What are severe complications that could arise from odontogenic infections?
Complications include airway obstruction, mediastinitis, necrotizing fascitis, cavernous sinus thrombosis, sepsis, thoracic empyema, Lemierre’s syndrome, cerebral abscess, orbital abscess, and osteomyelitis. The incidence of these “space infections” has been greatly reduced by modern antibiotic therapy.
How do you treat a dog with space infection?
Parenteral broad-spectrum antibiotic therapy including anaerobic coverage is indicated. Dental or oral surgical consultation for incision and drainage is the most definitive treatment for canine space abscesses. Extraction or endodontic treatment of the involved anterior maxillary teeth is usually necessary.
What are the significant complications of untreated odontogenic infection?
Complications include airway obstruction, mediastinitis, necrotizing fascitis, cavernous sinus thrombosis, sepsis, thoracic empyema, Lemierre’s syndrome, cerebral abscess, orbital abscess, and osteomyelitis. The incidence of these “space infections” has been greatly reduced by modern antibiotic therapy.
Which fascial space infection can cause airway obstruction?
Submandibular space infection is acute cellulitis of the soft tissues below the mouth. Symptoms include pain, dysphagia, and potentially fatal airway obstruction. Diagnosis usually is clinical.
What are odontogenic tumors?
Odontogenic tumors are a group of neoplastic growths that originate from the tissues responsible for tooth formation and the periodontal apparatus of the jaw. Odontogenic tumors usually present as radiolucent defect, which makes diagnosis somewhat confusing while differentiating them from cysts.
How do you drain a deep temporal space infection?
Usually, infections of the temporal space are drained via temporal approach within the hairline making a 45 degree angle to the zygomatic arch.
How do you manage submandibular space infection?
Treatment includes airway management, surgical drainage, and IV antibiotics. Submandibular space infection is a rapidly spreading, bilateral, indurated cellulitis occurring in the suprahyoid soft tissues, the floor of the mouth, and both sublingual and submaxillary spaces without abscess formation.
Is submental space bilateral?
Discussion. Ludwig’s angina is defined by the involvement of specific anatomic spaces (bilateral submandibular, sublingual, and submental spaces). The sublingual spaces are bounded anteriorly and laterally by the mandible, superiorly by the floor of the mouth and tongue, and inferiorly by the mylohyoid muscle.
How is odontogenic pain diagnosed?
There are several simple tests that may assist in diagnosis of dental pain.
- Pulp sensitivity test.
- Percussion test.
- Probing.
- Mobility test.
- Palpation.
- Sinus formation.
- Radiographic examination.
How common are odontogenic tumors?
Individually, of all odontogenic tumors, 75.9% were odontomas. The prevalence of the remaining tumors appears to be a rare occurrence. The second most common was ameloblastoma (11.7%), followed by odontogenic myxoma (2.2%). Odontomas are considered hamartomas or developmental anomalies.
What are the signs and symptoms of empyema?
Symptoms of empyema may include any of the following: The health care provider may note decreased breath sounds or an abnormal sound (friction rub) when listening to the chest with a stethoscope (auscultation). Tests that may be ordered include: The goal of treatment is to cure the infection.
Where does the pus come from in an empyema?
An empyema is a collection of pus in the pleural space, the area between the membranes lining the lungs (pleura).
What are the risk factors for empyema in adults?
Risk factors include pneumonia, iatrogenic intervention in the pleural space, diabetes, and alcohol abuse.
When do you need a chest drain for empyema?
If empyema or a complicated parapneumonic effusion is diagnosed, a chest drain must be inserted urgently. A prolonged course of antibiotics is also required. If patients do not improve with antibiotics and drainage of the pleural space, surgery or fibrinolytics should be considered. Mortality is approximately 15% to 20%.