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Management of Facial Space Infection in a 9-Year-Old Child - A Case Report

Received: 2 March 2016     Accepted: 30 March 2016     Published: 10 May 2016
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Abstract

Background: Fascial space infections of the head and neck region are usually odontogenic in origin. An untreated or rapidly spreading odontogenic infections can be potentially life threatening. The present case report describes a patient with orofacial infections who required emergent incision and drainage in the oral and maxillofacial surgery OPD at our hospital. Conclusion: Fascial space infections of the head and neck region, though potentially life threatening, can be prevented by regular dental visits. Early recognition and treatment of the infections are necessary to prevent considerable morbidity and mortality, especially in younger patients where more care should be given for oral health. Successful results can be achieved for pediatric patients who can be treated with Incision and Drainage, removal of etiologic factor followed by a combo of three antibiotics.

Published in International Journal of Clinical Oral and Maxillofacial Surgery (Volume 2, Issue 1)
DOI 10.11648/j.ijcoms.20160201.11
Page(s) 1-4
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2016. Published by Science Publishing Group

Keywords

Fascial Space Infection, Incision and Drainage, Antibiotics, Extraction

References
[1] Chandak R, Degwekar S, Bhowte RR et al. An evaluation of ultrasonography in the diagnosis of head and neck swellings. J Oral Maxillofac Res 2010; 40:213-21.
[2] Srinivas K, Sumanth K N, Chopra S. Ultrasonographic evaluation of inflammatory swellings of buccal space. Indian J Dent Res 2009; 20:458-62.
[3] Topazian RG, Goldberg MH, Hupp JR. Oral and Maxillofacial Infections. 4th ed. Philadelphia: WB Saunders; 2002. p. 99-213.
[4] Quayle AA, Russell C, Hearn B. Organisms isolated from severe odontogenic soft tissue infections: Their sensitivities to cefotetan and seven other antibiotics, and implications for therapy and prophylaxis. Br J Oral MaxillofacSurg 1987; 25:34-44.
[5] Parker KL, Brunton LL, Lazo JS. Goodman and Gilman's The Pharmacological Basis of Therapeutics. 11thed. New York: McGraw-Hill Companies; 2005. p. 1127-54.
[6] Dahlén G. Microbiology and treatment of dental abscesses and periodontal endodontic lesions. Periodontol 2002; 28:206-39.
[7] Moenning JE, Nelson CL, Kohler RB. The microbiology and chemotherapy of odontogenic infections. J Oral MaxillofacSurg. 1989; 47:976-85.
[8] Bridgeman A, Wiesenfeld D, Hellyar A, Sheldon W. Major maxillofacial infections, An evaluation of 107 cases. Aust Dent J. 1995; 40:281–288.
[9] Grodinsky M, Holyoke MA. The fasciae and fascial spaces of the head, neck and adjacent regions. Am J Anat. 1938; 63:367–408.
[10] Kuriyama T, Nakagawa K, Karasawa T et al. Past administration of beta-lactam antibiotics and increase in the emergence of beta-lactamase-producing bacteria in patients with orofacialodontogenic infections. Oral Surg Oral Med Oral Pathol Oral RadiolEndod. 2000; 89:186–192.
[11] Inderdeep Singh Walia, Rajiv M Borle, Mehendiratta D et al. Microbiology and Antibiotic Sensitivity of Head and Neck Space Infections of Odontogenic Origin. J Maxillofac Oral Surg. 2014;13(1): 16–21.
[12] P. V. Nimonkar. Simple Manoeuvre to Help Irrigate the Fascial Space InfectionsJ. Maxillofac. Oral Surg. 2013; 12(1):120.
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  • APA Style

    Khaja Khalid Nawaz M. (2016). Management of Facial Space Infection in a 9-Year-Old Child - A Case Report. International Journal of Clinical Oral and Maxillofacial Surgery, 2(1), 1-4. https://doi.org/10.11648/j.ijcoms.20160201.11

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    ACS Style

    Khaja Khalid Nawaz M. Management of Facial Space Infection in a 9-Year-Old Child - A Case Report. Int. J. Clin. Oral Maxillofac. Surg. 2016, 2(1), 1-4. doi: 10.11648/j.ijcoms.20160201.11

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    AMA Style

    Khaja Khalid Nawaz M. Management of Facial Space Infection in a 9-Year-Old Child - A Case Report. Int J Clin Oral Maxillofac Surg. 2016;2(1):1-4. doi: 10.11648/j.ijcoms.20160201.11

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  • @article{10.11648/j.ijcoms.20160201.11,
      author = {Khaja Khalid Nawaz M.},
      title = {Management of Facial Space Infection in a 9-Year-Old Child - A Case Report},
      journal = {International Journal of Clinical Oral and Maxillofacial Surgery},
      volume = {2},
      number = {1},
      pages = {1-4},
      doi = {10.11648/j.ijcoms.20160201.11},
      url = {https://doi.org/10.11648/j.ijcoms.20160201.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcoms.20160201.11},
      abstract = {Background:  Fascial space infections of the head and neck region are usually odontogenic in origin. An untreated or rapidly spreading odontogenic infections can be potentially life threatening. The present case report describes a patient with orofacial infections who required emergent incision and drainage in the oral and maxillofacial surgery OPD at our hospital. Conclusion:  Fascial space infections of the head and neck region, though potentially life threatening, can be prevented by regular dental visits. Early recognition and treatment of the infections are necessary to prevent considerable morbidity and mortality, especially in younger patients where more care should be given for oral health. Successful results can be achieved for pediatric patients who can be treated with Incision and Drainage, removal of etiologic factor followed by a combo of three antibiotics.},
     year = {2016}
    }
    

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    T2  - International Journal of Clinical Oral and Maxillofacial Surgery
    JF  - International Journal of Clinical Oral and Maxillofacial Surgery
    JO  - International Journal of Clinical Oral and Maxillofacial Surgery
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    AB  - Background:  Fascial space infections of the head and neck region are usually odontogenic in origin. An untreated or rapidly spreading odontogenic infections can be potentially life threatening. The present case report describes a patient with orofacial infections who required emergent incision and drainage in the oral and maxillofacial surgery OPD at our hospital. Conclusion:  Fascial space infections of the head and neck region, though potentially life threatening, can be prevented by regular dental visits. Early recognition and treatment of the infections are necessary to prevent considerable morbidity and mortality, especially in younger patients where more care should be given for oral health. Successful results can be achieved for pediatric patients who can be treated with Incision and Drainage, removal of etiologic factor followed by a combo of three antibiotics.
    VL  - 2
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Author Information
  • Department of Oral and Maxillofacial Surgery, Dr.H. Gordon Roberts Hospital, Meghalaya, India

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