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Diagnosis and Management

Charles M. Stiernberg, MD

Arch Otolaryngol Head Neck Surg. 1986;112(12):1274-1279.

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 Surg 1986;112:1274-1279)

Author Affiliations
From the Department of Otolaryngology, University of Texas Medical Branch, Galveston.

Footnotes
Accepted for publication March 27, 1986.

Read before the 60th annual meeting of the Texas Society of Ophthalmology and Otolaryngology, Austin, Dec 7, 1985.

Reprint requests to the Department of Otolaryngology, MW702 John Sealy, Rt E-21, University of Texas Medical Branch, Galveston, TX 77550 (Dr Stiernberg).

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