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Maxillofacial cellulitis.

Juan Carlos de-Vicente-Rodríguez1

  • 1Facultad de Medicina y Odontología, Universidad de Oviedo, Hospital Universitario Central de Asturias. jvicente@correo.uniovi.es

Medicina Oral, Patologia Oral Y Cirugia Bucal
|December 8, 2004
PubMed
Summary

Odontogenic infections, a type of facial cellulitis, spread through specific anatomical spaces. Early diagnosis and treatment, including surgery and antibiotics, are crucial to prevent severe complications.

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Area of Science:

  • Oral Pathology
  • Infectious Diseases
  • Anatomy

Background:

  • Odontogenic infections are a significant cause of oral pathology.
  • Cellulitis, an infection of adipose tissue in aponeurotic spaces, can arise from dental issues.
  • Understanding the spread of these infections is key to management.

Purpose of the Study:

  • To describe the anatomical spaces involved in odontogenic infection spread.
  • To outline the classification, diagnosis, and treatment of facial cellulitis.
  • To highlight potential complications of untreated infections.

Main Methods:

  • Anatomical description of aponeurotic compartments.
  • Review of clinical classifications (acute/chronic).
  • Summary of diagnostic procedures and treatment modalities.

Main Results:

  • Identified key anatomical spaces: superficial, floor of mouth, masticator, parapharyngeal, parotid, and paratonsillar.
  • Facial cellulitis presents acutely or chronically.
  • Potential complications include orbital infections, cavernous sinus thrombosis, and mediastinitis.

Conclusions:

  • Odontogenic infections require prompt diagnosis and management.
  • Treatment involves addressing the cause, surgical intervention (incision and drainage), antibiotics, and supportive care.
  • Effective management is essential to prevent life-threatening complications.

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