Dental abscess with soft tissue phlegmon

Case contributed by Dr Domenico Nicoletti

Presentation

Swelling chin without trauma. No fever. Lockjaw.

Patient Data

Age: 42
Gender: Male
Ultrasound

In subcutaneous tissues over the chin a 4 cm fluid collection compatible with abscess is appreciated. There are irregularities of cortical mandible in the midline. 

Osteolytic area of 41 with periapical alveolar abscess with fistula in the external chin soft tissue where there is detectable phlegmon.

The acute alveolar abscess is represented by a collection of pus localized into the alveolar bone surrounding the apex of a tooth whose pulp is necrotic.

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Case information

rID: 40459
Case created: 22nd Oct 2015
Last edited: 22nd Oct 2015
System: Head & Neck
Inclusion in quiz mode: Excluded

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