深颈部间隙感染课件

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1、DeepNeckSpacesandInfectionsElizabethJ.Rosen,MDByronJ.Bailey,MD4/17/02DeepNeckSpacesandInfectionsAnatomyoftheCervicalFasciaAnatomyoftheDeepNeckSpacesDeepNeckSpaceInfectionsCervicalFasciaSuperficialLayerDeepLayerSuperficialMiddleDeepCervicalFasciaSuperfi

2、cialLayerPlatysmaMusclesofFacialExpressionCervicalFasciaSuperficialLayeroftheDeepCervicalFasciaMusclesSternocleidomastoidTrapeziusGlandsSubmandibularParotidSpacesPosteriorTriangleSuprasternalspaceofBurnsCervicalFasciaMiddleLayeroftheDeepCervicalFasciaM

3、uscularDivisionInfrahyoidStrapMusclesVisceralDivisionPharynx,Larynx,Esophagus,Trachea,ThyroidBuccopharyngealFasciaCervicalFasciaDeepLayerofDeepCervicalFasciaAlarLayerPosteriortoviscerallayerofmiddlefasciaAnteriortoprevertebrallayerPrevertebralLayerVert

4、ebralbodiesDeepmusclesoftheneckCervicalFasciaCarotidSheathFormedbyallthreelayersofdeepfasciaContainscarotidartery,internaljugularvein,andvagusnerve“Lincoln’sHighway”DeepNeckSpacesDescribedinrelationtothehyoidEntirelengthoftheneckSuprahyoidInfrahyoidDee

5、pNeckSpacesEntireLengthofNeck:SuperficialSpaceSurroundsplatysmaContainsareolartissue,nodes,nervesandvesselsSubplatysmalFlapsInvolvedwithcellulitisandsuperficialabscessesTreatwithincisionalongLanger’slines,drainageandantibioticsDeepNeckSpacesEntireLengt

6、hofNeck:RetropharyngealSpacePosteriortopharynxandesophagusAnteriortoalarlayerofdeepfasciaExtendsfromskullbasetoT1-T2DeepNeckSpacesEntireLengthofNeck:DangerSpaceAnteriorborderisalarlayerofdeepfasciaPosteriorborderisprevertebrallayerExtendsfromskullbaset

7、odiaphragmDeepNeckSpacesEntireLengthofNeck:PrevertebralSpaceAnteriorborderisprevertebralfasciaPosteriorborderisvertebralbodiesanddeepneckmusclesExtendsalongentirelengthofvertebralcolumnDeepNeckSpacesEntireLengthofNeck:VisceralVascularSpaceCarotidSheath

8、“Lincoln’sHighway”CanbecomesecondarilyinvolvedwithanyotherdeepneckspaceinfectionbydirectspreadDeepNeckSpacesSuprahyoid:SubmandibularSpaceAnterior/Lateral—mandibleSuperior—mucosaInferior—superficiallayerofdeepfasciaPosterior/Inferior--hy