36. Abscess of hard palate. Abscess and phlegmon of the tongue. Topographic and surgical anatomy, etiology, clinical features, diagnosis

Question 1

Anatomical boundaries of hard palate abscess

Answer 1

• Superior Boundary=>Palatal mucosa
• Inferior Boundary=> Alveolar bone
• Intermediate Boundary=>Palatal bone

Question 2

Common etiological factors for hard palate abscess

Answer 2

• Infection from Maxillary Teeth=> those with roots pointing in the palatal direction=>
• Lateral incisors
• First premolars (which have two roots).
• First molar palatal root
  Infection Perforates=> palatal alveolar bone=>
  pus accumulation beneath the palatal mucoperiosteum

Question 3

Clinical features of a hard palate abscess

Answer 3

• Pus accumulation=>
• No expansion due to the strong mucoperiosteum connected to the underlying bone=>
• Small, Firm, non-fluctuant swelling

Question 4

How hard palate abscess treated

Answer 4

Intraoral Incision

Question 5

Etiological factors for an abscess of the tongue

Answer 5

• Trauma
• Lingual Piercing
• Lingual Tonsillar Infection=> posterior third of the tongue
• Infected Thyroglossal Duct Cysts
• Extensions of Apical or Periodontal Infections=>lower molars

Question 6

Clinical features of an abscess of the tongue

Answer 6

• Painful swelling=>
• Protrusion of the tongue
• Dysphagia (difficulty swallowing) and odynophagia (painful swallowing)
• Dysphonia (difficulty speaking)

Question 7

Complications associated with an abscess of the tongue

Answer 7

• Swelling=>Airway compromise
• Spread to other regions

Question 8

Treatment protocol for a tongue abscess

Answer 8

• Antimicrobial Therapy=> antibiotics
• Surgical Intervention=>Incision and drainage without delay