Buccal space infections

Revision as of 12:09, 8 September 2016 by Rossdonaldson1 (talk | contribs) (Text replacement - "PCN " to "penicillin ")

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

  • Parenteral Antibiotics coveral oral flora
    • Clindamycin,penicillin 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

References

  • ER Atlas
  • Rosen