6- Dental and maxillofacial infections in children Flashcards
Which spaces can mx and md odontogenic infections spread to?
Mx
- buccal sulcus
- buccinator
- palate
- sinus
Md
- submd space
- sublingual space
- buccal space
- submasseteric space
- retropharyngeal space
- pterygomandibular space
- infratemporal fossa
What is facial cellulitis?
Name two types, name one example.
infection of facial tissues
dental
non-dental e.g. break in skin -> Erysipelas
(superficial strep A infection causing red skin lesion with hard border that grows, child will feel unwell - more common in neonates and young children)
What innocuous condition may mimic facial cellulitis?
haemangioma (birth mark which grows as baby grows then typically disappears)
Tx for facial cellulitis
if asymptomatic, pt fit and healthy avoid abx
consider RCT or exo if needed
severe infection requires tackling source and adjunctive abx
What is parotitis and what is the most common (infectious) cause?
inflammation of parotid glands
mumps is most common cause (paramyxoviridae)
What are some rarer (infectious) causes of parotitis in paeds?
- Juvenile recurrent parotitis (prepubertal) 2nd most common - bilateral
- Acute suppurative bacterial parotitis (very young children and neonates)
- HIV parotitis (kids>adults)
- Bulimia Nervosa
- Sjogren’s Syndrome
- Sarcoidosis
- Autoimmune parotitis
What are some non-infectious aetiology of parotitis and other factors? (4)
- cold (popsicle) panniculitis, areas exposed to cold
- Nephrotic syndrome (periorbital edema and puffy face - kidney problem)
- Trauma
- Allergy
What is shown in image
systemic lupus erythematosus
What is Ludwigs Angina
when mandibular odontogenic infection spreads to submd and sublingual spaces
(other life threatening space infections - retropharyngeal abscess, peri-tonsillar abscess, mediastinitis)
