Bezold abscess
Disclosures
- updated 18 Nov 2022:
Nothing to disclose
Updates to Article Attributes
Body
was changed:
A Bezold abscess is a complication of acute otomastoiditis where the infection erodes through the cortex medial to the attachment of the sternocleidomastoid muscle, at the attachment site of the posterior belly of the digastric muscle, and extends into the infratemporal fossa. It is impalpable because it is deep to the investing layer of the deep cervical fascia that envelops the sternocleidomastoid muscle and trapezius muscle1.
As the mastoid air cells pneumatise late in childhood, a Bezold abscess is seen usually in the adult population where the overlying cortex is thinner1.
Due to the proximity to the internal jugular vein, internal jugular vein thrombosis is a recognised complication1.
History and etymology
This condition is named after Friedrich Bezold, German otologist (1842-1908)2.
-<p>A <strong>Bezold abscess</strong> is a complication of <a href="/articles/acute-mastoiditis">acute otomastoiditis</a> where the infection erodes through the cortex medial to the attachment of the <a href="/articles/sternocleidomastoid-muscle">sternocleidomastoid muscle</a>, at the attachment site of the posterior belly of the <a href="/articles/digastric-muscle">digastric muscle</a>, and extends into the <a href="/articles/infratemporal-fossa">infratemporal fossa</a>. It is impalpable because it is deep to the investing layer of the <a href="/articles/deep-cervical-fascia">deep cervical fascia</a> that envelops the <a href="/articles/sternocleidomastoid-muscle">sternocleidomastoid muscle</a> and <a href="/articles/trapezius-muscle">trapezius muscle</a>.</p><p>As the <a href="/articles/mastoid-air-cells">mastoid air cells</a> pneumatise late in childhood, a Bezold abscess is seen usually in the adult population where the overlying cortex is thinner.</p><p>Due to the proximity to the <a href="/articles/internal-jugular-vein">internal jugular vein</a>, <a href="/articles/internal-jugular-vein-thrombosis">internal jugular vein thrombosis</a> is a recognised complication.</p><h4>History and etymology</h4><p>This condition is named after <strong>Friedrich Bezold</strong>, German otologist (1842-1908).</p>- +<p>A <strong>Bezold abscess</strong> is a complication of <a href="/articles/acute-mastoiditis">acute otomastoiditis</a> where the infection erodes through the cortex medial to the attachment of the <a href="/articles/sternocleidomastoid-muscle">sternocleidomastoid muscle</a>, at the attachment site of the posterior belly of the <a href="/articles/digastric-muscle">digastric muscle</a>, and extends into the <a href="/articles/infratemporal-fossa">infratemporal fossa</a>. It is impalpable because it is deep to the investing layer of the <a href="/articles/deep-cervical-fascia">deep cervical fascia</a> that envelops the <a href="/articles/sternocleidomastoid-muscle">sternocleidomastoid muscle</a> and <a href="/articles/trapezius-muscle">trapezius muscle</a> <sup>1</sup>.</p><p>As the <a href="/articles/mastoid-air-cells">mastoid air cells</a> pneumatise late in childhood, a Bezold abscess is seen usually in the adult population where the overlying cortex is thinner <sup>1</sup>.</p><p>Due to the proximity to the <a href="/articles/internal-jugular-vein">internal jugular vein</a>, <a href="/articles/internal-jugular-vein-thrombosis">internal jugular vein thrombosis</a> is a recognised complication <sup>1</sup>.</p><h4>History and etymology</h4><p>This condition is named after <strong>Friedrich Bezold</strong>, German otologist (1842-1908) <sup>2</sup>.</p>
References changed:
- 1. Castillo M, Albernaz V, Mukherji S, Smith M, Weissman J. Imaging of Bezold's Abscess. AJR Am J Roentgenol. 1998;171(6):1491-5. <a href="https://doi.org/10.2214/ajr.171.6.9843276">doi:10.2214/ajr.171.6.9843276</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/9843276">Pubmed</a>
- 2. Winters R, Hogan C, Lepore M, Geiger Z. Bezold Abscess. 2022. - <a href="https://www.ncbi.nlm.nih.gov/pubmed/28613775">Pubmed</a>
- 1. Swartz JD, Loevner LA. Imaging of the Temporal Bone. Thieme. (2009) ISBN:1588903451. <a href="http://books.google.com/books?vid=ISBN1588903451">Read it at Google Books</a> - <a href="http://www.amazon.com/gp/product/1588903451">Find it at Amazon</a><span class="ref_v3"></span>
- 2. Castillo M, Albernaz V, Mukherji S, Smith M, Weissman J. Imaging of Bezold's Abscess. AJR Am J Roentgenol. 1998;171(6):1491-5. <a href="https://doi.org/10.2214/ajr.171.6.9843276">doi:10.2214/ajr.171.6.9843276</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/9843276">Pubmed</a>
Unable to process the form. Check for errors and try again.