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咬肌下间隙感染:一种罕见的、导致牙关紧闭的深部颊间隙感染。

Submasseteric Infection: A Rare, Deep Space Cheek Infection Causing Trismus.

作者信息

Schwartz Richard H, Bahadori Robert S, Willis Andrea

机构信息

From the *Department of Pediatrics, Inova Children's Hospital; and †Department of Surgery, Section on Otolaryngology, Inova Fairfax Hospital, Falls Church, VA.

出版信息

Pediatr Emerg Care. 2015 Nov;31(11):787-8. doi: 10.1097/PEC.0000000000000265.

Abstract

Submasseteric space infections are rare at any age but particularly so in primary school children. The origin of the infection is usually odontogenic, from pericoronitis in a third molar. Submasseteric inflammation is a deep facial space inflammation, often progressing to mature abscess, and usually misdiagnosed as staphylococcal or streptococcal lymphadenitis or pyogenic parotitis. The hallmark of a masticatory space infection is trismus. The cardinal signs of this infection include a firm mass in the body of the masseter muscle with overlying cellulitis with trismus.

摘要

咬肌下间隙感染在任何年龄段都很罕见,在小学生中尤为如此。感染通常起源于牙源性,由第三磨牙的冠周炎引起。咬肌下炎症是一种深部面部间隙炎症,常发展为成熟脓肿,通常被误诊为葡萄球菌或链球菌性淋巴结炎或化脓性腮腺炎。咀嚼肌间隙感染的标志是牙关紧闭。这种感染的主要体征包括咬肌肌腹有硬结,伴有覆盖其上的蜂窝织炎及牙关紧闭。

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