| Issue |
J Oral Med Oral Sug
Volume 24, Number 3, 2018
|
|
|---|---|---|
| Page(s) | 122 - 124 | |
| Section | Cas clinique / Short case report | |
| DOI | https://doi.org/10.1051/mbcb/2018012 | |
| Published online | 10 October 2018 | |
Short Case Report
Complication of facial cellulitis: muscle hematoma after surgical treatment of complicated pericoronitis
Department of Odontology, Dijon University Hospital Center,
21079
Dijon, France
* Correspondence: hugo.compain@gmail.com
Received:
26
June
2017
Accepted:
21
January
2018
Observation: A 24-year-old man was referred to the dental emergency department for the management of a left submandibular cellulitis. The origin was a mandibular third molar. Drainage of the cellulitis and avulsion of the tooth were performed under general anesthesia. The follow-up was marked by a secondary infection of peri-zygomatic hematoma requiring a second drainage procedure. Discussion: The origin of the hematoma was a tear of the insertions of the mandibular elevators secondary to the trismus. The patient underwent two back-to-back general anesthesia procedures with tight trismus making induction and intubation difficult. Conclusion: A two-stage treatment with initial drainage and delayed avulsion after improvement of trismus is discussed.
Key words: trismus / hematoma / third molar / cellulitis / pericoronitis
© The authors, 2018
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