Buccal space infections: Difference between revisions
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== Background== | ==Background== | ||
*Cellulitis or abscess in buccal space | *Cellulitis or abscess in buccal space | ||
**Space between buccinator and superficial fascia/skin | **Space between buccinator and superficial fascia/skin | ||
| Line 5: | Line 5: | ||
**Maxillary second and third molars most common | **Maxillary second and third molars most common | ||
== Diagnosis== | ==Diagnosis== | ||
*Ovoid cheek swelling with odontogenic disease | *Ovoid cheek swelling with odontogenic disease | ||
*CT not always necessary, but can define abscess | *CT not always necessary, but can define abscess | ||
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{{Facial swelling DDX}} | {{Facial swelling DDX}} | ||
== Treatment== | ==Treatment== | ||
*Parenteral Abx coveral oral flora | *Parenteral Abx coveral oral flora | ||
**Clindamycin,PCN V,third gen cephalosporin | **Clindamycin,PCN V,third gen cephalosporin | ||
*OMFS consult for abscess drainage,if present,and tooth extraction | *OMFS consult for abscess drainage,if present,and tooth extraction | ||
== Disposition== | ==Disposition== | ||
*OMFS/ENT consult | *OMFS/ENT consult | ||
*Admit diabetics,immunocompompromised, discuss others with consultant | *Admit diabetics,immunocompompromised, discuss others with consultant | ||
Revision as of 07:15, 5 July 2016
Background
- Cellulitis or abscess in buccal space
- Space between buccinator and superficial fascia/skin
- Odontogenic source
- Maxillary second and third molars most common
Diagnosis
- Ovoid cheek swelling with odontogenic disease
- CT not always necessary, but can define abscess
Differential Diagnosis
Facial Swelling
- Buccal space infections
- Dental problems
- Canine space infection
- Facial cellulitis
- Herpes zoster
- Masticator space infections
- Maxillofacial trauma
- Neoplasm
- Parapharyngeal space infection
- Salivary gland diagnoses
- Parotitis
- Ranula
- Sialoadenitis
- Sialolithiasis
- Superior vena cava syndrome
Treatment
- Parenteral Abx coveral oral flora
- Clindamycin,PCN 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