Deep Neck Space Infection

Extension of infection from tonsil or oropharynx into deeper tissues e.g. from quinsy

Clinical presentation

Symptoms

  • Sore throat
  • Unwell
  • Limited neck movement

Signs

  • Febrile
  • Trismus
  • Red/tender neck

Management

  • IV access, bloods, fluid rehydration
  • IV antibiotics - co-amoxiclav or clinamycin
  • May need theatre for incision and drainage unless abscess is small and improves with conservative treatment

Complications

  • Infection may extend into medistinum through fascial compartments