Infections of the Deep Spaces of the Neck.pptVIP

Lemierre’s syndrome Treatment: Antibiotics and surgical drainage. Anticoagulants are controversial. Lustig et al.: Ligation or excision of the vein for persistent sepsis with emboli. Anticoagulation for retrograde cavernous sinus thrombosis. Mediastinitis All patients with deep neck space infections are at risk for mediastinitis. Estrera et al.: 42.8% mortality rate (antibiotics has not lowered mortality significantly). Early diagnosis and adequate drainage. Initial neck scan should be extended to include the chest. Mediastinitis Wheatley et al.: transcervical mediastinal drainage to be i