Gonzalez-Beicos Aldo, Nunez Diego
Department of Radiology, Hospital of Saint Raphael, Yale School of Medicine, New Haven, CT 06511, USA.
Radiol Clin North Am. 2012 Jan;50(1):73-83. doi: 10.1016/j.rcl.2011.08.004.
Tonsillar infection is the most common cause of infections of the neck in children and young adults whereas odontogenic infection is the most common cause in older population groups. Other sources of neck infection include the salivary glands, nasal sinuses, middle ear and mastoids, cervical lymph nodes, and trauma. Computed tomography and magnetic resonance imaging have excellent sensitivity for the recognition of deep infections, particularly for the identification of abscess formation and its precise location and extension of disease. A careful assessment of potential severe complications, such as vascular compromise, osteomyelitis, and airway narrowing, should be performed routinely.
扁桃体感染是儿童和年轻人颈部感染最常见的原因，而牙源性感染是老年人群中最常见的原因。颈部感染的其他来源包括唾液腺、鼻窦、中耳和乳突、颈部淋巴结以及外伤。计算机断层扫描和磁共振成像对深部感染的识别具有极高的敏感性，尤其对于脓肿形成的识别及其精确位置和疾病范围。应常规仔细评估潜在的严重并发症，如血管受压、骨髓炎和气道狭窄。
