How does infection of wing jaw space check?

summary

Pterygomandibular space infection refers to the acute suppurative infection of pterygomandibular space. The main clinical manifestations are limited mouth opening, chewing and swallowing pain. The infection can spread up to temporal space and infratemporal space, forward to buccal space, forward to submandibular space and sublingual space, and inward to parapharyngeal space. How does infection of wing jaw space check? Next, I'd like to share my views with you.

How does infection of wing jaw space check?

Intraoral examination showed swelling and tenderness of the pterygomandibular fold, and extraoral tenderness of the posterior margin of the mandibular ramus and the medial side of the mandibular angle. Puncture: puncture through the lateral pterygomaxillary ligament into the space along the medial side of the mandibular ramus, or from the retromandibular puncture into the space, pus can be diagnosed.

They usually have a history of toothache, followed by limited mouth opening, chewing food and swallowing pain; Oral examination showed mucosal edema in the pterygomandibular fold, mild swelling and deep tenderness in the medial side of the posterior edge tip of mandibular ramus. Because of the deep position of the pterygomandibular space, even if the abscess has formed,

It is also difficult to directly touch the fluctuation by clinical, and it often needs puncture to determine, so it is often easy to delay the diagnosis, resulting in the spread of inflammation to the adjacent space, the formation of multiple space infections such as subtemporal, parapharyngeal, submandibular and retromandibular, and the complication of the disease.

matters needing attention

Pay attention to strengthen the whole body nutrition. Pay attention to local quiet, avoid adverse stimulation, try to reduce chewing, speaking and other local activities. For patients with low body resistance and immune function, sepsis can be caused by systemic infection. Severe cases can directly endanger the lives of patients, and can also induce encephalitis. Therefore, active treatment should be taken to reduce the incidence rate of complications.