Authors: D. Schlenkerová 1; K. Mlčáková 2; P. Hanzel 2; V. Mikulášová 2; A. Hajtman 1 Authors‘ workplace: ORL klinika, Fakultná nemocnica Trenčín 1; Klinika ORL a ChHaK UK JLF a UNM, Martin 2 Published in: Otorinolaryngol Foniatr, 63, 2014, No. 1, pp. 29-31. Category: Case History
Deep neck infection is an infection in the neck area and the fascial layer with formation of abscess or cellulitis collections (4). Cervical fascia creates a space plane, which defines and limits the spread of infection. Danger zone is the area of thin connective tissue extending from the skull base down to the diaphragm. This space is enclosed on all sides, so that there arises in penetration of infection inflammation of the surrounding areas (2, 3). Hazard lies in the rapid spread of infection in the chest, which is due to the low resistance of thin connective tissue (2). The most common and most feared complication of inflammation in the danger space is the formation of the descending necrotizing mediastinitis (DNM). Authors describe a case of extensive dental infection that despite intensive surgical and antibiotic treatment spread to other anatomical areas and caused descending necrotizing mediastinitis.
Keywords: danger space, deep neck infection, descendent necrotizing mediastinitis
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