What is Oral And Maxillofacial Cellulitis

Oral and maxillofacial cellulitis (cellulitis of oral and maxillofacial regions) is the oral jaw
peripheral tissue, facial and neck upper suppurative inflammation of the general term. The
lesions can spread to the skin, oral mucosa, fascia and fat connective tissue, muscles,
nerves and blood vessels, lymph nodes and salivary glands and other organizations.
Inflammation suppurative inflammation spread to a gap called cellulitis, purulent confined to
local, called an abscess.
Symptoms of Oral And Maxillofacial Cellulitis
Clinical manifestations of oral and maxillofacial cellulitis
The severity of the clinical manifestations of oral and maxillofacial cellulitis, mainly depends
on the strength of body resistance and susceptibility to infection with reactive, also related
to the types of pathogens. Staphylococcus and streptococcus infections mainly suppurative
inflammation, local and systemic symptoms saddle obvious local skin is red, hot obvious
tenderness, with a sense of volatility, cut pus systemic defense responses, high fever,
leukocytosis. Mainly anaerobic bacterial infection of corruption necrotizing inflammation,
due to the presence of anaerobic gas production bacteria that produce gas in the early
organization, the swelling is easy to spread around, appear extensive, vice edema; local
red, hot, obvious swelling, palpation subcutaneous crepitus, or a sense of volatility, cut the
stench of corruption necrotic tissue; systemic toxic reactions, pulse slow, weak, drop
in blood pressure.
What Causes Oral And Maxillofacial Cellulitis
Oral and maxillofacial cellulitis majority of mixed infection of aerobic and anaerobic bacteria,
aerobic hemolytic streptococcus, the primary anaerobic pigmented bacteria, Fusobacterium
nucleatum, clothing Actinomyces . Different pathogens can be divided into the necrotizing
inflammation suppurative inflammation and corruption two categories: purulent infection of
the bacteria Staphylococcus aureus and Streptococcus most common; Corruption
necrotizing infection bacteria is anaerobic bacilli, cocci and Wensheng spirochetes non-gas
gangrene is a mixed infection caused by the bacteria. More than 80% of the route of
infection of the oral and maxillofacial cellulitis from odontogenic infection such as
pericoronitis pericoronitis, Radiculitis,; Second adeno-borne infections, mostly secondary to
respiratory tract infections, lymphadenitis, tonsillitis; blood-borne infection and damage are
relatively rare.
Tests and Diagnosis for Oral And Maxillofacial Cellulitis
Diagnostic laboratory examinations of the oral and maxillofacial cellulitis
Superficial easier diagnosis of infection; gap deep space infection, in addition to puncture
method to determine the presence or absence of pus, can also be used ultrasound to help
diagnose. CT, MRI differential diagnosis for the deep gap cellulitis, abscesses, and tumors
with a lot of help. Ultrasound can be used for the diagnosis of superficial gap cellular Zhi
inflammation to determine the scope of the infection, abscess whether formation.
Differential diagnosis of oral and maxillofacial cellulitis
Should first identify types of pathogens (suppurative, or corruption necrotizing); Second,
identify the source of the inflammation (the odontogenic infected with adeno-borne
infections); maxillofacial cellulitis should also identify malignant tumor lame phase,
especially inflammation sexual carcinoid or malignant reticulocyte cell hyperplasia. If the
inflammation is still no improvement after anti-inflammatory treatment, local redness, no
sense of volatility, the swelling rapidly growing, should be alert to the possibility of
malignancy.
Treatments of Oral And Maxillofacial Cellulitis
Oral and maxillofacial cellulitis treatment countermeasures
(A) systemic treatment of oral and maxillofacial cellulitis
An anti-infection treatment of oral and maxillofacial cellulitis
Pus culture and sensitivity test may provide the basis for clinical governance boils. Oral and
maxillofacial cellulitis should be given a sufficient amount of effective antibiotics, pathogenic
bacteria species pus culture and sensitivity results before selecting the appropriate
antibiotics. For the purulent infection generally used penicillins, cephalosporins, quinolones;
lincomycin, chlorine Lincomycin cable, metronidazole, generally used for corruption
necrotizing infection. You can also give the Chinese medicine treatment, such as Lifeline
disinfection of drinking, such as taking flavors disinfect drinking.
Body to support the nutritional treatment of oral and maxillofacial cellulitis
Such as proper rest. Diet, increase nutrition, systemic symptoms or serious complications
should pay attention to maintaining water and electrolyte balance, necessary to give a blood
transfusion therapy.
(B) The local treatment of oral and maxillofacial cellulitis
A local drug treatment of oral and maxillofacial cellulitis
The early topical wishful golden powder, six Dan the daisy thirty-seven ointment Chinese
medicine to promote lesion dissipated, absorbed or limitations.
2. Abscess incision and drainage
Abscess indications and basic principles have been mentioned in the Introduction, space
infection incision and drainage see the gaps cellulitis, abscess, depending on the nature of
the source of infection and pus different liquid rinse gland source Infections can be used to
diluted gentamicin flush; odontogenic infection can be 3% hydrogen peroxide, 0.9% saline,
0.2% metronidazole alternately flushing. Better physique patients, the gap formed its
superficial abscess can be used to puncture pus saline flush after the injection of the same
amount scrambling antibiotics such as to celebrate too neomycin, penicillin.
Oral and maxillofacial cellulitis treatment
Inflammation early FM, infrared therapy, once a day, every 10 to 15 minutes. HeNe laser
intravascular irradiation, microwave radiation, and 50% magnesium sulfate wet method can
also be used for the treatment of cellulitis.
4. Treatment of the primary tumor
Inflammation subsided after treatment for different causes, such as treatment of apical
periodontitis, periapical abscess.