Cervical fascia and deep neck infections
About: This article is published in Laryngoscope.The article was published on 1970-03-01. It has received 146 citations till now. The article focuses on the topics: Cervical fascia & Fasciotomy.
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TL;DR: An aggressive surgical policy has allowed us to maintain a low mortality rate in a series of 12 patients with this highly lethal disease and a stepwise approach with transcervical mediastinal drainage is first justified in patients with very limited disease to the upper mediastinum.
194 citations
TL;DR: In the experience, aggressive mediastinal drainage by a thoracotomy approach regardless of the level of mediastsinal involvement led to improvement in survival of these patients, with a 17% mortality rate.
179 citations
TL;DR: The main complications of jugular vein thrombosis, carotid artery rupture, and mediastinitis are described, as well as an unusual case of meningitis from a large retropharyngeal-parapharyngeaal abscess.
Abstract: Deep neck infections continue to be seen despite the wide use of antibiotics. These infections follow along fascial planes to create deep neck space abscesses. The clinical presentation often point...
149 citations
TL;DR: Routine use of the computed tomography scan is highly recommended in patients with a deep cervical infection for early detection of mediastinitis at a time when the chest roentgenogram is still normal.
131 citations
TL;DR: The author's series reveals that retropharyngeal abscesses are found in adults, there is a wide spectrum of bacteriological organisms represented, and with appropriate antibiotic and surgical management the majority of patients survive without major residual sequelae.
Abstract: The authors present an extensive review of current literature as well as their ten-year experience in management of patients with retropharyngeal abscesses Emphasis is placed upon age, sex, type and duration of symptoms, bacteriology, methods of diagnosis, therapy, and complications The authors' series reveals that retropharyngeal abscesses are found in adults, there is a wide spectrum of bacteriological organisms represented, and with appropriate antibiotic and surgical management the majority of patients survive without major residual sequelae
126 citations