Abstract

A review of available literature 1 disclosed no reference to the use of penicillin in the treatment of patients with infections involving the fascial compartments of the neck. Many writers have described the cervical fascial layers, their attachments, the spaces formed, the intercommunications of these and, finally, their communication with the mediastinum by means of so-called fascial planes. 2 Suffice it to say that the most frequent locations for the collection of infection, and those of most interest to the surgeon, are (1) the retropharyngeal space, (2) the lateral pharyngeal, parapharyngeal or pharyngomaxillary space and (3) the submandibular space. All these spaces in the normal state are potential; they become distended only under pathologic conditions. The retropharyngeal space lies posterior to the pharynx, between the posterior pharyngeal wall and the prevertebral fascia. Simple abscesses occur here most frequently in infancy and early childhood, the focus of infection usually being in the pharynx

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