Abstract
The masticator space is a deep facial space which is centered on the mandibular ramus and outlined by the superficial layer of the deep cervical fascia. A masticator space abscess commonly represents an advanced stage of an odontogenic infection indicated by facial pain, swelling and trismus. Masticator space abscess may have a life threatening prognosis if they are not diagnosed and treated properly. They are very rarely seen and published infections in the literature, which make their diagnosis more important. Due to difficulty of physical examination of the region, the value of computed tomography or magnetic resonance investigation on diagnosis of masticator space abscess is important. This report describes two cases of masticator abscess who came to the clinic with trismus and facial pain complaints and both were surgically drained and postoperatively administered with antibiotics
References
- Kim HJ, Park ED, Kim JH. Odontogenic versus non-odontogenic deep neck space infections. J Comput Assist Tomogr 1997,21:202–208
- Schuknecht B, Stergiou G, Graetz K. Masticator space abscess derived from odontogenic infection: imaging manifestation and pathways of extension depicted by CT and MR in 30 patients. Eur Radiol. 2008 Sep;18(9):1972-9.
- Faye N, Lafitte F, Williams M, Guermazi A, Sahli-Amor M, Chiras J, Dion E. The masticator space: from anatomy to pathology. J Neuroradiol. 2009 Jun;36(3):121-30.
- Hasegawa T, Shibuya Y, Kuroki S, Takeuchi J, Yokoo S, Umeda M, Komori T. Two cases of masticator space abscess initially diagnosed as temporomandibular joint disorder. Kobe J Med Sci. 2008 Jul 18;54 pp. 163-168
- Megran DW, Scheifele DW, Chow AW. Odontogenic infections. Pediatr Infect Dis 1984, 3:258–265
- Galli F, Flor N, Villa C, Franceschelli G, Pompili G, Felisati G, Biglioli F, Cornalba GP. The masticator space. Value of computed tomography and magnetic resonance imaging in localisation and characterisation of lesions. Acta Otorhinolaryngol Ital. 2010 Apr;30(2):94-9.
- Hall M, Aeteaga D, Mancuso A. Use of computed tomography in the localization of head and neck space infections. J Oral Maxillofac Surg 1985, 43:979-990.
Abstract
Mastikatör boşluk merkezinde mandibular ramusun bulunduğu derin servikal fasyanın yüzeyel tabakası ile çevrelenmiş derin yüz boşluğudur. Mastikatör boşluklaki apseler genellikle diş kaynaklı infeksiyonların bir komplikasyonudur ve yüz ağrısı, şişlik ve trismus gibi şikayetlere neden olurlar. Mastikatör boşluk apseleri doğru tanı konulmadığı ve uygun tedavi uygulanmadığı durumlarda hayatı tehdit edebilen bir prognoza sahiptirler. Literatürde oldukça az sayıda bildirilmiş olması tanısının konulmasını daha da zor hale getirmiştir. İlgili bölgenin fizik muayenesinin yapılmasının zor olmasından dolayı tanıda bilgisayarlı tomografi ve manyetik rezonans ile inceleme çok yardımcı olmaktadır. Bu çalışmada hastanemiz acil servisine trismus ve yüz ağrısı yakınması ile başvuran ve yapılan incelemelerle mastikatör boşluk apsesi tanısı konulan ardından cerrahi olarak drene edilen iki hastanın sunumu yapılmıştır
Keywords
References
- Kim HJ, Park ED, Kim JH. Odontogenic versus non-odontogenic deep neck space infections. J Comput Assist Tomogr 1997,21:202–208
- Schuknecht B, Stergiou G, Graetz K. Masticator space abscess derived from odontogenic infection: imaging manifestation and pathways of extension depicted by CT and MR in 30 patients. Eur Radiol. 2008 Sep;18(9):1972-9.
- Faye N, Lafitte F, Williams M, Guermazi A, Sahli-Amor M, Chiras J, Dion E. The masticator space: from anatomy to pathology. J Neuroradiol. 2009 Jun;36(3):121-30.
- Hasegawa T, Shibuya Y, Kuroki S, Takeuchi J, Yokoo S, Umeda M, Komori T. Two cases of masticator space abscess initially diagnosed as temporomandibular joint disorder. Kobe J Med Sci. 2008 Jul 18;54 pp. 163-168
- Megran DW, Scheifele DW, Chow AW. Odontogenic infections. Pediatr Infect Dis 1984, 3:258–265
- Galli F, Flor N, Villa C, Franceschelli G, Pompili G, Felisati G, Biglioli F, Cornalba GP. The masticator space. Value of computed tomography and magnetic resonance imaging in localisation and characterisation of lesions. Acta Otorhinolaryngol Ital. 2010 Apr;30(2):94-9.
- Hall M, Aeteaga D, Mancuso A. Use of computed tomography in the localization of head and neck space infections. J Oral Maxillofac Surg 1985, 43:979-990.
Details
| Primary Language | English |
|---|---|
| Journal Section | Case Report |
| Authors | |
| Publication Date | June 1, 2013 |
| Published in Issue | Year 2013Issue: 2 |