How do you treat a submandibular abscess?
Treatment includes airway management, surgical drainage, and IV antibiotics. Submandibular space infection is a rapidly spreading, bilateral, indurated cellulitis occurring in the suprahyoid soft tissues, the floor of the mouth, and both sublingual and submaxillary spaces without abscess formation.
How do you manage submandibular space infection?
Treatment of Submandibular Space Infection
- A breathing tube followed by surgery to drain the abscess.
- Antibiotics.
How do you manage a space infection?
The treatment of fascial space infections includes aggressive intravenous high dose antibiotics (usually penicillin or cephalosporins and metronidazole), analgesic and fluid therapy in addition to establishment of surgical drainage and elimination of the source of infection.
How do you treat buccal space infection?
The usual protocol for the management of patients having odontogenic space infection is incision and drainage, removal of the focus and antibiotic along with supportive measures.
What is a sublingual abscess?
A sublingual abscess may elevate the tongue and cause drooling or dysphagia (difficulty swallowing). There is usually little swelling visible on the face outside the mouth. If the space contains pus, the usual treatment is by incision and drainage.
What causes sublingual abscess?
The most common causes of acute salivary gland infections are bacteria, especially Staphylococcus aureus, or staph. Viruses and fungi can also cause infection in the glands. (Mumps is an example of a viral infection of the parotid glands.)
How do you get a sublingual abscess?
This space may be created by pathology, such as the spread of pus in an infection, e.g. odontogenic infections. A periapical abscess may spread into the sublingual space if the apex of the tooth is above the level of attachment of mylohyoid, and the infection erodes through the lingual cortical plate of the mandible.
What is odontogenic infection?
Odontogenic infections are infections that originate in the teeth and/or their supporting tissues. Such infections are common, and a large proportion of infections of the head and neck region are of odontogenic origin.
What is submandibular space?
The submandibular space is a suprahyoid deep compartment of the head and neck that encompasses the submandibular gland and surrounding structures.
What antibiotics treat salivary gland infection?
Antibiotic therapy is with a first-generation cephalosporin (cephalothin or cephalexin) or dicloxacillin. Alternatives are clindamycin, amoxicillin-clavulanate, or ampicillin-sulbactam. Mumps is the most common viral cause of acute salivary inflammation.
Can a submandibular space infection be an abscess?
Submandibular space infection is a rapidly spreading, bilateral, indurated cellulitis occurring in the suprahyoid soft tissues, the floor of the mouth, and both sublingual and submaxillary spaces without abscess formation. Although not a true abscess, it resembles one clinically and is treated similarly.
When to use a tracheotomy for submandibular space infection?
Because swelling makes oral endotracheal intubation difficult, fiberoptic nasotracheal intubation done with topical anesthesia in the operating room or intensive care unit with the patient awake is preferable. Some patients require a tracheotomy.
When to use Computed tomography for submandibular gland?
Imaging, especially computed tomography, sometimes provides critical information in the management of submandibular gland/submandibular space infections and other inflammatory diseases. Imaging is key in determining whether a related abscess is present.
Which is the best antibiotic for submandibular space infection?
Antibiotics should be chosen to cover both oral anaerobes and aerobes (eg, clindamycin, ampicillin/sulbactam, high-dose penicillin). NOTE: This is the Professional Version. CONSUMERS: Click here for the Consumer Version
