File Name: space infections of head and neck .zip
Eight cases treated over a two-year period were reviewed, and the experience was used to formulate management guidelines. Specific clinical variables analyzed included patient presentation, work-up, treatment, complications, and length of hospital stay. Seven of eight cases required surgery for treatment, one of which was complicated by airway obstruction.
Kataria, G. Iranian Journal of Otorhinolaryngology , 27 4 , Iranian Journal of Otorhinolaryngology , 27, 4, , Iranian Journal of Otorhinolaryngology , ; 27 4 :
Department of oral and Maxillofacial Surgery, Pb. Dental College, Amritsar. Fascial spaces in head and neck find no mention in standard text books of anatomy Williams et al, or Huber, though Hollinshead has described these with some of their clinical aspects. Does it mean that these are not clinically important or their importance has decreased with the advent of antiboitics and so these should not be taught to medical and dental students. Actually it is not so. Neither the patients or abscesses in these spaces have vanished nor have these lost importance. So basic knowledge of these is a must for both medical and dental students For importing this information Faculty of Anatomy including P.
The goal of this chapter is to present the basis for correct diagnosis and management of severe odontogenic infections. The knowledge of the anatomy of fascial spaces is essential for the correct diagnosis and treatment of head and neck infections, because both facial and cervical fasciae work as an effective barrier against the spread of infections in this region[ 1 , 2 ]. Once these infections occur, they are often difficult to assess accurately by clinical examinations and conventional radiographic techniques, and the outcome may be serious and potentially life-threatening[ 3 ]. The fasciae of the neck are glossy and divided into two separated layers: the superficial fascia and the deep fascia. The superficial fascia is actually a component of the fatty subcutaneous tissue while the deep cervical fascia is divided into three layers: the superficial layer, the visceral or middle layer, and the pre vertebral or deep layer.
Odontogenic infection is one of the common infectious diseases in oral and maxillofacial head and neck regions. Clinically, if early odontogenic infections such as acute periapical periodontitis, alveolar abscess, and pericoronitis of wisdom teeth are not treated timely, effectively and correctly, the infected tissue may spread up to the skull and brain, down to the thoracic cavity, abdominal cavity and other areas through the natural potential fascial space in the oral and maxillofacial head and neck. Severe multi-space infections are formed and can eventually lead to life-threatening complications LTCs , such as intracranial infection, pleural effusion, empyema, sepsis and even death. We report a rare case of death in a year-old man with severe odontogenic multi-space infections in the oral and maxillofacial head and neck regions. One week before admission, due to pain in the right lower posterior teeth, the patient placed a cigarette butt dipped in the pesticide "Miehailin" into the "dental cavity" to relieve the pain.
Fascial spaces also termed fascial tissue spaces  or tissue spaces  are potential spaces that exist between the fasciae and underlying organs and other tissues. The fascial spaces can also be opened during the dissection of a cadaver. The fascial spaces are different from the fasciae themselves, which are bands of connective tissue that surround structures, e. The opening of fascial spaces may be facilitated by pathogenic bacterial release of enzymes which cause tissue lysis e. Other contents such as salivary glands , blood vessels , nerves and lymph nodes are dependent upon the location of the space. Those containing neurovascular tissue nerves and blood vessels may also be termed compartments.
Хейл развернул Сьюзан в ту сторону, откуда слышался голос Стратмора. - Выстрелишь - попадешь в свою драгоценную Сьюзан. Ты готов на это пойти. - Отпусти. - Голос послышался совсем. - Ни за. Ты же меня прихлопнешь.
Причиной этого стала любовь, но не. Еще и собственная глупость. Он отдал Сьюзан свой пиджак, а вместе с ним - Скайпейджер.
Глаза Бринкерхоффа чуть не вылезли из орбит. Мидж и раньше были свойственны фантазии, но ведь не. Он попробовал ее успокоить: - Джабба, похоже, совсем не волнуется. - Джабба - дурак! - прошипела .
В проломе стены возникла фигура Стратмора. Он был бледен и еле дышал. Увидев тело Хейла, Стратмор вздрогнул от ужаса.
Такси было уже совсем рядом, и, бросив взгляд влево, Беккер увидел, что Халохот снова поднимает револьвер. Повинуясь инстинкту, он резко нажал на тормоза, но мотоцикл не остановился на скользком от машинного масла полу. Веспу понесло .
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