Diş çekimi sonrası gelişen kombine temporal ve infratemporal fossa apsesi: Olgu sunumu ve literatür derlemesi

Abstract

Diş çekimi sonrası gelişen infratemporal fossa apseleri, nadir görülen ancak potansiyel olarak ciddi odontojenik enfeksiyonlardır. Bu apseler, periapikal lezyonlardan veya iatrojenik nedenlerden kaynaklanan mikroorganizmaların derin fasiyal aralıklara yayılması sonucu oluşur. Karmaşık anatomik yapı ve hayati nörovasküler yapılara yakınlık nedeniyle tanı zor olabilir; trismus, yüzde şişlik ve ağrı gibi semptomlarla kendini gösterebilir. Enfeksiyonun yayılımını değerlendirmek ve ayırıcı tanı yapmak için kontrastlı BT veya MRG görüntüleme gereklidir. Erken cerrahi drenaj ile geniş spektrumlu antibiyotik tedavisinin kombinasyonu, kavernöz sinüs trombozu veya intrakraniyal yayılım gibi ciddi komplikasyonları önlemede hayati rol oynar. Ayrıca, yoğun mekanoterapi ağız açıklığını artırmaya yardımcı olur ve gelecekte sınırlı ağız açıklığı riskini azaltır. Bu makalede, diş çekimi sonrası gelişen bir infratemporal fossa apsesi olgusu sunulmakta ve güncel tanı ve tedavi yaklaşımları literatür ışığında tartışılmaktadır.

Keywords

• Temporal fossa
• İnfratemporal fossa
• Odontojenik enfeksiyon
• Diş çekimi
• Komplikasyon

Combined temporal and infratemporal fossa abscess following tooth extraction: Case presentation and literature review

Abstract

Infratemporal fossa abscesses following tooth extraction are rare but potentially serious odontogenic infections. They result from the spread of microorganisms from periapical lesions or iatrogenic causes into deep fascial spaces. Due to the complex anatomy and proximity to vital neurovascular structures, diagnosis can be challenging, with symptoms such as trismus, facial swelling, and pain. Contrast-enhanced CT or MRI is essential for assessing the extent of infection and differential diagnosis. Early surgical drainage combined with broad-spectrum antibiotic therapy plays a crucial role in preventing severe complications such as cavernous sinus thrombosis or intracranial spread. Secondly, intensive mechanotherapy helps improve mouth opening and reduces the future risk of limited mouth opening. This article presents a case of infratemporal fossa abscess following tooth extraction and discusses current diagnostic and therapeutic approaches in light of the literature.

Keywords

• Temporal fossa
• Infratemporal fossa
• Odontogenic infection
• Tooth extraction
• complication

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