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Sinonasal diseases

Tonsillar diseases

Deep neck infection

Salivary gland diseases

Oral cavity carcinoma

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Suction drainage

Oral antibiotic ( most common pathogen: Streptococcus spp.)

If present with complication eg: facial cellulitis, orbital problem => IV antibiotic & surgical drainage

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Streptococcus spp Antibiotic : penicillin gr, 1st gen cepharosporin

Ulcer-infiltrative lesion

Exophytic mass

Asymmetry of tonsil

Abnormal consistency

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Space of face ◦ Mental space ◦ Canine space ◦ Buccal spcae

Space above hyoid ◦ Submandibular space ◦ Space of body of mandible ◦ Masticator space ◦ Temporal space ◦ Peritonsillar space ◦ Parotid space ◦ Parapharyngeal space

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Space below hyoid ◦ Anterior visceral space

Space entire length of neck ◦ Retropharyngeal space

◦ Danger space

◦ Prevertebral space

◦ Visceral vascular space

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: Incisor , canine

Intra-oral incision

Intra-oral horizontal incision below to Stensen’s duct opening

premolar, molar ซีบ่นหรอืล่าง

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2nd molar tooth

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-Usually bilateral submandibular&sublingual

-Cellulitis of spaces

-Airway obstruction Ludwig’s angina

Premolar, 1st, 2nd

molar ซีล่่าง

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Sperficial compartment (massecteric space)

Deep compartment

(pterygomandibular space)

3rd molar ซีล่่าง

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Sperficial compartment (massecteric space)

Deep compartment

(pterygomandibular space)

3rd molar ซีล่่าง

Sperficial space : connecting to superficial compartment of masticator space

Deep space : connecting to deep compartment of masticator space

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Aspiration

Incision & drainage

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Paramyxovirus : air borne

Most common cause of parotid swelling

Peak incidence : 4 to 6 years

Incubation period : 2 to 3 weeks

Clinical : pain & swelling in one or both parotids

fever,malaise.myalgia,headache

Decreased with use of

mumps vaccine / MMR

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Diagnosis :

◦ antibodies to

mumps S & V antigen

Hemagglutination antigen

◦ isolating virus from urine

( 6 days before and 13 days

after symptom)

Treatment : symptomatic

treatment (NSAID)

Complications :

uncommon

Sudden deafness

Pancreatitis

Meningitis

Orchitis

chronic obstructive

sialadenitis

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