Deep space infections of neck

Kaluskar, S. K.; Bajaj, Prem; Bane, P.

doi:10.1007/s12070-007-0012-7

Cited by 5 publications

(7 citation statements)

References 7 publications

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“…Non‐odontogenic infections including tonsillitis, salivary gland infection or abscess (in particular of the parotid gland), and central nervous system infection can all result in trismus …”

Section: Acquired Trismusmentioning

confidence: 99%

“…1,29 Non-odontogenic infections including tonsillitis, salivary gland infection or abscess (in particular of the parotid gland), and central nervous system infection can all result in trismus. 1,[29][30][31][32][33] Tetanus infection, although now uncommon in countries with a vaccination programme, should be considered as a potential cause. 32,33 Infection can develop after wound contamination with the bacillus Clostridium tetani after a cut or puncture of the skin.…”

Section: Infectionmentioning

confidence: 99%

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Trismus in the paediatric population

Shires

Chow

2014

Develop Med Child Neuro

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Trismus is a rare presentation affecting neonates, children, and adults. In newborns there are serious implications, with potential to affect feeding, cause airway problems, and make intubation difficult. Causes of trismus seen in the paediatric patient are discussed in this review article; they are divided into intra‐ and extra‐articular types. The extra‐articular group consists of congenital and acquired disorders. The acquired group includes infective causes such as tetanus, iatrogenic causes related to drugs, cancer or dental treatment, and trauma causing articulation difficulty or triggering a rare type of bone growth in myositis ossificans. Changes in the mouth resulting from oral submucous fibrosis can undergo malignant transformation. This review aims to raise awareness of potential causes of trismus in paediatric populations, helping clinicians identify the underlying pathology so appropriate strategies for treatment be applied, with the ultimate aim of improving long‐term outlook and quality of life for affected children.

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Section: Acquired Trismusmentioning

confidence: 99%

Section: Infectionmentioning

confidence: 99%

Trismus in the paediatric population

Shires

Chow

2014

Develop Med Child Neuro

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“…In view of the distorted anatomy of the airway due to abscess and oedema formation as well as difficulty in opening the mouth and neck movement, awake fibre optic intubation (AFOI) with tracheostomy standby is a preferred mode of inducing anaesthesia [1,2] . Although tracheostomy under local anaesthesia was previously the gold standard in difficult airway management [3] , awake fibreoptic intubation with either oral or nasal intubation has been gaining acceptance by anaesthesiologists [4,5] . Proper preparation is the key to successful airway management, including anaesthesiologists trained in awake fibreoptic intubation and the required perioperative staff and equipment to manage the difficult airway.…”

Section: Introductionmentioning

confidence: 99%

Awake Nasal Fiberoptic Intubation in Diffuse Para-pharyngeal Abscess

Ismail

Ahmeed

Zaini

et al. 2020

Egyptian Journal of Ear, Nose, Throat and Allied Sciences

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This is a case report on awake fibreoptic intubation for a patient with a deep neck space infection. Intubation in this group of patients is considered difficult. It is challenging to anaesthesiologists, emergency physicians and otorhinolaryngologists because there is no consensus for airway management in these patients. We present a 30-year-old gentleman with swelling over the right cheek, difficulty breathing and severe trismus. He had a history of toothache one month prior to admission. Upon clinical examination, there was a diffuse swelling over the right mandible. Other examinations were unremarkable. Provisional diagnosis of a right para-pharyngeal abscess was made secondary to a possible infected right lower 3 rd molar, with a differential diagnosis of a right parotid abscess with para-pharyngeal extension. Radiological assessment using computed tomography (CT) of the head and neck region showed an abscess over the right para-pharyngeal area, soft palate and right submandibular region. The narrowest part of the airway was at the region posterior to the soft palate, measuring approximately 1 cm. All staff and equipment were prepared for intubating a difficult airway. The patient was transferred to the control environment (operation theatre) for intubation. Awake nasal fibreoptic intubation (AFOI) was successfully performed for this patient using intravenous dexmedetomidine alone as the sedative.

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“…Mortality can be prevented by immediate management of airway, removal of source of infection, surgical decompression and aggressive use of antibiotics. 6…”

Section: Introductionmentioning

confidence: 99%

A Very Extensive Ludwigâ€™s Angina

Iqbal¹,

Majumder²,

Uddin³

et al. 2018

BJMS

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Ludwigâ€™s angina also known as â€˜Morbus Strangularisâ€™, is a grave, potentially fatal cellulitis, usually occurring in adults. Early diagnosis and immediate treatment planning could be a life saving procedure. Here, we report a case of wide spread odontogenic infection extending to the neck, chest, causing elevation of the oral cavity floor resulting in airway obstruction. Appropriate use of parenteral antibiotics, airway protection techniques and adequate surgical drainage of infection remains the mainstay of treatment, in advanced cases of Ludwigâ€™s angina.

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Deep space infections of neck

Cited by 5 publications

References 7 publications

Trismus in the paediatric population

Trismus in the paediatric population

Awake Nasal Fiberoptic Intubation in Diffuse Para-pharyngeal Abscess

A Very Extensive Ludwigâ€™s Angina

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