Spread of Infection Flashcards

1
Q

if an infection in the maxillary jaw perforates the bone above the insertion of the buccinator what happens and in what space

A

facial swelling and spread of infection into the buccal space

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2
Q

why is infection less likely to spread palatally

A

the bone is more dense

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3
Q

if infection in maxillary jaw perforations below the insertion of the buccinator what happens

A

infection drains into the mouth

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4
Q

if an infection in the maxillary jaw spread upwards into the maxillary sinus what condition will the patient experience

A

sinusitis

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5
Q

if an infection in the mandibular jaw perforates the bone above the mylohyoid line what space does it go into

A

sublingual space

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6
Q

if an infection in the mandibular jaw perforates the bone below the mylohyoid line what space does it go into

A

submandibular space

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7
Q

where is it more common for infection to spread in the posterior and anterior mandible

A

posterior = lingual
anterior = buccal

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8
Q

where would an infection in a mandibular premolar most likely go

A

sublingual space

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9
Q

where would an infection in a mandibular molar most likely go

A

submandibular space

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10
Q

if the infection goes posterior into the masticatory spaces what happens to the muscles

A

spasm giving trismus

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11
Q

once the infection has spread to the masticatory spaces what spaces can it go to from there

A

pharyngeal spaces
retropharyngeal space
prevertebral space

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12
Q

how do mandibular infections spread to the cavernous sinus

A

spread to infratemporal region and then pterygoid venous plexus which corresponds with brain and cavernous sinus

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13
Q

how do maxillary infections spread to cavernous sinus

A

spread to infraorbital space where the veins are valveless and then flow back to the cavernous sinus

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14
Q

where do upper anterior teeth spread infection to

A

lip
nasolabial region
lower eyelid

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15
Q

where do upper lateral incisors spread infection to

A

palatal

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16
Q

where do upper premolars and molars spread infection to

A

cheek
infratemporal region
maxillary antrum
palate

17
Q

where do lower anteriors spread infection to

A

mental and submental space

18
Q

where do lower premolars and molars spread infection to

A

buccal space
submasseteric space
sublingual space
submandibular space
lateral pharyngeal space

19
Q

what is the surgical management of infection

A

establish drainage
remove source of infection
antibiotic therapy

20
Q

what are the signs of systemic infection

A

raised temperature
raised heart rate
raised respiratory rate
raised white cell count

21
Q

what nerve must you be aware of when incising in the submandibular region and how do you avoid hitting it

A

marginal mandibular nerve (facial)
go two finger breadths below inferior border of mandible

22
Q

what is the best way to drain an abscess

A

put your fingers inside the hole

23
Q

what is the hilton technique

A

insert scissors into the abscess and then open them

24
Q

once you have drained an extra-oral abscess in hospital what should you do

A

insert drain and suture it in
put dressing on it

25
Q

what is ludwigs angina

A

bilateral cellulitis of sublingual and submandibular spaces

26
Q

what are the features of ludwigs angina

A

raised tongue
difficulty breathing and swallowing
drooling
diffuse redness and swelling bilaterally in submandibular region
increased heart rate, respiratory rate, temperature and white cell count

27
Q

what is SIRS

A

systemically inflammatory response syndrome

28
Q

what are the features of SIRS you need to check

A

heart rate, respiratory rate, temperature, white cell count

29
Q

what scoring system is used to assess patients with infection

A

national early warning score

30
Q
A