Os ppt 2.pptx…………………………………………………….,,,,,,,,

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1. NAXILARY SPACE
INFECTION

DK PRIVADHARSHINI
FINAL YR - BDS

3. lanatomy of deep
ces of maxila

4. E.
Biiccal space
occupies the portion of subcutaneous
fascial skin and buccinator muscle.

BOUNDARIES:-
ORLY :-Corner of mouth

r muscle, Pterygomandibular

space

= SUPERFICIAL- skin and Subcutaneous
tissue

a DEEP- Buccinator muscle

= SUPERIORILY - Maxilla, Infraorbital
space

= INFERIORLY - Lower border of

mandible.

5. Cause
Infection from maxillary premolars, molars and
mandibular premolars

| -
Relation of root with buccinator muscle

6. e of nu le,gum boil is seen
the vestibule.

7. ‘transverse facial artery and vein.
TED - Buccinator muscle

8. REATMENT:-

| Antibiotic prophylaxis.

Intra oral horizontal
vestibular incision.

Extra oral incisions below

the lower border of the
ove with No. 11 blade.

mo rom anterior incision
and taken out from the
posterior incision then the
rubber drain is inserted and
secured with pins and
dressing is done.

9. Boundaries -

Anteriorly -orbicularis oris

Posteriorly- Buccinator

Medially - anterolateral
Surface of maxilla

Superiorly - levator labii
superioris,levator labii
superioris alaque nasi
&zygomaticus minor
muscles

Inferiorly - caninus muscle

aperos laeque nal

11. sanıne space / Infraorbital space

13. with drain secured.

14. Wticial temporal space

Laterally > Temporal fascia
tic arch
surface Temporalis

n from maxillary and mandibular

15. Clinical evaluation:

*swelling above &
below the zygomatic
arch causing a dumbell
shaped

appearance

* Severe pain & trismus

16. mporal fat pad, temporal
the facial nerve.

Buccal , Deep

17. EATMENT:-

ncision made medial to the
anterior border of the

upero-medially to enter
1 blunt dissection deep temporal space

ached through temporalis muscle

Drainage > drain is placed, dressing is given.

18. ommunicate with each other and with
temporal space.
ion from maxillary molars

19. features

pe,

_ Mild swelling over temporal
Region.

ficult to diagnose.

20. icial temporal, inferior petrosal

21. ZEATMENT:-

icision made medial to the
‚anterior border of the

ed superiorily along the lateral
d process to enter superficial

approach > good

incision > horizontal incision

= Drainage — drain is placed, dressing is given.

22. Nrratemporal space

surface of the maxilla
- parotid g

Greater wing OF the sphenoid below
mporal crest

lateral pterygoid muscle

| y- medial pterygoid ne medial pterygoid
uscle lat al pterygoid muscle

= Laterally, - Ramus of mandible,temporalis muscle

24. m Marked Trismus

= swelling of face in front of ear, over TMJ &
zygomatic arch

m Eye is closed and proptosed

25. rficial temporal, inferior petrosal

26. ally vertical incision made medial to
per extent of the anterior border of the
dibular ramus.(Laskin)

urved hemostat is passed superiorly into
infratemporal region and drain is inserted.

27. incision above the
curved hemostat is

fratemporal space followed by
of drain.