TY - CHAP M1 - Book, Section TI - Life-Threatening Infections of the Head, Neck, and Upper Respiratory Tract A1 - Chow, Anthony W. A2 - Hall, Jesse B. A2 - Schmidt, Gregory A. A2 - Kress, John P. PY - 2015 T2 - Principles of Critical Care, 4e AB - A thorough knowledge of the deep cervical fascial spaces and their interrelationships and anatomic routes of spread is a prerequisite to optimal management of life-threatening head and neck infections.The microbial etiology of deep infections of the head and neck is complex and typically polymicrobial.The development of marked asymmetry in the course of a submandibular space infection should be viewed with great concern, since it may be indicative of extension to the lateral pharyngeal space.In immunocompromised patients, the classical manifestations of infection, such as edema and fluctuance at the local site and features of systemic toxicity, may be absent.β-lactam-β-lactamase inhibitor or penicillin in combination with metronidazole is the antibiotic regimen of choice for odontogenic deep neck infections, but immunocompromised patients require a broader-spectrum against organisms such as Staphylococcus aureus and enteric gram-negative rods.Chronic sinusitis, otitis, and mastoiditis are the most important causes of parameningeal infection and intracranial suppuration. Computed tomography is the single imaging technique proven to be the most useful for the diagnosis of these conditions. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - accesssurgery.mhmedical.com/content.aspx?aid=1107721092 ER -