Submandibular space infection

Quick Study
Submandibular Space Infection

1. SUBMANDIBULAR SPACE INFECTION - Vaishnavi Kameswari III BDS

2. Infection involving the submandibular fascial space

3. CLASSIFICATION Primary –Directly related to teeth Mandibular Suprahyoid

4. ETIOLOGY Infections of Mandibular 2 nd & 3 rd molars From sublingual or submental spaces

5. COMMUNICATIONS Submental Space Sublingual Space Lateral Pharyngeal Space

6. BOUNDARIES

7. CONTENTS Submandibular Salivary Gland Proximal portion of Wharton’s Duct Submandibular Lymph Nodes Facial Artery & its branches- Palatine, Tonsillar, Glandular, Submental Lingual Nerve Hypoglossal Nerve Facial Vein

8. CLINICAL FEATURES Most common Location- Angle of the jaw Trismus Swelling- Brawny, Indurated, Soft, Fluctuant Inability to palpate Lymphadenopathy

9. Location

10. Trismus

11. Swelling

12. Lymphadenopathy

13. DIAGNOSIS Clinical evaluation If not obvious, CT is done

14. MANAGEMENT Airway Protection

15. Adequate hydration

16. Rich nutritional supplements

17. Treatment of pre-existing disease

18. Treatment

19. Surgical drainage

20. COMPLICATIONS Sialadenitis Ludwig’s Angina Lymphadenitis