Submasseteric abscess: Report of two cases

Leu, Yi-Shing; Lee, Jehn-Chuan; Chang, Ke-Chang

doi:10.1053/ajot.2000.8385

Cited by 14 publications

(10 citation statements)

References 5 publications

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“…The differential diagnosis may include parotitis, parotid gland tumours, masseteric hypertrophy and temporo-mandibular joint disorders. 2 Infection in the infratemporal fossa has been reported arising secondary to fracture of the maxillary antrum and from infection involving maxillary molars. [3][4] We could not find any reports in the literature of infection in the infratemporal fossa arising following extraction of an uninfected upper third molar.…”

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confidence: 99%

Infratemporal and submasseteric infection following extraction of a non-infected maxillary third molar

Gallagher¹,

Marley²

2003

Br Dent J

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A case is described where an otherwise fit young female patient developed a large submasseteric abscess following the uneventful extraction of a non-infected maxillary third molar under local anaesthesia with intravenous sedation. This report highlights the difficulty of clinical diagnosis especially in the early stages of the infection. This case also demonstrates the imaging modalities used to confirm the diagnosis. It is likely that the infection in this case arose in an infratemporal fossa haematoma resulting from reactionary haemorrhage. Careful injection of local anaesthetic with aspiration may prevent this complication arising. This is the first reported case of a submasseteric abscess associated with the extraction of a clinically non-infected maxillary third molar.

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confidence: 99%

Infratemporal and submasseteric infection following extraction of a non-infected maxillary third molar

Gallagher¹,

Marley²

2003

Br Dent J

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“…Due to common failure to preoperatively identify these lesions on CT, the dental and otorhinologic and not radiologic literature primarily dealt with abscesses in this location [10, [21][22][23]. In the present series the submasseteric space was the site of an abscess in ten cases and dealt as a pathway to upwards extension in seven patients.…”

Section: Discussionmentioning

confidence: 87%

Masticator space abscess derived from odontogenic infection: imaging manifestation and pathways of extension depicted by CT and MR in 30 patients

2008

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“…A thorough medical history and clinical examination as well as CT are important tools in the differential diagnosis4. Patients with parotitis usually have a history of recurrent parotid swelling, exacerbated by increased salivary flow9. Trismus is mild with parotitis, whereas marked trismus is a prominent hallmark with a submasseteric space abscess9.…”

Section: Discussionmentioning

confidence: 99%

“…Patients with parotitis usually have a history of recurrent parotid swelling, exacerbated by increased salivary flow9. Trismus is mild with parotitis, whereas marked trismus is a prominent hallmark with a submasseteric space abscess9. Alternative lesions that may cause facial swelling include benign masseteric hypertrophy, venous intramuscular angioma, buccal lymphangioma, superficial parotid tumor, or chronic osteomyeilits10.…”

Section: Discussionmentioning

confidence: 99%

Modified drainage of submasseteric space abscess

Choi

2017

J Korean Assoc Oral Maxillofac Surg

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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.

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Submasseteric abscess: Report of two cases

Cited by 14 publications

References 5 publications

Infratemporal and submasseteric infection following extraction of a non-infected maxillary third molar

Infratemporal and submasseteric infection following extraction of a non-infected maxillary third molar

Masticator space abscess derived from odontogenic infection: imaging manifestation and pathways of extension depicted by CT and MR in 30 patients

Modified drainage of submasseteric space abscess

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