Deep neck space infections -A report of two cases and a literature review-

Abstract

Deep neck infections continue to be seen despite the widespread use of antibiotics. These infections course along the facial planes to create deep neck space abscesses. The clinical presentation often points to the space involved. Understanding the regional anatomy gives surgeons the ability to treat these serious infections. Two cases of deep neck infections are herein presented. Case 1 was a 37-year-old male who complained of a high fever and a sore throat. A peritonsillar abscess was considered to be the cause of the deep neck infection in this patient. Case 2 was a 59-year-old male who complained of frontal neck swelling and dysphagia. Either an odontongenic infection or a peritonsillar abscess were considered to be the cause of the deep neck infection in this patient. Both patients received drainage and antibiotic treatment. Case 1 recovered in about 1 month while Case 2 died of sepsis. We therefore consider that we should have performed drainage of the mediastinum abscesses in case 2.