The Teaching Point

The retropharyngeal space is a deep neck space that has mediastinal extension and is in close proximity with vital neck structures such as the airway, great vessels of the neck, and epidural space; and therefore is associated with various detrimental complications. Contrast enhanced CT or MRI can be performed for its evaluation, and a retropharyngeal abscess usually presents as a rim enhancing fluid collection with oval or rounded configuration, symmetrically and bilaterally involving the retropharyngeal space and causing mass effect.






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From the manuscript

Wisdom Tooth`s Revenge: Retropharyngeal Abscess and Mediastinitis after Molar Tooth Extraction

Free full text article: Wisdom Tooth`s Revenge: Retropharyngeal Abscess and Mediastinitis after Molar Tooth Extraction

Abstract
Retropharyngeal abscess is potentially associated with high morbidity and mortality as a result of its direct anatomical connection with the mediastinum. Therefore, knowledge of the relevant anatomy is essential for recognizing the presence and extent of disease in a timely manner. In this case report, we aim to review the pertinent anatomy and patterns of spread of infection from a full blown deep neck space infection to result in mediastinitis and empyema.






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