Waterloo organization jaw Feng Zhou Yan

Cellulites outlined Adjacent is the mandible occurred around compartment of acute inflammation. In the mandibular around within the respective masticatory muscles and other muscle and facial expression. Between these muscles, muscle and jaw full of loose connective tissue, forming some potential gap. Because of the different anatomical parts, the gap has a specific name, such as clearance under the masseter muscle, lower jaw and other space. These infections invasion site, they can occur Adjacent cellulitis or space infection. If not promptly treated, or improperly treated, can be spread to other space, or even give rise to serious systemic complications. 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. Treatment 1. Systemic therapy primarily to improve the body, enhance immunity and use of antibiotics to control the infection. If a serious condition, the use of two or more antibiotics in combination, the need for intravenous administration. May, under the dialectical theory of the principles of governance given they did, antitoxin, clears the swelling Heals bruises and other medicine. 2. Local therapy available early local inflammatory therapy, and topical inflammatory herbs such as promoting absorption. Abscess formation should be timely incision. Incision, incision drainage should be conducive to the site, to avoid damage to the nerves, blood vessels, pipelines and other important structures, parts of concealment and as far as possible consistent with the striae. Acute inflammation in the control of dental disease application processed further. Cellulites different parts of the clinical manifestations and treatment characteristics (1) inferior orbital cellulitis (suborbital space infections) (Infe ction of the Infraorbital Space) infection occurred in the bottom of Orbital, maxillary anterior muscle and local expressions between (Figure 3 -17). 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 (Map 13). Maxillary anterior vestibular sulcus redness. Can often see the disease investigation teeth. Incision points : in general the mouth of the maxillary canine vestibular bottom groove for transverse incision, as deep as bone to bone canine separation of Au, to achieve drainage (Figure 3 -18). Figure 3 -17 Cellulites infraorbital the site map 3-18 Cellulites incision and drainage of the infraorbital incision (2) under the masseter Cellulites (under masseter space infection) (Infection of the Submasseteri Space c) infection occurred in the mandibular bone or sticks lateral wall and between the masseter (Figure 3 -19). 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. Incision points : the mandibular angle under 1.5-2cm Department for the mandible and parallel to the curved incision about 3-5cm. Layered incision skin, subcutaneous tissue and platysma. Then upward exposed the lower edge of the mandible, to avoid injury to the facial nerve and the marginal mandibular branch of the parotid gland. Mandibular incision under the edge of the masseter muscle attachment, in the long curved vascular clamp close mandibular lateral separation leads upward Pott. placed drainage (Figure 3 -20). Figure 3 -19 masseter cellular organization under the site plan under 3-20 masseter Cellulites Incision (3) Cellular organization submaxillary Yan (submandibular space infections) (Infection of the submaxillary Spac e) 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 (Map 14). Cellulites serious submaxillary could spread to neighboring space or neck. Map 13 infraorbital cellulitis (left), Map 14 infraorbital cellulitis (right) incision and drainage points : mandibular margin of about 2 cm, and for the lower edge parallel mandibular Incision skin, subcutaneous tissue and platysma. Vascular clamp separation drainage. Prevent injury to the facial nerve marginal mandibular branch (Figure 3 -21). Figure 3 -21 submaxillary Cellulites Incision (4) I end cellulitis (Cellulitis of Flo or of the Mouth) from the floor of the mouth 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. Treatment of points : the disease as a major threat to local and systemic poisoning affect airways. If not promptly correct treatment could endanger patient lives, it should actively adopt comprehensive measures. Systemic Joint large doses of antibiotics, maintaining water and electrolyte balance, and enhance patient resistance, partial to the timely incision. drainage from the incision is usually the opposite side of the lower jaw and lower jaw, if necessary, be assisted chin incision layer incision, I cut off the bottom part of muscle to lobby Vomica placed drainage (Figure 3 -22). I end corruption sexual Cellulites can also use up oxygen as 1 -35 agent hydrogen peroxide fluid or a : 5000 potassium permanganate solution and rinse wet dressing wounds. Any serious breathing difficulties, we should make tracheotomy to ensure smooth breathing. Figure 3 -22 mouth Incision Cellulites