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Classification of orofacial soft tissue space infections

| February 23, 2013 | 1 Comment

Classification of orofacial soft tissue space infections

Infections can be classified based not only on the type of organisms, it can also be
Based on the site/space involved

  • Spaces related to the mandible include
  1. Submandibular,
  2. Sublingual and
  3. Submental spaces
  4. Sub- , intra- and supramasseteric,
  5. Pterygomandibular,
  6. Lateral pharyngeal and
  7. Infratemporal spaces.
  • Bilateral submandibular, sublingual and submental spaces are involved in Ludwig’s angina. The incidence of Ludwig’s angina has declined over the years with the advent of antibiotics1 and only 5 cases were recorded in the study of Akinbami 2010.
  • Spaces related to the maxilla
  1. Soft tissue space infections related to the maxilla and middle third of the face include Canine fossa abscess, and Buccal space infections
  2. Infection can be localized in a single space and can also spread to involve multiple spaces.

 Classification of orofacial soft tissue space infections

Based on the pattern/direction

  • Below or above the floor of the mouth
  • Below or above the palate

Based on the extent of spread

  • Dentoalveolar tissues e.g. periapical, periodontium, alveolar bone, in rare cases to the basal bone (osteomyelitis)
  • Soft tissue space around the jaws
  • Space beyond the jaws e.g. neck, orbit, brain/skull,
  • Distant sites; chest/pleura space, heart-endocardium, myocardium and pericardium, diaphragm, vertebra , abdomen and pelvis.

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Category: Oral Pathology, Oral Surgery

  • Hisham Dwedary

    very good glimpse of orofacial infections

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