RESUMO
While the retropharyngeal space abscess is an extremely rare entity that may arise from odontogenic infections, its potential complications may be fatal. When infection of the retropharyngeal space occurs, urgent surgical and antibiotic therapy is required. A review of the anatomy, symptoms, treatment, diagnostic methods and complications is provided. As well, the successful treatment of a multispace odontogenic infection is discussed as a reminder that the retropharyngeal abscess does exist.
Assuntos
Abscesso/cirurgia , Doenças Faríngeas/cirurgia , Abscesso/tratamento farmacológico , Adulto , Clindamicina/uso terapêutico , Terapia Combinada , Drenagem , Feminino , Humanos , Masculino , Pescoço/diagnóstico por imagem , Pescoço/cirurgia , Penicilina G/uso terapêutico , Doenças Faríngeas/tratamento farmacológico , Radiografia , Tobramicina/uso terapêutico , Extração Dentária/efeitos adversosRESUMO
The principles of three-dimensional computerized tomography are discussed. An unusual case of an iatrogenically induced coronoid obstruction is presented with the three-dimensional computerized tomograph as an integral tool in its diagnosis.
Assuntos
Mandíbula/diagnóstico por imagem , Tomografia Computadorizada por Raios X/métodos , Trismo/etiologia , Zigoma/diagnóstico por imagem , Adulto , Diagnóstico Diferencial , Feminino , Humanos , Hipertrofia , Zigoma/patologiaRESUMO
Two cases of infected total temporomandibular joint replacements are reported. The WBC count, erythrocyte sedimentation rate, and temperature were within normal limits, but erythema, edema, and pain provided the initial clue to the infection. Ultrasonography ultimately revealed a fluid collection and allowed aspiration of the fluid-filled cavity, providing a diagnosis and directing antibiotic therapy.