Masticator space infections: Difference between revisions
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==Background== | ==Background== | ||
*Consists of 4 contiguous potential spaces bounded by the muscles of mastication: | |||
**Masseteric, superficial temporal, deep temporal, pterygomandibular | |||
*Bacteria gain entry to the space from dental infections, trauma, surgery, injections | |||
*Spaces communicate with the tissue planes that extend down the neck to the mediastinum | |||
==Clinical Features== | ==Clinical Features== | ||
*Facial swelling and erythema | |||
*Trismus | |||
*Fever, malaise, dysphagia | |||
==Diagnosis== | ==Diagnosis== | ||
*CT with IV contrast | |||
==Differential Diagnosis== | |||
* | |||
==Treatment== | ==Treatment== | ||
*[[Clindamycin]] IV | |||
==Disposition== | ==Disposition== | ||
*Admit | |||
==Source== | ==Source== | ||
Tintinalli | *Tintinalli | ||
[[Category:ENT]] | [[Category:ENT]] | ||
[[Category:ID]] | |||
Revision as of 15:47, 14 January 2015
Background
- Consists of 4 contiguous potential spaces bounded by the muscles of mastication:
- Masseteric, superficial temporal, deep temporal, pterygomandibular
- Bacteria gain entry to the space from dental infections, trauma, surgery, injections
- Spaces communicate with the tissue planes that extend down the neck to the mediastinum
Clinical Features
- Facial swelling and erythema
- Trismus
- Fever, malaise, dysphagia
Diagnosis
- CT with IV contrast
Differential Diagnosis
Treatment
- Clindamycin IV
Disposition
- Admit
Source
- Tintinalli