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KMID : 0360120100320010062
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Journal of the Korean Society of Maxillofacial Plastic Reconstructive Surgeons
2010 Volume.32 No. 1 p.62 ~ p.67
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The Superficial and Deep Spreading Pathways of Infection of the Maxillofacial and Neck Area
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Lee Jung-Gyo
Choi Byung-Jun
Kim Yeo-Gap
Lee Baek-Soo
Kwon Yong-Dae
Kim Young-Ran
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Abstract
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The spreading pathways which is the cause of infection on head and neck area are submandibular space, masticatory space, parapharyngeal space, retropharyngeal space, carotid sheath and mediastinum, etc. If spread to parapharyngeal area involving airway, such infection can be life-threatening by airway obstruction, or can cause vascular injury followed by hemorrhage, nerve injuries. Also, if spread to superficially, necrotizing fasciitis and many complications may occur including gangrene of skin. The key to successful treatment of infection on head and neck area is recognition of spreading pathways, early diagnosis and following therapeutic management. Our department present two cases, one is infection progressed superficially to suprasternal space, another is spreading deep according to parapharyngeal space, subclavian space and carotid sheath followed by airway obstruction, and obtained significant results with surgical incision and drainage, administration of selected antibiotics, continuous post-operative treatment. We report these 2 cases with literatures review.
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KEYWORD
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Necrotizing fasciitis, Deep neck infection, Space abscess
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