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Wednesday, May 24, 2000

Oro-Maxillofacial Surgery MCQ Answer 15

Posted by Vishaal at 5/24/2000 10:25:00 PM Wednesday, May 24, 2000
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The Correct Answer is B

 A sublingual space infection usually results form infection of a posterior tooth whose apex is above the mylohyoid muscle, the premolars or first molar. It will bulge upward under the tongue not downward. The submandibular infection bulges downward. The indications for an I&D are either cellulitis or a fluctuant abscess. Classically you waited for the swelling to become fluctuant before draining it. Today the thought is to drain early whether there is pus present or not. Besides removing necrotic gunk it decompresses the tissues, restores blood flow and changes the flora with the introduction of oxygen to the area. Reference Dr. Barrett and oral and Maxillofacial surgery.

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