Masticator space infections

Background

1. Consists of 4 contiguous potential spaces bounded by the muscles of mastication:
   1. Masseteric, superficial temporal, deep temporal, pterygomandibular
2. Bacteria gain entry to the space from dental infections, trauma, surgery, injections
3. Spaces communicate with the tissue planes that extend down the neck to the mediastinum

Clinical Features

1. Facial swelling and erythema
2. Trismus
3. Fever, malaise, dysphagia

Diagnosis

1. CT with IV contrast

Treatment

1. Clindamycin IV

Disposition

1. Admit

Source

Tintinalli