Sublingual space infection

Introduction to sublingual gap infection Sublingual space infection refers to acute suppurative infection of the sublingual space. Infection of the sublingual space is rare. The main clinical manifestations include swelling of the orbital pulp of one or both sides of the sublingual meat or the mouth of the jaw. basic knowledge The proportion of illness: 0.002% Susceptible people: no specific population Mode of infection: non-infectious Complications: abscess

Cause of sublingual gap infection

The sublingual space is located below the tongue and the mucosa of the mouth, above the mandibular and lingual muscles, the anterior and bilateral sides of the mandibular body; the posterior part of the lingual muscle And the genioglossus muscle can divide the sublingual space into two parts, the two are connected in the deep side of the sublingual meat. The sublingual space is connected with the parapharyngeal space, the pterygopalatine space, and the lower jaw is inserted into the submandibular space. .

Odontogenic infections of the mandibular teeth, mucosal damage of the mouth and mouth, ulcers, and inflammation of the sublingual gland and submandibular gland can all cause sublingual infection.

Sublingual gap infection prevention

Active treatment of suppurative apical periodontitis of the mandibular molar, mandibular wisdom tooth pericoronitis, submandibular lymphadenitis, to prevent infection.

Sublingual gap infection complications Complications

Periorbital and submandibular abscesses may occur when adjacent gaps are involved, and there are corresponding clinical symptoms.

Symptoms of sublingual infections Common symptoms Purulent secretions Tongue leukocytosis Abscess Congestion molars

1. History Adults have suppurative apical periodontitis of the mandibular molar, history of pericarditis of the mandibular wisdom tooth, infants, children can often ask for a history of submaxillary lymphadenitis with upper respiratory tract infection.

2. Clinical manifestations of submandibular triangle inflammatory redness, tenderness, pain at first manifested as inflammatory infiltrates, tenderness; into the suppuration period, there is jumping pain, fluctuation, skin flushing; puncture easy to withdraw pus, patients have different degrees of body temperature Increased, leukocytosis and other systemic manifestations.

3. Differential diagnosis of acute suppurative submandibular gland inflammation, often on the basis of chronic submandibular gland inflammation, it also manifests in the submandibular triangle redness and tenderness and elevated body temperature, increased acute inflammation signs of white blood cells, but does not form submandibular abscess There is also a sublingual meat in the affected area, the mouth of the jaw gland is red and swollen, and there is a purulent discharge under the mandible from the catheter mouth. The submandibular gland duct stones can be found at the bottom of the X-ray.

One or both sides of the sublingual meat or the mouth of the jaw tongue are swollen, the mucous membrane is congested, the tongue is squeezed and raised, pushed to the healthy side, movement is limited, language, eating, swallowing has different degrees of difficulty and Pain, when the infection spreads to the bottom of the mouth, there may be a mouth opening disorder and poor breathing. After the abscess is formed, it may swell and fluctuate at the bottom of the mouth; if it is spontaneously worn, there is a pus overflow, such as the source of the parotid gland, and the duct of the submandibular gland may be There is pus discharge, and the periorbital and submandibular abscess may occur when the adjacent gap is involved, and there are corresponding clinical symptoms.

Examination of sublingual gap infection

Clinical physical examination: inflammatory redness and tenderness in the submandibular triangle, inflammatory infiltrating mass at the beginning of the pain, tenderness; jumping pain, wave sensation, skin flushing into the suppuration phase; easy puncture of pus. Patients have varying degrees of elevated body temperature. A thick needle puncture can be worn out of the pus.

Clinical laboratory examination: the secretion examination can find the pathogen, blood routine examination, white blood cells are significantly increased, mainly neutrophil increased.

Diagnosis and diagnosis of sublingual gap infection

Acute suppurative submandibular gland inflammation, often on the basis of chronic submandibular gland inflammation, it also manifests in the submandibular triangle redness and tenderness and elevated body temperature, increased acute inflammation signs of white blood cells, but does not form submandibular abscess, and suffering In the lateral sublingual area of the meat, the jaw of the jaw gland is red and swollen, and there is a purulent discharge under the mandible from the catheter mouth. Most of the submandibular gland stones can be found at the bottom of the X-ray. No need to distinguish from other diseases.

The material in this site is intended to be of general informational use and is not intended to constitute medical advice, probable diagnosis, or recommended treatments.