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  • Retropharyngeal Space.

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    Shraavya Shivananda
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    This document discusses the anatomy and causes of retropharyngeal abscesses. It describes the retropharyngeal space as being bounded anteriorly by the buccopharyngeal fascia, posteriorly by the prevertebral fascia, superiorly by the base of the skull, and inferiorly by the bifurcation of the trachea. It contains retropharyngeal lymph nodes that drain the nasal cavities, nasopharynx, and auditory tubes. Acute retropharyngeal abscesses are usually caused by infections in the adenoids, nasopharynx, or sinuses, while chronic abscesses are often tuberculous in nature. Symptoms include dysphagia, difficulty breathing,

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    This document discusses the anatomy and causes of retropharyngeal abscesses. It describes the retropharyngeal space as being bounded anteriorly by the buccopharyngeal fascia, posteriorly by the prevertebral fascia, superiorly by the base of the skull, and inferiorly by the bifurcation of the trachea. It contains retropharyngeal lymph nodes that drain the nasal cavities, nasopharynx, and auditory tubes. Acute retropharyngeal abscesses are usually caused by infections in the adenoids, nasopharynx, or sinuses, while chronic abscesses are often tuberculous in nature. Symptoms include dysphagia, difficulty breathing,

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    © All Rights Reserved
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    65 views18 pages

    Retropharyngeal Space.

    Uploaded by

    Shraavya Shivananda
    This document discusses the anatomy and causes of retropharyngeal abscesses. It describes the retropharyngeal space as being bounded anteriorly by the buccopharyngeal fascia, posteriorly by the prevertebral fascia, superiorly by the base of the skull, and inferiorly by the bifurcation of the trachea. It contains retropharyngeal lymph nodes that drain the nasal cavities, nasopharynx, and auditory tubes. Acute retropharyngeal abscesses are usually caused by infections in the adenoids, nasopharynx, or sinuses, while chronic abscesses are often tuberculous in nature. Symptoms include dysphagia, difficulty breathing,

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
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    of 18

    RETROPHARYNGEAL

    SPACE
    ANATOMY:
    ANATOMY
     Anterior: Buccopharyngeal fascia
     Posterior: Prevertebral fascia.
     Superior: Base of Skull
     Inferior: Bifurcation of Trachea.
     Sides: Carotid sheath.
    2 Lateral Spaces: Spaces of Gillette
     Contents: Retropharyngeal Lymph Nodes.

    a) Afferent:nasal
    cavities,nasopharynx,auditory tube
    b) Efferent: superior deep cervical lymph
    nodes
    c) 3-4 years -regress
     Parapharyngeal space

    communicates.
     infections pass down

    into mediastinum.
    ACUTE RETROPHARYNGEAL
    ABSCESS
    ETIOLOGY:
    Secondary to infection in
    adenoids, nasopharynx,
    post.nasalsinuses or nasal cavity
    Adults-penetrating injury of
    post pharyngeal wall or cervical
    esophagus
    Pus from acute mastoiditis
    Clinical Features

     Dysphagia and difficulty in


    breathing.
     Stridor and croupy cough.
     Torticollis.
     Bulge in post.pharygeal wall.
    INVESTIGATIONS:
     Radigraph(X-RAY)
     Contrast enhanced CT
    Treatment:
     Incisionand Drainage of abscess
     Systemic Antibiotics.
     Tracheostomy.
    CHRONIC RETROPHARYNGEAL
    ABSCESS
     Alsoknown as ‘Prevertebral
    Abscess’.
     Tubercular in nature.
    Etiology
     Caries of cervical spine.
     Central,behind prevertebral fascia
     Tuberculousinfection of
    retropharyngeal lymph nodes
    secondary to TB of deep cervical
    nodes.
     One side of midline, true
    retropharygeal abscess
    Clinical Features:
     Discomfort in the throat
     Dysphagia
     Post pharyngeal wall shows a
    fluctuant swelling.
     Tuberculous lymph nodes.
    Investigations:
     X-RAYs
    Treatment
     Incision and Drainage of abscess.
    •Low abscess-ant border of SCM
    • High abscess-post border of SCM
    Antitubercular drugs.
    THANKYOU

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