Facial space infections

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Commonest sources of DNSI are dental and oropharyngeal infections. Management mainly comprises of airway management, antibiotic therapy and surgical intervention. This study was conducted to find out the prevalence, distribution, presentation, sites involved, bacteriology and management of odontogenic DNSI.

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This is a broad subject area. Although rare in the post-antibiotic era, deep space infections of the head and neck are potentially life-threatening. A clear understanding of their inter-relationships, anatomic routes of potential spread, and salient clinical presentations is critical to successful management and prevention of these infections.

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June 1, by William L. Substantial public and private resources are spent on the prevention and management of infections. Public health campaigns around the world have made considerable gains in the improvement of hygiene practices and disease prevention.

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Fascial spaces also termed fascial tissue spaces [1] or tissue spaces [2] are potential spaces that exist between the fasciae and underlying organs and other tissues. The fascial spaces can also be opened during the dissection of a cadaver. The fascial spaces are different from the fasciae themselves, which are bands of connective tissue that surround structures, e.

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The goal of this chapter is to present the basis for correct diagnosis and management of severe odontogenic infections. The knowledge of the anatomy of fascial spaces is essential for the correct diagnosis and treatment of head and neck infections, because both facial and cervical fasciae work as an effective barrier against the spread of infections in this region[ 12 ]. Once these infections occur, they are often difficult to assess accurately by clinical examinations and conventional radiographic techniques, and the outcome may be serious and potentially life-threatening[ 3 ].

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The fascia of the head and neck is composed of loose fibrous connective tissue envelopes and may be divided into the superficial and deep fascia. Between the fibers of the matrix are interstices that are filled with tissue fluid or ground substance that can readily break down when invaded by infection. The loose fibrous connective tissue that makes up the fascia of the head and neck is found in varying degrees of density with a tensile strength somewhat less than dense fibrous connective tissue located elsewhere in the body.

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Although there has been a significant decrease in incidence, these infections still do occur as a spectrum of pathology and require prompt recognition and intervention. Despite the decreased incidence of deep space neck infections since the advent of antibiotics, preventive healthcare, and improved hygiene, this condition still carries a high rate of complications and morbidity. Emergency physicians EPs are expected to have a thorough working knowledge of life-threatening pathologic conditions that may typically be seen in an ED only once in a year or even once in a career.

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Unknowingly, they are at a potentially life threatening situation due to the anatomical connectivity of one anatomic space to the other [1]. Some attempts have been made to utilize CRP levels as an inflammatory prognostic factor in management of infections of odontogenic origin, its rapid rise and falls makes it a much more sensitive predictor than ESR and WBC count [5] [6] [7] [8] [9]. CRP has shown to be able to discriminate bacterial and viral infections and gauge of inflammatory response [10] [11].

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Gdontogenic infections are mostly caused by. Among the following, which results in sudden swelling in the area of a dental. A 9 year old child with carious maxillary lateral incisor, got small swelling over the respected area.

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