Buccal space infections
Revision as of 15:49, 11 September 2011 by Russellm77 (talk | contribs) (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...")
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
- Parotitis, bacterial or mumps
- Neoplasm
- Trauma
- Facial cellulitis
- Canine space infection from infected maxillary canine
- Suggested by loss of nasolabial fold
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