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Year : 2015  |  Volume : 5  |  Issue : 2  |  Page : 113-116

Uncommon complication of a common tooth extraction

Department of Surgery, J.J.M. Medical College, Davangere, Karnataka, India

Correspondence Address:
Dr. S N Somashekhar
#4347, 5th Main, S.S. Layout, B Block, Davangere - 570 004, Karnataka
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2231-6027.178506

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Cervicofacial infections of dental origin are the most difficult and complex issues in our day to day practice. Perceiving the severity of the condition at the earliest is of utmost importance since they are known to spread rapidly to the surrounding soft tissues and can even spread to vital structures such as paranasal sinuses, orbits, intracranial sites, and even to mediastinum. Orbital cellulitis is a postseptal cellulitis involving intraorbital muscles with diminishing visual acuity. Aggressive treatment more frequently with surgical intervention along with higher antibiotics in a well-equipped hospital is required since it is associated with rapid deterioration. A 40-year-old male who is a known diabetic and smoker underwent dental extraction and presented with fever, left facial swelling with the blurring of vision. Clinically he was in sepsis having crepitus over left facial swelling, edema of left eyelids with proptosis with facial nerve palsy. On investigating further, he was found to have left cervicofacial abscess associated with left orbital cellulitis due to odontogenic infection with very high blood sugar level. Cervicofacial abscess of odontogenic cause is a life-threatening complication. In this case report, we have highlighted the unusual findings of orbital cellulitis and facial nerve palsy associated with cervicofacial abscess since a handful of cases have been reported about the same in the literature. Early recognition with prompt surgical and antibiotic treatment is implemented for good prognosis and outcome.

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