Masticator space infections

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

Treatment

• Clindamycin IV

Disposition

• Admit

Source

• Tintinalli