JOURNAL OF JAPAN SOCIETY FOR HEAD AND NECK SURGERY
Online ISSN : 1884-474X
Print ISSN : 1349-581X
ISSN-L : 1349-581X
Case reports of infratemporal fossa abscess
Sawako KawataIduru KamikuboTakanori AsanoNaoki Takahashi
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2008 Volume 18 Issue 2 Pages 119-125

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Abstract
We present two cases of infratemporal fossa abscess. The first case was a 64-year-old male who was referred to us with pericoronitis of the right wisdom tooth. CT revealed an abscess in the right infratemporal fossa, extending to the pterygopalatine fossa, and to the parapharyngeal space. The second case was a 65-year-old male with diabetes mellitus. He had pericoronitis pain but left it untreated for several months. He visited a dentist in our hospital and was diagnosed with a pericoronitis abscess of the right wisdom tooth. Although the abscess was drained from the submaxillary space and also from the gingiva, the abscess increased in size, the patient complained of stridor, and was referred to us. CT revealed an extensive gas-forming abscess that spread from the right temporal fossa to the neck. In each case, the abscess was drained from the submaxillary space and also from the temporal space by periauricular incision. We attached the draining tubes and irrigated repeatedly. Both patients got well soon. Adequate abscess drainage is important for effective treatment of infratemporal fossa abscess.
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