Difference between revisions of "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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==Background==
== Background ==
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*[[Cellulitis]] or [[abscess]] in buccal space
*Cellulitis or abscess in buccal space
 
 
**Space between buccinator and superficial fascia/skin
 
**Space between buccinator and superficial fascia/skin
 
*Odontogenic source
 
*Odontogenic source
 
**Maxillary second and third molars most common
 
**Maxillary second and third molars most common
  
 
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==Evaluation==
== Diagnosis ==
 
 
*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
 
**Parotitis, bacterial or mumps
 
**Neoplasm
 
**Trauma
 
**Facial cellulitis
 
**Canine space infection from infected maxillary canine
 
***Suggested by loss of nasolabial fold
 
 
  
== Treatment ==
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==Differential Diagnosis==
*Parenteral Abx coveral oral flora
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{{Facial swelling DDX}}
**Clindamycin,PCN V,third gen cephalosporin
 
*OMFS consult for abscess drainage,if present,and tooth extraction
 
  
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==Management==
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*Parenteral Antibiotics coveral oral flora
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**[[Clindamycin]], [[Penicillin V]], [[Cephalosporin|3rd gen Cephalosporin]]
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*OMFS consult for [[abscess]] drainage, if present, and tooth extraction
  
== Disposition ==
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==Disposition==
 
*OMFS/ENT consult
 
*OMFS/ENT consult
 
*Admit diabetics,immunocompompromised, discuss others with consultant
 
*Admit diabetics,immunocompompromised, discuss others with consultant
  
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==See Also==
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*[[Salivary Gland Infections]]
  
== Source ==
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==References==
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<references/>
 
*ER Atlas
 
*ER Atlas
 
*Rosen
 
*Rosen
  
 
[[Category:ENT]]
 
[[Category:ENT]]

Latest revision as of 11:39, 10 March 2017

Background

  • Cellulitis or abscess in buccal space
    • Space between buccinator and superficial fascia/skin
  • Odontogenic source
    • Maxillary second and third molars most common

Evaluation

  • Ovoid cheek swelling with odontogenic disease
  • CT not always necessary, but can define abscess

Differential Diagnosis

Facial Swelling

Management

Disposition

  • OMFS/ENT consult
  • Admit diabetics,immunocompompromised, discuss others with consultant

See Also

References

  • ER Atlas
  • Rosen