An unusual abscess formation in the masticator space after acupressure massage: a case report
Ko In-Chan, 윤구호, 박관수, 정정권, 배정호, 이관우, 진영재,
소속 상세정보
( Ko In-Chan ) - Inje University College of Medicine Sanggye Paik Hospital Department of Oral and Maxillofacial Surgery
윤구호 ( Yoon Kyu-Ho ) - Inje University College of Medicine Sanggye Paik Hospital Department of Oral and Maxillofacial Surgery
박관수 ( Park Kwan-Soo ) - Inje University College of Medicine Sanggye Paik Hospital Department of Oral and Maxillofacial Surgery
정정권 ( Cheong Jeong-Kwon ) - Inje University College of Medicine Sanggye Paik Hospital Department of Oral and Maxillofacial Surgery
배정호 ( Bae Jung-Ho ) - Inje University College of Medicine Sanggye Paik Hospital Department of Oral and Maxillofacial Surgery
이관우 ( Lee Kwon-Woo ) - Inje University College of Medicine Sanggye Paik Hospital Department of Oral and Maxillofacial Surgery
진영재 ( Chin Young-Jai ) - 인제대학교 의과대학 상계백병원 구강악안면외과학교실
KMID : 0355620150410010052
Abstract
Clinical features of masticator-space abscess (MSA) are very similar to those of parotitis or temporomandibular disorder (TMD), making early differ-ential diagnosis difficult.Local causes of MSA include nerve block anesthesia, infection after tooth extraction, and trauma to the temporomandibular joint (TMJ); the systemic cause is immunodeficienc. Odontogenic causes account for most etiologies, but there are also unusual causes of MSA. A 66-year-old male patient visited the emergency room (ER) presenting with left-side TMJ pain three days after receiving an acupressure massage. He was tentatively diagnosed with conventional post-trauma TMD and discharged with medication. However, the patient returned to the ER with in-creased pain. At this time, his TMD diagnosis was confirmed.He made a third visit to the ER during which facial computed tomographic (CT) images were taken. CT readings identifiedan abscess or hematoma in the left masticator space. After hospitalizing the patient, needle aspiration confirmedpus in the infratemporal and temporal fossa. Antibiotics were administered, and the abscess was drained through an incision made by the attending physi-cian. The patient’s symptoms decreased, and he was discharged.
키워드
Masticatory; Abscess; Temporomandibular joint disorders; Acupressure
원문 및 링크아웃 정보
등재저널 정보