenous antibiotics, and
contrasted imaging to formulate a surgical plan. The parapharyngeal space and retropharyngeal
space may be approached transorally or transcervically. Sound surgical principles,
namely wide incision and dependent drainage, may prevent the further spread and associated
morbidity.
Keywords
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Article info
Publication history
Published online: August 23, 2017
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Published by Elsevier Inc.
