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
Modality: 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. 

Modality: CT

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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