Suppuration in the adult Lincoln’s highway-surgeon’s dilemma

Authors

  • Manish Munjal Department of ENTHNS, Dayanand Medical College Ludhiana, Punjab, India
  • Shubham Munjal Department of ENTHNS, Dayanand Medical College Ludhiana, Punjab, India
  • Vandana Midha Department of Medicine, Dayanand Medical College Ludhiana, Punjab, India
  • Vineeta Arora Department of Obstetrics and Gynaecology, GTB Hospital Ludhiana, Punjab, India
  • Hardeep Kaur Department of ENTHNS, Dayanand Medical College Ludhiana, Punjab, India
  • Shivam Talwar Department of ENTHNS, Dayanand Medical College Ludhiana, Punjab, India
  • Gurleen Department of Anaesthesiology, Dayanand Medical College Ludhiana, Punjab, India
  • Lovleen Sandhu Department of ENTHNS, Dayanand Medical College Ludhiana, Punjab, India
  • Akshita Department of Anaesthesiology, Dayanand Medical College Ludhiana, Punjab, India
  • Anurima Arora Department of ENTHNS, Dayanand Medical College Ludhiana, Punjab, India
  • Iti Bharadwaj Department of ENTHNS, Dayanand Medical College Ludhiana, Punjab, India
  • Devambika Mehta Department of ENTHNS, Dayanand Medical College Ludhiana, Punjab, India

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20230772

Keywords:

Carotid space, Lincoln highway, Suppuration

Abstract

The carotid sheath enclosing the common carotid artery, internal jugular vein, vagus and the deep jugular lymph nodes continues around the vessels of the superior mediastinum. This sheath formed by the investing fascia, prevertebral fascia and the pre-tracheal fascia is captioned the Lincoln s highway. Suppurative pathology of the Lincoln highway presents as a vertical swelling at the anterior border of the sternomastoid. USG, CT and MRI confirms the diagnosis and prompts surgical intervention and thus prevents intra thoracic spread with its morbidity and mortality.

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Published

2023-03-28

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Section

Case Reports