Infra - Temporal &amp;Temporal Abscess – Retrograde Infection from Mandibular Molars

Pillai, Dr Ajay Kumar; Kulkarni, DrParimala; Moghe, Dr Swapnil; Vishnu, Dr Vineesh; Yadav, Dr SaurabhDhanraj; Dastagir, Dr Syed Saquib

doi:10.9790/0853-131169699

Cited by 3 publications

(4 citation statements)

References 5 publications

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“…2 Leventhal et al and others advocated the possible complications of the temporoparietal region due to spread of infection along different routes, which are necrotizing fasciitis, descending mediastinitis, respiratory obstruction, pericarditis, brain abscess, sepsis, and orbital involvement. [16][17][18]…”

Section: Discussionmentioning

confidence: 99%

A rare case of temporal and infratemporal space abscess secondary to masseteric space infection

Narayana

Gaur

Chaithanya

et al. 2020

Int J Otorhinolaryngol Head Neck Surg

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Abscess in the temporal and infratemporal space are very rare. They develop as a result of the extraction of infected maxillary molars. Temporal space infections or abscess can be seen in the superficial or deep temporal regions. A 27year-old lady who had undergone extraction of 2nd mandibular molar five days ago came with complaints of painful swelling over left cheek and restricted mouth opening. On examination, an ill-defined diffuse parotid swelling was seen and treated with empirical antibiotics for which patient didn't respond. On examination, a diffuse hourglass swelling was seen extending from left parotid region to temporal region. CT scan revealed a bulky parotid gland with abscess involving parotid, masticator, infratemporal and temporal scalp region with reactive cervical lymphadenopathy on the left side. Surgical drainage of the abscess was done from the temporal space; subsequently, all other space abscess resolved. On conclusion, masseteric space infection leads to infratemporal and temporal space abscess as they communicate. Drainage of abscess from temporal space is adequate to resolve the abscess from other masticator spaces.

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Section: Discussionmentioning

confidence: 99%

A rare case of temporal and infratemporal space abscess secondary to masseteric space infection

Narayana

Gaur

Chaithanya

et al. 2020

Int J Otorhinolaryngol Head Neck Surg

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“…6 However, combined abscess of the temporoparietal and infratemporal fossa complicating dental extraction are rarer still with even fewer references. 1,4 Since the infratemporal space is a relatively closed space, an abscess of this region rarely causes a visible swelling. Hence an isolated infection of the infratemporal space is a difficult condition to diagnose.…”

Section: Discussionmentioning

confidence: 99%

“…7 The possible complications of this condition include necrotizing fasciitis, respiratory obstruction, descending mediastinitis, pericarditis, brain abscess, orbital involvement and sepsis. 2,4,5 Therefore, the clinician must always consider this condition in the differential diagnosis whenever a patient presents with excessive local pain and trismus following recent history of odontogenic infection, dental extraction, maxillary trauma etc. Associated features of raised total leukocyte count, neutrophilia and raised CRP levels even in the absence of obvious local swelling should raise further suspicion.…”

Section: Discussionmentioning

confidence: 99%

“…2 A search of the available literature reveals that although it is a recognized clinical entity, only a handful of cases of abscess involving the temporoparietal and infratemporal fossa have been reported till date. 3,4 Signs & symptoms of this condition may be very nonspecific in nature leading to confusion in diagnosis and it can progress to certain life threatening complications if left untreated. 5 We present a case report of a patient with temporoparietal and infratemporal fossa abscess following molar extraction of the lower jaw.…”

Section: Probal Chatterji 1 Isha Goyalmentioning

confidence: 99%

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Temporoparietal and Infratemporal fossa abscess as a complication of dental extraction – a rare and potentially lethal condition

Chatterji

Goyal

2018

Asian J Med Sci

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Abscesses of the infratemporal fossa are rare in clinical practice. Usually it occurs as a complication of odontogenic infections, dental extraction, sinusitis and trauma. The initial signs & symptoms of this condition may be very non-specific in nature. If treatment is delayed, the abscess may extend superiorly to involve the temporoparietal region and only then it can be appreciated clinically. A middle aged male patient presented to us with the complaint of restricted mouth opening along with extensive swelling of the temporoparietal region. There was past history of tooth extraction. MRI scan confirmed it to be a case of temporoparietal & infratemporal fossa abscess with features of osteomyelitis of the ramus and adjacent body of the mandible on the right side. The patient was started on parenteral antibiotics and subsequently the abscess was drained by combined external and intraoral approach. The patient had an uneventful recovery. A thorough review of the literature has been done in relation to this condition and its management. A delay in diagnosis of this condition can lead to a number of potentially lethal complications. CT scan and MRI scan are the best modalities for confirming the diagnosis in suspected cases. Prompt drainage of the abscesses under antibiotic cover is the cornerstone of management. Isolated abscess of the infratemporal fossa may be drained intraorally or endoscopically by trans-maxillary approach. However if the temporoparietal region is also involved, a combined approach with a separate incision over the temporal region is indicated.Asian Journal of Medical Sciences Vol.9(4) 2018 57-60

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Odontogenic Infection of the Infratemporal Fossa: A Diagnostic Challenge

Paul,

Bawor-Omatseye,

Page

2024

Dent Update

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The infratemporal fossa (IF) is an important anatomical space that carries vital neurovascular structures within it. The formation of an abscess in the IF, particularly of odontogenic aetiology, is rare. It can pose a diagnostic challenge due its uncommon presentation and can be life-threatening with delayed treatment. We present an unusual case of an IF abscess in an otherwise healthy female patient. Due to the rising difficulty accessing emergency NHS dental services, the untimely diagnosis and management of odontogenic infections may lead to similar scenarios. CPD/Clinical Relevance: It is important that clinicians have good knowledge of the anatomy of fascial spaces and be aware of signs and symptoms of spreading infections.

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Infra - Temporal &Temporal Abscess – Retrograde Infection from Mandibular Molars

Cited by 3 publications

References 5 publications

A rare case of temporal and infratemporal space abscess secondary to masseteric space infection

A rare case of temporal and infratemporal space abscess secondary to masseteric space infection

Temporoparietal and Infratemporal fossa abscess as a complication of dental extraction – a rare and potentially lethal condition

Odontogenic Infection of the Infratemporal Fossa: A Diagnostic Challenge

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