Presentation
Left facial swelling. Difficulty swallowing. Trismus on examination.
Patient Data
Fluid collection measuring (4 x 3 cm on axial imaging) in the left submandibular and masticator spaces. This contiguous with the mandible and there is a cortical breach extending to the remaining LL7 tooth compatible with a dental source of infection. Inflammatory stranding in the left parapharyngeal space but no deep neck collection. Local left level I and II reactive nodal enlargement.
Several periapical cysts in the maxilla and mandible around other remaining teeth.
No abnormality of the upper aerodigestive tract. No other neck mass. Normal included intracranial structures. Normal lung apices.
Case Discussion
Left submandibular and masticator space abscess; from left LL7 dental source.
This patient was taken to theater for drainage of the abscess and removal of the tooth for source control. Mixed Gram negative and anaerobes were cultured.
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