Deep-neck space infections. Diagnosis and management.

Deep-neck space infections, which affect soft tissues and fascial compartments of the head and neck, can lead to lethal complications. Eight cases treated over a two-year period were reviewed, and the experience was used to formulate management guidelines. Specific clinical variables analyzed included patient presentation, work-up, treatment, complications, and length of hospital stay. Seven of eight cases required surgery for treatment, one of which was complicated by airway obstruction. Treatment of deep-neck space infections requires knowledge of the natural history of the disease and a detailed understanding of anatomy. Management guidelines include hospitalization, culture and sensitivity tests, antibiotic therapy, diagnostic radiographic procedures, and surgical intervention.