하악골 주위에 발생된 근막극농양에 관한 임상적 연구

STUDY OF SPACE ABSCESS ON THE MANDIBLE

The purpose of this study was to obtain some useful for diagnosis and treatment plan of the fascial space abscess. We observed clinically 133 patients with fascial space abscess of suprahyoid group who were managed at the Dept. of Oral Surgery, Kyung Hee Medical Center. The data including sex, age, etiology, causing teeth, affected site, clinical manifestations, bacteriologic examination and treatment method were compiled and analyzed. The results were as follow: 1. The heighest age incidence was at the 2nd decades. 2. There was no sex predilection. 3. The most frequent chief complaint was painful swelling (91.7%). 4. The most common symtom was tenderness to palpation in submandibular space abscess (53.9%) and submental space abscess (70.0%, and swelling of mouth floor in sublingual sapce abscess (100.0%). 5. The most predominant etiologic factor was periapical lesion (70.7%), and the next was periodontal lesion (15.0%), pericoronitis (8.3%) and others in order. 6. The most common causing teeth were 2nd molar in submandibular space abscess (37.1%), and 2nd premolar in sublingual space abscess (55.6%), and incisors in submental space abscess (60.0%). 7. The most fequently isolated microorganism was alpha Streptococci (46.8%). 8. The extraction of tooth after incision and drainage was done mostly (61.7%).