13:25,11,Sep,2011 | (911/0/0) | Original

masseteric space infection


Oral examination of medical practitioners will encounter on some of the problems masseter space infection, the following is medical knowledge | education network collected more for your reference:
Gap in the masseter muscle and the masseter Mandibular lateral bone wall between. In the masseter muscle and ramus broad closely attached to the corner, so the potential gap exists in the masseter muscle on the mandibular branch of the outer part of the Medical Section. Science Education Network Collection, by fat, connective tissue and cheek, the temporal, the wing lower jaw, connected to the temporal gap. Masseteric space is the most common maxillofacial space infections.
1. Infection mainly from the mandibular wisdom tooth crown Zhou Yan and periapical mandibular molar spread into the masseter muscle gap; also be derived from the mucosa of the retromolar triangle of infection; adjacent space, such as the spread of the infratemporal space infection ; medicine. Science Education Network Collecting occasionally affected persons due to suppurative parotitis.
2. Masseteric space infection clinical features are typical symptoms of mandibular angle per jaw support and the center of the masseter muscle area swelling, redness, tenderness with significant limitation of mouth opening. Masseter muscle hypertrophy as a solid, abscess, ulceration itself is difficult, not easy to touch the sense of volatility. If inflammation in a week or more, limitations or tenderness pitting edema, the puncture pus should line incision and drainage, or pus due to the long accumulation of Medicine. Science Education Network collected more easy to form the edge of the mandible branch l osteomyelitis.
3. Cellulitis treatment of masseteric space other than by systemic antibiotics, the local physical therapy or external application of Chinese medicine can be used; once the abscess drainage should be timely. Masseteric space abscess incision and drainage channels, although within the wing from the mouth of the outer jaw slightly open folds, separation into the abscess drainage, but until the abscess drainage were often, poor posture milk flow, inflammation difficult to control, marginal chance of occurrence of a corresponding increase in osteomyelitis. Therefore, the clinical pathway used extraoral incision and drainage. Extraoral incision placed around the posterior margin of ramus mandibular angle from the lower edge of the next award 2cm incision, incision length of 3 ~ 5cm, cut layer by layer subcutaneous tissue, platysma, and part of the masseter muscle attachment in the mandibular angle, with periosteal stripping device, starting from the bone surface, burst into the abscess pushed, leads to pus filled saline gauze after washing abscess drainage. When you take away the next day for dressing gauze, or rubber strips for drainage hoses. If the formation of the edge of osteomyelitis, the medical. Collecting pus Education Network after the reduction should be imp
lemented early sequestrum curettage, surgery removed the bone surface, in addition to focusing sequestrum and should not ignore the masseter muscle surface under the periosteum attached to the death Small fragments of bone and necrotic tissue to facilitate the early wound healing.
Mitigation or control of masseteric space infection, it should be caused by infection in early lesions of dental treatment or extraction.
masseteric space infection

Masseteric space infection should be treated?
When the gap masseter cellulitis addition to systemic antibiotics, the locally and physical therapy or topical medicine; Once the abscess drainage should be timely, masseteric space abscess incision and drainage channels, although within the wing from the mouth of the lateral mandibular folds cut a little On separation into the abscess cavity drainage, but often in the abscess before drainage port on the copies, poor postural drainage, inflammation difficult to control, place the edge of a corresponding increase in the chance of osteomyelitis, therefore, commonly used in clinical extraoral incision and drainage channels , extraoral incision from the posterior margin of ramus around the mandibular angle, at 2cm from the edge of the submandibular incision, the incision is about 3 ~ 5cm, cut layer by layer subcutaneous tissue, platysma, and the masseter muscle at the mandibular angle area of the part of the Reattachment with periosteal stripper, played by the bone surface, burst into the abscess pushed, leads to pus, fill after flushing saline gauze abscess drainage (Figure 1), take away the next day when the exchange of gauze dressings, rubber hoses for home or rubber band drain, if the formation of marginal osteomyelitis, after the reduction in the pus should be implemented early sequestrum curettage, surgery removed the bone surface, in addition to focusing sequestrum and should not ignore the masseter muscle under the surface attachment of periosteum sequestrum small pieces and necrotic tissue to facilitate the early wound healing.
Mitigation or control of masseteric space infection, it should be introduced early on to treat infections of the lesions in teeth or removed.
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Masseteric space abscess extraoral incision and drainage
Masseteric space infection disease name: masseteric space infection (purulent infection masseter gap) affiliated sites: oral treatment sections: the dental signs and symptoms: fever, oral pain, nodules, cysts masseteric space infection Introduction
Masseter masseteric space infection is the gap purulent infection, the main clinical manifestation is the masseter musc
le as the center of the acute inflammatory swelling, throbbing, tenderness knowledge masseter masseteric space infection the cause of space infection: masseter muscle gap ( massetericspace) . masseter masseteric space infection in the symptoms: 1. a history of acute suppurative mandibular wisdom teeth pericoronitis history. 2. Masseteric space infection of clinical examination: blood test: WBC count increased, neutrophil percentage increased. Masseteric space infection in the differential diagnosis: with the mumps, tonsillitis phase identification. Abrupt onset of mumps. More . masseteric space infection prevention: Prevention: infections should be introduced early lesions of dental treatment or extraction. Masseteric space infection complications: may be associated with temporal, parotid masseter muscle area, upper cheek and mouth area of the swollen nodes . the treatment of masseteric space infection: cellulitis, inter masseteric space systemic antibiotics, the locally and material .
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