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Submasseteric Infection: A Rare, Deep Space Cheek Infection Causing Trismus
Richard H Schwartz1, Robert S Bahadori, Andrea Willis
1From the *Department of Pediatrics, Inova Children's Hospital; and †Department of Surgery, Section on Otolaryngology, Inova Fairfax Hospital, Falls Church, VA.
Submasseteric space infections, rare in children, often stem from dental issues. Early recognition of trismus and a firm mass in the masseter muscle is key for accurate diagnosis and treatment.
Area of Science:
- Infectious diseases
- Pediatric dentistry
- Oral and maxillofacial surgery
Background:
- Submasseteric space infections are uncommon, especially in primary school children.
- These deep facial space infections typically originate from odontogenic sources, such as pericoronitis of a third molar.
Observation:
- Infections can be misdiagnosed as lymphadenitis or pyogenic parotitis.
- The primary clinical sign of a masticatory space infection is trismus (difficulty opening the mouth).
Findings:
- Cardinal signs include a palpable, firm mass within the masseter muscle.
- Overlying cellulitis and trismus are characteristic findings.
Implications:
- Prompt diagnosis is crucial to prevent complications.
- Highlights the importance of considering deep space infections in pediatric patients with facial swelling and trismus.
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