Temporal space abscess incision and drainage

Sputum gap abscess incision drainage for surgical treatment of oral and maxillofacial infections. The intercondylar space is located above the zygomatic arch and where the diaphragm is located. The diaphragmatic gap is divided into deep and shallow gaps by the diaphragm. In the deep side of the diaphragm, there is a deep interstitial space, and between the superficial temporalis and the temporal fascia is a shallow gap. The diaphragm starts from the entire armpit, and the fan-shaped muscle fibers descend and gradually concentrate. Through the deep side of the zygomatic arch, they stop at the leading edge of the condyle and the mandibular ascending branch. Because the diaphragm and its fascia are thick and tough, this gap is infected with suppuration, and it is difficult for the pus to break through the muscles and fascia. On the superficial side of this gap, there are superficial temporal artery and the same name vein accompanying the surface of the temporal fascia, and the branch of the facial nerve also travels here. Their direction of travel is basically consistent with the direction of the diaphragm muscle fibers. There are adipose tissue and lymph nodes in the deep and shallow layers of the diaphragm. The shallow gap is connected downwards with the hypoglycemic space, and the deep interstitial space is connected downward with the subgingival space and the wing and jaw gap. In addition, the deep interstitial space can also enter the skull by destroying the tibia into the skull or through the barrier blood vessels. The source of interstitial infection is mainly odontogenic infection. There are several ways to get the source of infection: 1. The source of odontogenic infection is mostly the upper posterior teeth. 2. Other interstitial infections affect the hypoglycemic space infection through the zygomatic arch into the superficial space, the buccal space infection enters the intercondylar space through the buccal fat pad and its fascia, and the intercostal space infection enters the gap through the interstitial space. 3. The inflammation of other adjacent parts is further developed, such as mastoiditis, suppurative otitis media, ankle sputum, infection after skin injury, etc., can cause this gap infection. Treatment of diseases: oral and maxillofacial infections Indication The sacral abscess incision and drainage is suitable for mucosal swelling, and there is a sense of fluctuation. Contraindications Patients with systemic failure should first correct the general condition or correct the general condition while cutting the drainage. Preoperative preparation 1. Regular crotch and oral preparation. 2. Other preoperative preparations are prepared with the preoperative preparation of "creative muscle abscess incision and drainage". Surgical procedure Incision An arc-shaped incision along the origin of the diaphragm can be used; a plurality of radial straight incisions can be used in the same direction as the muscle fibers of the diaphragm; and infections involving multiple gaps should be performed through the incision and drainage. If necessary, add incision and drainage of the leading edge of the mandibular ascending branch. The lesion is limited, and the incision of the leading edge of the mandibular ascending branch can also be used alone. 2. Enter the abscess After the sacral fascia is cut, the sacral fascia is inserted into the abscess cavity; the sacral space is bluntly separated into the abscess after entering the diaphragm and periosteum, and is used for drainage.