Shenoi Ramakrishna, Situt Nimish, Waghchoure Alvina
Department of Oral and Maxillofacial Surgery, VSPM Dental College and Research Centre, Nagpur, Maharashtra India.
Indian J Otolaryngol Head Neck Surg. 2024 Apr;76(2):2095-2099. doi: 10.1007/s12070-023-04421-w. Epub 2023 Dec 30.
Peri-apical infection is a prevalent form of odontogenic infection, typically following the path of least resistance through cancellous bone towards the cortical plate. This infection begins as cellulitis and may progress to an abscess, sometimes involving various anatomically potential spaces. While frontal space infection is a rare complication of odontogenic infection spread, it can occur in conjunction with buccal space, sub-mental space, and orbital space involvement. In this report, we present the case of a 62-year-old man with a history of tooth pain and diabetes mellitus for the past decade. The patient exhibited symptoms of swelling, multiple draining sinuses, pain, proptosis, and fever. Prompt action was taken to drain the multiple abscesses, and the causative teeth were subsequently extracted. This case illustrates one of the severe complications associated with odontogenic infection, which has the potential to be life-threatening.
根尖周感染是牙源性感染的一种常见形式,通常沿着阻力最小的路径穿过松质骨向皮质板发展。这种感染始于蜂窝织炎,可能发展为脓肿,有时会累及各种解剖学上的潜在间隙。虽然额部间隙感染是牙源性感染扩散的一种罕见并发症,但它可能与颊间隙、颏下间隙和眶间隙受累同时发生。在本报告中,我们介绍了一名62岁男性的病例,该患者在过去十年中有牙痛和糖尿病病史。患者出现肿胀、多处引流窦、疼痛、眼球突出和发热等症状。迅速采取行动引流多处脓肿,随后拔除了致病牙齿。该病例说明了牙源性感染相关的严重并发症之一,这种并发症有可能危及生命。