Massive cervicofacial abscesses of dental origin are relatively rare, and may be associated with serious and grave morbidity. In extreme cases, an occasional fatality may result from regional complications. Three cases are presented that describe the clinical and radiographic evaluation and the surgical approaches for abscess drainage. Specific attention is directed toward 1) the management of imminent airway obstruction, 2) the application of computed tomographic technology for localization and surgical planning, and 3) current antibiotic therapy.
ChowAWRoserSMBradyFA. Orofacial odontogenic infections. Ann Intern Med1978; 88: 392–402.
2.
SchonfeldSE. Orofacial infections of odontogenic origin. Can Dent Assoc J1986; 14: 49–52.
3.
LabriolaJDMascaroJAlpertB. The microbiologic flora of orofacial abscesses. J Oral Maxillofac Surg1983; 41: 711–4.
4.
LevittGW. Cervical fascia and deep neck infections. Laryngoscope1970; 80: 409–36.
5.
CollierFAYglesiasL. The relation of the spread of infection to fascial planes in the neck and thorax. Surgery1937; 1: 323–37.
6.
SnitmanMFSoboroffBJ. Planes of surgical dissection of the neck. Ann Otol Rhinol Laryngol1956; 65: 49–56.
7.
GrodinskyMHolyokeE. The fascia and fascial spaces of the head and neck and adjacent regions. Am J Anat1938; 63: 367–407.
8.
PaonessaDFGoldsteinJC. Anatomy and physiology of head and neck infections (with emphasis on the fascia of the face and neck). Otolaryngol Clin North Am1976; 9: 561–81.
9.
HoltGRMcManusKNewmanRKPotterJLTinsleyPP. Computed tomography in the diagnosis of deep-neck infections. Arch Otolaryngol1982; 108: 693–6.
10.
HallMBArteagaDMMancusoA. Use of computed tomography in the localization of head and neck space infections. J Oral Maxillofac Surg1985; 43: 978–80.
11.
EndicottJNNelsonRJSaracenoCA. Diagnosis and management decisions in infections of the deep fascial spaces of the head and neck utilizing computerized tomography. Laryngoscope1982; 92: 630–3.
FairbanksDNF. Pocket guide to antimicrobial therapy in otolaryngology–head and neck surgery. 5th ed.Washington, DC: American Association of Otolaryngology–Head and Neck Surgery, 1989.
19.
PetersonLJ. Odontogenic infections. In: CummingsCWFredricksonJMHarkerLAKrauseCJSchullerDE, eds. Otolaryngology–head and neck surgery. Vol 2. St Louis, Mo: CV Mosby, 1986: 1213–31.
20.
MandellGLDouglasRGJr.BennettJE. Principles and practice of infectious diseases. 3rd ed.New York, NY: Churchill Livingstone, 1990.