Infrahyoid spread of deep neck abscess: anatomical consideration
| Autor: | Kimiyoshi Mizunuma, Shimpei Tada, Masuo Ujita, Hiroya Ojiri, Mitsuko Ariizumi, Kunihiko Fukuda, C. Ishii |
|---|---|
| Rok vydání: | 1998 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine Humans Radiology Nuclear Medicine and imaging Abscess Retropharyngeal space Aged Retrospective Studies Neuroradiology Aged 80 and over Deep cervical fascia medicine.diagnostic_test Acute Tonsillitis business.industry Hyoid bone Hyoid Bone Mediastinum Pharyngitis Interventional radiology General Medicine Middle Aged bacterial infections and mycoses medicine.disease Magnetic Resonance Imaging Tonsillitis medicine.anatomical_structure Acute Disease Female Radiology Tomography X-Ray Computed business Neck |
| Zdroj: | European Radiology. 8:955-959 |
| ISSN: | 1432-1084 0938-7994 |
| DOI: | 10.1007/s003300050495 |
| Popis: | The aim of this study was to determine the pathway of infrahyoid extension of the oropharyngeal abscess considering the anatomy of the fascial spaces by cross-sectional imaging. CT scans and MR images were retrospectively reviewed in ten patients with known infrahyoid extension of oropharyngeal abscesses (eight with acute tonsillitis, two with acute phlegmonous oropharyngitis). In seven of eight patients tonsillar abscesses descended along the deep cervical fascia converging on the hyoid bone and further accumulated in the anterior cervical space through which extension to the mediastinum took place in four patients. In seven patients the abscesses involved the retropharyngeal space at the infrahyoid neck. In two of these seven patients the abscesses directly extended down into the upper mediastinum through the retropharyngeal space. In one patients of the seven mediastinal spread of an abscess occurred through the posterior cervical space, not through the retropharyngeal space. Cross-sectional imaging is valuable in the evaluation of deep neck abscesses and the pathway of spread. The anterior cervical space in the infrahyoid neck is important for mediastinal extension of pharyngeal abscesses. |
| Databáze: | OpenAIRE |
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