fASCIALSPACES introduction and management

Facial spaces introduction,, types n managemen

1. SEMINAR ON FASCIAL SPACES IN MAXILLOFACIAL REGION GUIDED BY: Dr. NITIN JAGGI (HOD & PROF) Dr. NIKHIL PUROHIT (READER) Dr. TARUN JESWANI (Sr. LECTURER) PRESENTED BY: Dr. NIHALANI TANISHQ 2 nd YEAR PG STUDENT DEPT OF ORAL & MAXILLOFACIAL SURGERY MPCD&RC

2. IMAGING PLAIN FILM EXAMINATION: Diagnostic imaging of maxillofacial and fascial spaces disorders often starts with some form of plain film study. COMPUTED TOMOGRAPHY: CT has become readily available advanced imaging modality for the evaluation of head and neck infections. MRI : It relies on a combination of a magnetic field and radiofrequency . The use of intravenous MRI contrast agents can demonstrate the vascularity of a lesion, which can be important in neoplastic and inflammatory lesions. ULTRASONOGRAPHY NUCLEAR MEDICINE

3. Drainage of the space infection either intraorally or percuta - neously is done; intraoral incision and drainage are preferred as these may not produce a facial scar. Drainage is made by making an in-depth incision of the maxillary vestibule near the involved tooth. Sinus forceps is inserted superiorly, later- ally, and medially for complete breakage of locules and drainage. For mandibular buccal space infection, intraoral drainage may not achieve the desired result, hence extraoral drainage at the lower border of mandible is made taking care of the facial artery and marginal mandibular nerve. The involved tooth is either removed or subjected to root canal treatment as required. Literature advocates early extraction of the involved tooth/teeth. MANAGEMENT OF BUCCAL SPACE INFECTION

4. REFRENCES Oral and Maxillofacial infections – Topazian 4 th edition. Chapter Fascial Space Infections by Rajashekhar Gaddipati , Oral and Maxillofacial Surgery for the Clinicians. Chapter Orofacial and Neck infections and their management, Neelima Malik. Chapter Odontogenic Infections, Rajiv M. Borle Principles of Management of Maxillofacial Infections, Peterson’s Principles of Oral and Maxillofacial Surgery.

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