Simple Carotid Space Abscess

Infections of the deep neck area are often polymicrobial, representing the normal resident flora of the contiguous mucosal surfaces from where the infection developed. The resident flora of the oral cavity, upper respiratory tract, and specific areas of the ears share many similar organisms due to their close anatomical links. All patients with carotid space abscess should undergo an assessment for possible airway obstruction. For those who have evidence of airway impingement, maintenance of an adequate airway is a primary and urgent management issue. Needle aspiration should be avoided especially by less trained persons. Small abscesses may respond to intravenous antibiotics but when frank and large abscess is formed, incision and drainage is the treatment of choice.