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G. Richard Holt, MD; Keiko McManus, MD; Lt Col Richard K. Newman, MC; Janet L. Potter, PhD, MD; P. Plez Tinsley, MD

Arch Otolaryngol. 1982;108(11):693-696.

Abstract
• Computed tomography (CT) of the neck was used to identify deep-neck abscess formation. Twenty-two patients were screened by CT for deep-neck abscesses. Each patient suspected of having a deep-neck infection underwent CT, often with enhancement if the differential diagnosis included the possibility of a tumor or vascular lesion. Six cases were identified, and these patients were taken to surgery for incision and drainage. There were no false-positives or falsenegatives in the series. In all six cases of abscesses, the CT scan accurately identified the anatomical location of the abscess, allowing a more accurate planning of the surgical approach. The selective use of CT when deep-neck infections are suspected seems to produce an accurate diagnosis of the presence of an abscess, its location, and the involvement of important surrounding structures.

(Arch Otolaryngol 1982;108:693-696)

Author Affiliations
USAF

From the Division of Otorhinolaryngology (Drs Holt, McManus, and Tinsley), and the Department of Radiology (Dr Potter), The University of Texas Health Science Center at San Antonio; and the Department of Otolaryngology (Dr Newman), Wilford Hall Air Force Medical Center, Lackland Air Force Base, Tex.

Footnotes
Accepted for publication June 3, 1982.

Read in part before the American Society for Head and Neck Surgery, Palm Beach, Fla, May 6, 1982.

Reprint requests to Division of Otorhinolaryngology, The University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Dr, San Antonio, TX 78284 (Dr Holt).

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