Abscess - a capsule-bound accumulation of pus that occurs in acute or chronic focal infection. The abscess is caused by a hit in fabrics and bodies of purulent microorganisms.
The cause of any purulent disease is getting into a damaged or weakened organ of a pathogenic microorganism, which in favorable conditions begins to multiply rapidly. At this time, the body fights inflammation and limits the inflamed area. A purulent capsule appears.
Phlegmon is a diffuse purulent inflammation of the soft tissues. Phlegmon of the maxillofacial area can develop in cases of late treatment and improper treatment of purulent formations of the face. Phlegmon of the face and neck are diffuse and tend to spread rapidly and develop complications.
Inflammatory diseases of the maxillofacial area, as a rule, have an infectious nature.
Depending on the cause of the abscess or phlegmon are:
When the microcirculation in the area of inflammation is reduced, there is a decrease in tissue resistance to infection, resulting in the appearance of an abscess or phlegmon.
With improper treatment or self-treatment of abscesses and phlegmon on the face or neck with his injury often develop complications.Phlegmons of the maxillofacial area and neck tend to progress, which often leads to the development of the following complications:
Mortality from common phlegmons of the face and neck is from 30 to 50%.
If a patient has at least one of the following symptoms, seek medical attention immediately:
General manifestations of abscess or phlegmon:
In order to choose the right treatment tactics, maxillofacial surgeons of the clinic conduct a number of diagnostic procedures and examinations, which include:
In case of abscesses and phlegmons in the maxillofacial area, inpatient treatment of patients is indicated.
When treating patients with inflammatory diseases of the maxillofacial area, surgery should be performed immediately.
The main components of the treatment of abscesses and phlegmon of the maxillofacial area are:
The choice of anesthesia method is decided together with anesthesiologists and other related specialists (if necessary) after a thorough examination of the patient, taking into account the indications and contraindications for both the method of operation and the type of anesthesia.
Stages of the operation:
Treatment after the opening of a superficial abscess or phlegmon of the maxillofacial area requires special attention. In the postoperative period, the general treatment is prescribed, which consists of antibacterial, desensitizing, detoxification therapy and tonic treatment, correction of homeostasis, and metabolic processes.
Antiplatelet therapy (acetylsalicylic acid, heparin) is prescribed to prevent the occurrence of serious complications (cavernous sinus thrombosis, angular vein phlebitis).
The first 2-3 days the wound is bandaged daily and, when it is cleared of pus and necrotic tissue, switch to rare ointment dressings.
The patient is hospitalized until the wound is cleansed of purulent discharge and the appearance of granulation tissue. Later, after discharge from the hospital, he continues outpatient treatment. It is necessary to continue bandaging the wound with the use of bactericidal, antiseptic drugs and ointments, hypertonic solutions.
To ensure complete rehabilitation of patients with phlegmons and facial abscesses, a coordinated work of a team of specialists is carried out: maxillofacial surgeon, neurologist, therapist, otorhinolaryngologist, anesthesiologist, dentist, physiotherapist.
In the postoperative period, it is necessary to follow the recommendations given by the doctor.
Prevention of abscesses and phlegmon of the face is the timely and proper treatment of pathological odontogenic foci, oral hygiene, and maintaining a healthy lifestyle. If you detect cases of odontogenic diseases - contact the specialists of our Clinic, for further examination and treatment by a specialist dentist or maxillofacial surgeon.
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