Abstract
According to the progress of the antibiotic medicine, the severe infection case is decreasing recently. We recently experienced a case of temporal fossa abscess caused by periapical periodontitis the upper left side of the second molar. A 79-year-old woman visited to Showa University Dental Hospital complaining of the painful swelling at the left side of the temporal and trismus. The routine blood test exhibited a severe inflammation. We performed drainage treatment at temporal skin and normal oral bacterial flora was detected by the bacteriological examination. Under treatment included the administration of antibiotics, the inflammation healed without serious complication and she recovered completely.
Highlights
The infratemporal fossa is described as a skull base space bounded superiorly by the greater wing of sphenoid and temporal fossa; anteriorly by the posterior wall of the maxillary sinus; medially by the lateral pterygoid plate; laterally by the mandibular ramus; and posteriorly by the deep lobe of the parotid gland; it opens inferiorly into the parapharyngeal space
We recently experienced a case of temporal fossa abscess caused by periapical periodontitis the upper left side of the second molar
Under treatment included the administration of antibiotics, the inflammation healed without serious complication and she recovered completely
Summary
The infratemporal fossa is described as a skull base space bounded superiorly by the greater wing of sphenoid and temporal fossa; anteriorly by the posterior wall of the maxillary sinus; medially by the lateral pterygoid plate; laterally by the mandibular ramus; and posteriorly by the deep lobe of the parotid gland; it opens inferiorly into the parapharyngeal space. Infections in this space have been found following maxillary sinusitis, maxillary sinus fracture, temporomandibular arthroscopy, dental infection and tooth extraction. Temporal fossa abscess is a rare and challenging condition to diagnose and manage. We experienced a temporal fossa abscess caused by an apical periodontitis
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