Buccal space infections: Difference between revisions
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== Background == | == Background == | ||
*Cellulitis or abscess in buccal space | *Cellulitis or abscess in buccal space | ||
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*Odontogenic source | *Odontogenic source | ||
**Maxillary second and third molars most common | **Maxillary second and third molars most common | ||
== Diagnosis == | == Diagnosis == | ||
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**Clindamycin,PCN V,third gen cephalosporin | **Clindamycin,PCN V,third gen cephalosporin | ||
*OMFS consult for abscess drainage,if present,and tooth extraction | *OMFS consult for abscess drainage,if present,and tooth extraction | ||
== Disposition == | == Disposition == | ||
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*Admit diabetics,immunocompompromised, discuss others with consultant | *Admit diabetics,immunocompompromised, discuss others with consultant | ||
==See Also== | |||
*[[Salivary Gland Infections]] | |||
== Source == | == Source == | ||
Revision as of 00:46, 18 December 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
See Also
Source
- ER Atlas
- Rosen