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, Volume 187, Issue 5, pp 271–279 | Cite as

Severe Soft Tissue Infections of the Head and Neck: A Primer for Critical Care Physicians

  • Steven C. Reynolds
  • Anthony W. Chow
Article

Abstract

Patients with severe infections of the potential spaces of the head and neck are commonly managed in the ICU. These infections may present with devastating complications such as airway obstruction, jugular septic thrombophlebitis, lung abscess, upper airway abscess rupture with asphyxiation, mediastinitis, pericarditis, and septic shock. A thorough understanding of the anatomy and microbiology of these infections is essential for proper management of these patients. Retropharyngeal, danger, prevertebral, lateral pharyngeal, and submandibular space infections and their site-specific clinical manifestations, complications, and therapeutic interventions are discussed.

Keywords

Submandibular space infections Lateral pharyngeal space infections Parapharyngeal infections Retropharyngeal space infections Danger space infections Prevertebral abscesses Head and neck infections Deep cervical infections 

Notes

Acknowledgment

Thanks to Dr. Peter Phillips, MD, and Dr. Tim Lau, PhD, for their thoughtful feedback and suggestions after reviewing the initial manuscript.

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Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  1. 1.Division of Critical Care, Department of MedicineUniversity of British ColumbiaVancouverBCCanada
  2. 2.Division of Infectious DiseasesSt. Paul’s HospitalVancouverCanada
  3. 3.Intensive Care Unit, Royal Columbian HospitalNew WestminsterCanada
  4. 4.Division of Infectious Diseases, Department of MedicineUniversity of British ColumbiaVancouverBCCanada
  5. 5.Division of Infectious DiseasesVancouver HospitalWest VancouverCanada

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