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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
