Wednesday, March 12, 2008

Adjacent Cellulites

Is outlined in the jaws around the compartment acute inflammation. Cause pathogenesis Adjacent Cellulites common source of infection are the following : 1. Odontogenic infection of the disease the most common cause of the teeth caused by the spread of infection, such as pericoronitis of wisdom tooth, a sharp rheumatoid weeks. Different parts of the tooth infection often leads to different parts of cellulitis. 2. Local organizations such as the lower jaw infection lymphadenitis, facial pains furuncle may cause jaw Cellulites weeks. 3. Concurrent infection after injury. Clinical manifestations Cellulites addition to the general body of the symptoms and partial performance, due to the clearance of anatomical characteristics, there are special clinical performance, will be separately described separately. (1) infraorbital cellulitis (suborbital space infection) infection occurred in the bottom of orbital, and maxillary anterior muscle between local expression. More from the maxillary premolar tooth infection (such as rheumatoid Tsim weeks), but also from the upper lip or nasal infection. Performance of the local area infraorbital redness, pain. Eyelid edema under the eyes to the difficulties. Swollen upper lip, nasolabial disappear. Maxillary anterior vestibular sulcus redness. Can often see the disease investigation teeth. (2) under the masseter Cellulites (under masseter space infection) infection occurred in the mandibular bone or sticks lateral wall and between the masseter, mainly from the lower wisdom tooth pericoronitis with mandibular molars and the Tsim weeks infection. Cellulites in the jaw weeks is more common. The main clinical characteristics of the mandibular angle of the masseter of parotid swelling, pain; As inflammation, masseter muscle spasm in the state, causing the local hard Trismus even trismus; Even if the abscess had formed, Early volatility when not obvious, which is not easy to break and should therefore timely incision. If it can not be ascertained whether the abscess mature biopsy useful for the diagnosis. If the delay treatment, timely incision and drainage, resulting in the spread of the infection may lead to mandibular osteomyelitis. (3) Cellulites lower jaw (submandibular space infection) clinical more common. Infection occurred in submaxillary triangle. Come from the mandibular molar infection, but also by the lower jaw caused lymphadenitis, and the latter in particular was particularly prevalent in children. Performance of the local area and lower jaw swelling, pain, striae disappeared, shiny skin, the lower edge of the mandibular swelling may not significantly. Cellulites serious submaxillary could spread to neighboring space or neck. (4) the end I Cellulites floor of the mouth can be Cellulites mandibular tooth infection, acute tonsillitis. Acute osteomyelitis of the mandible or mouth injuries arising from secondary infection. Although this rare disease, oral and maxillofacial one of the serious infections. Infection end of a number of violations of export clearance. Clinical divided into corruption and purulent necrotic two species, the latter condition is more serious. Inflammation in general began submaxillary or sublingual side, after rapid expansion to the submental and contralateral. When the inflammation spread to the floor of the mouth of the gap, both under the jaw and chin and neck area or even extensive swelling. Head backwards, mouth half a sheet. I can see the mouth end of swelling, tongue crucifixion, tongue movements restricted. Sick language, dysphagia. If swelling spread to the base of the tongue, pharynx oppression, epiglottitis caused breathing difficulties and even suffocation. I end corruption necrotizing cellulitis mainly by the anaerobic, corruption necrotizing bacteria caused the illness progressed rapidly. Systemic poisoning reactions, pulse frequency weak, shortness of breath, severe, there will be no temperature or blood pressure dropped. Local obviously swollen and hard, skin color dishes, palpation can twist pronunciation.

No comments: