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Submasseteric abscess: a rare head and neck abscess
Ashutosh Rai1, Ruchi Rajput, Rabindra K Khatua
1Department of ENT and Head & Neck Surgery, MLN Medical College, Allahabad, Uttar Pradesh, India. raiashutosh11@yahoo.co.uk
Abstract:
The objective of the article is to highlight and make people aware of a rare abscess which is often missed or misdiagnosed. As only a few cases have been reported, the authors feel that reporting such a case would help in proper management of the disease. We are presenting a 6.5-year-old male child with 3 weeks history of right facial swelling in the parotid region, with low-grade fever and trismus. Submasseteric abscess is a rare abscess which is often misdiagnosed as a parotid abscess or parotitis. Only a few cases have been reported. The cause is mostly dental in origin. Intravenous antibiotics often fail to alleviate the symptoms as this is a closed space and needs prompt drainage. Therefore, awareness of this complication of dental infections is vital for proper diagnosis and timely management.
Insights
Submasseteric abscess, a rare condition often mistaken for parotid issues, requires prompt drainage. Early recognition of this dental infection complication is crucial for effective patient management.
Area of Science:
- Dentistry
- Oral Surgery
- Infectious Diseases
Background:
- Submasseteric abscess is a rare clinical entity.
- It is frequently misdiagnosed as parotid abscess or parotitis.
- Dental infections are the primary etiology.
Observation:
- A case of a 6.5-year-old male child presenting with a 3-week history of right facial swelling in the parotid region.
- The patient also exhibited low-grade fever and trismus.
- Symptoms persisted despite initial treatment, suggesting a deeper issue.
Findings:
- Submasseteric abscesses represent a distinct diagnostic challenge.
- This closed-space infection often necessitates surgical intervention beyond intravenous antibiotics.
- Prompt drainage is essential for symptom resolution.
Implications:
- Increased awareness among clinicians is vital for accurate diagnosis.
- Timely management, including drainage, can prevent complications.
- Reporting rare cases aids in understanding and treating this condition.
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