SPACE INFECTIONS
SPACE INFECTIONS
There are spaces present between the fascia (soft
tissues) and underlying organs which actually do not exist but these spaces
are created when there is a presence of infection or pathology. There are
multiple spaces in the upper and lower portion of the face. Out of which the
Submandibular Space infection is the life-threatening one.
Submandibular Space is at the lower border of the jaw.
Infection from our posterior teeth drains into the submandibular region
causing Sub Mandibular Space Infection, the more severe form is termed as
Ludwig’s Angina. It is a rapidly spreading infection that leads to severe
pain, swelling, dysphagia and can be fatal if left untreated.
SIGNS AND SYMPTOMS:
Initially, it starts with pain in tooth and indurations
in the lower border of the jaw. And in the later stages, it progresses to swellings,
tenderness, restricted mouth opening, dysphagia, sound on breathing and
blockage of the airway due to the elevated posterior tongue.
TREATMENT PROTOCOLS
- Maintenance of airway
- Incision and Drainage
- Antibiotic therapy
WHAT IS INCISION AND DRAINAGE
It is a procedure performed to treat the abscess. An abscess is the accumulation of pus. It appears as a painful, swollen area with a warm, red surface over the skin. It is treated by a procedure called Incision and Drainage also termed as I&D. It is puncturing the surface skin over
the abscess and release the pus accumulated under the skin.
HOW DO YOU DO INCISION AND DRAINAGE..??
The surface is painted with a povidone-iodine solution
and a stab incision is placed at the center of the abscess. The pus and built-in pressure are
released. Once the pus is completely removed, debridement is done with
antibiotic solution. And the patient is advised to take oral medications for
3-5 days to get rid of the infection and prevent it from occurring again.
Here is a video graphics representation of incision and
drainage did at Richardsons Dental and Craniofacial Hospital by Dr. Sunil Richardson
Contact us for a consultation
How do we make an appointment?
We are located physically near the southernmost tip of India, a town named Nagercoil near Kanyakumari.
However, we have other options for patients from far and wide, who can’t travel
for a direct physical consult. The pictures can be sent to our What’s App
Number +919443182860 or emailed to drsunil@facesurgeon.in and appointment asked or advice sought.
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