Management of Parapharyngeal and Retropharyngeal Space Infections

Publication date: Available online 24 August 2017
Source:Operative Techniques in Otolaryngology-Head and Neck Surgery
Author(s): Jo-Lawrence Martinez Bigcas, Kunal Sudhir Jain
Deep neck space infection is a relatively common condition with potentially catastrophic, life-threatening complications. A detailed understanding of the topography of the neck, relationships between compartments of the neck, and the propagation of infection is essential for accurate assessment and formulation of a propitious and timely treatment plan. This chapter focuses on approaches to the deepest spaces in the anterior neck – the parapharyngeal space (PPS) and retropharyngeal space (RPS). Treatment starts with assessment and assurance of a safe, stable airway, broad spectrum intravenous antibiotics, and contrasted imaging to formulate a surgical plan. The PPS and RPS may be approached transorally or transcervically. Sound surgical principles, namely wide incision and dependent drainage, may prevent the further spread and associated morbidity.



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