Buccal space infections: Difference between revisions

m (Rossdonaldson1 moved page Buccal Space Infections to Buccal space infections)
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*Ovoid cheek swelling with odontogenic disease
*Ovoid cheek swelling with odontogenic disease
*CT not always necessary, but can define abscess
*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


== Treatment ==
== Treatment ==

Revision as of 14:41, 14 January 2015

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

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