Diferencia entre revisiones de «Buccal space infections»
(Created page with " == Background == *Cellulitis or abscess in buccal space **Space between buccinator and superficial fascia/skin *Odontogenic source **Maxillary second and third molars most commo...") |
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| Línea 11: | Línea 11: | ||
*CT not always necessary, but can define abscess | *CT not always necessary, but can define abscess | ||
*Differential | *Differential | ||
**Parapharyngeal space infxn | |||
***Swelling of neck and jaw angle,dysphagia,drooling,trismus,nuchal rig | |||
**Parotitis, bacterial or mumps | **Parotitis, bacterial or mumps | ||
**Neoplasm | **Neoplasm | ||
| Línea 17: | Línea 19: | ||
**Canine space infection from infected maxillary canine | **Canine space infection from infected maxillary canine | ||
***Suggested by loss of nasolabial fold | ***Suggested by loss of nasolabial fold | ||
== Treatment == | == Treatment == | ||
Revisión del 15:57 11 sep 2011
Background
- Cellulitis or abscess in buccal space
- Space between buccinator and superficial fascia/skin
- Odontogenic source
- Maxillary second and third molars most common
Diagnosis
- Ovoid cheek swelling with odontogenic disease
- CT not always necessary, but can define abscess
- Differential
- Parapharyngeal space infxn
- Swelling of neck and jaw angle,dysphagia,drooling,trismus,nuchal rig
- Parotitis, bacterial or mumps
- Neoplasm
- Trauma
- Facial cellulitis
- Canine space infection from infected maxillary canine
- Suggested by loss of nasolabial fold
- Parapharyngeal space infxn
Treatment
- Parenteral Abx coveral oral flora
- Clindamycin,PCN V,third gen cephalosporin
- OMFS consult for abscess drainage,if present,and tooth extraction
Disposition
- OMFS/ENT consult
- Admit diabetics,immunocompompromised, discuss others with consultant
Source
- ER Atlas
- Rosen