Modified drainage of submasseteric space abscess

Abstract

Once a submasseteric space infection is diagnosed, the key to resolving the infection is via surgical intervention to evacuate the pus. Although it is possible and occasionally practical to drain the submasseteric space via an intraoral approach, an extraoral approach may sometimes be required. Surgeons have encountered complications such as facial nerve damage during extraoral incision and drainage procedures, and they have felt that extraoral dissection was very difficult. As such, an easier and simpler technique is needed. Our department recently modified various drainage techniques for submasseteric space abscesses. Damage to the marginal branch of the facial nerve did not occur, and this technique was very simple and rapid, such that a novice physician could perform this procedure. This modified technique was possible with trismus and under local anesthesia. After intraorally checking the position of the drain, the intraoral wound is closed with an absorbable suture and the drain is fixed to the extraoral skin. When a masseteric space infection is diagnosed, multiple space involvement is ruled out, and dependent drainage is required, this modified drainage technique can be useful.

Acute sialoadenitis of the submandibular salivary glands and acute inflammation of the submandibular lymph nodes. A review article

“…In the presence of sialolith in the duct of the submandibular gland, an incision is made on the latter and the sialolith is removed. For a sialolith in the parenchyma of the gland, one usually waits until the acute inflammatory condition is controlled and then the entire gland is removed (total sialadenectomy) together with the sialolith in it (18,52).…”

Abscesso Odontogênico de Grandes Proporções em Região Submandibular Esquerda: Relato de Caso

“…Deve ser considerada a importância de um diagnóstico preciso, de forma que evite progressão da infecção, e consequentemente, alcance quadro de sepse e atinja regiões como mediastino e vias aéreas, logo, progredindo para maior índice letal 1 . Concomitante, o diagnóstico deve ser executado através da anamnese e avaliação no exame clínico, além disso, deve ser considerado que o retardo para identificar sinais e sintomas no exame clínico são determinantes para avanço da infecção, assim, sendo necessário considerar presença de hipertermia corporal, letargia, edema, eritema, trismo, alterações na voz e sensibilidade à palpação 2,5,6 . Por fim, uma vez que o paciente manifesta evolução da infecção, há necessidade de ser atendido em ambiente hospitalar.…”