Skip to main content

Advertisement

SpringerLink
Log in

Evaluation of Efficacy of Ultrasonography as an Additional Diagnostic Tool for Deciding Management Protocol of Odontogenic Superficial Fascial Space Infections: A Prospective Clinical Study

  • Original Article
  • Published:
Journal of Maxillofacial and Oral Surgery Aims and scope Submit manuscript

Abstract

Objective

To explore the efficacy of ultrasonography as an additional diagnostic tool in superficial odontogenic fascial space infections of maxillofacial region and modifying the treatment plan when needed.

Materials and Methods

Forty patients with superficial fascial space infections underwent a detailed clinical, plain radiological and ultrasonographic examination. Based on the ultrasonographic findings, final diagnosis was made and compared with clinical findings. Patients diagnosed with cellulitis were given medical line of treatment, and those with abscess were subjected to incision and drainage along with standard general supportive care and removal of etiologic agent.

Results

In this study, out of 40 patients (male = 22, female = 18), clinical diagnosis of cellulitis was made in 26 cases (65%) and abscess in 14 (35.0%). On USG examination, cellulitis was present in 21 cases (52.5%), while abscess in 19 (47.5%). Final diagnosis of cellulitis was made in 13 (59.1%) males and 12(66.7%) females, while abscess was confirmed in 9 (40.9%) male and 6 (33.3%) female patients. The results showed that sensitivity of the clinical examination alone was 64% with 33% specificity, and for USG, sensitivity was 84% with specificity of 100%.

Conclusion

The adjuvant role of ultrasonography in the diagnosis and timely management of superficial fascial space infections is promising owing to its accessibility, relative safety, repeatability and cost-effectiveness.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Shah A, Ahmed I, Hassan S, Samoon A, Ali B (2015) Evaluation of USG as diagnostic tool in management of head and neck facial space infections A clinical study National. J Oral Maxillofacial Surg 6(1):55–61

    Article  Google Scholar 

  2. Bassiony M, Yang J, Abdel-Monem TM, Elmogy S, Elnagdy M (2009) Exploration of ultrasonography in assessment of fascial space spread of odontogenic infections. Oral Surg Oral Med Oral Pathol Oral Radiol Endodontol 107(6):861–869

    Article  Google Scholar 

  3. Srinivas K, Sumanth KN, Chopra SS (2009) Ultrasonographic evaluation of inflammatory swellings of buccal space. Indian J Dent Res 20(4):458

    Article  CAS  Google Scholar 

  4. Padda S, Padda Y, Sathasivasubramanian S, Warrier SA, Goyal G, Kaur B (2016) Ultrasonographic evaluation of superficial space infections. J Oral Maxillofac Radiol 4:67–75

    Article  Google Scholar 

  5. Squire BT, Fox JC, Anderson C (2005) ABSCESS: applied bedside sonography for convenient evaluation of superficial soft tissue infections. Acad Emerg Med 12:601–606

    Article  Google Scholar 

  6. Peleg M, Heyman Z, Ardekian L, Taicher S (1998) The use of ultrasonography as a diagnostic tool for superficial fascial space infections. J Oral Maxillofac Surg 56:1129–1131

    Article  CAS  Google Scholar 

  7. Bassiony M, Yang J, Abdel-Monem TM, Elmogy S, Elnagdy M (2009) Exploration of ultrasonography in assessment of fascial space spread of odontogenic infections. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 107:861–869

    Article  Google Scholar 

  8. Pandey PK, Umarani M, KotrashettiBaliga SS (2011) Evaluation of ultrasonography as a diagnostic tool in maxillofacial space infections. J Oral Maxillofac Res. 2(4):4

    Article  Google Scholar 

  9. Dhruv Bhardwaj, Mangala Rakareddi , Bhavna Barthunia , Ruchita Mishra , Mukesh Singla and Satyajeetsingh Chavda. Efficacy of Ultrasonography in Head and Neck Swellings and Compare with Histopathological and Clinical Diagnosis. IOSR Journal of Dental and Medical Sciences (IOSR-JDMS). March 2017; Volume 16.

  10. Sato FR, Hajala FA, Filho FW, Moreira RW (2009) Eight-year retrospective study of odontogenic origin infections in a postgraduation program on oral and maxillofacial surgery. J Oral Maxillofac Surg 67:1092–1097

    Article  Google Scholar 

  11. Mathew GC, Ranganathan LK, Gandhi S, Jacob ME, Singh I, Solanki M, Bither S (2012) Odontogenic maxillofacial space infections at a tertiary care center in North India: a five-year retrospective study. Int J Infect Dis 16(4):e296-302

    Article  Google Scholar 

  12. Flynn TR, Shanti RM, Levi MH, Adamo AK, Kraut RA, Trieger N (2006) Severe odontogenic infections, part 1: prospective report. J Oral Maxillofac Surg 64:1093–1103

    Article  Google Scholar 

  13. Poweski, Lisa M. 2012 The Use of Ultrasonography in differentiating cellulitis and fluctuant odontogenic swellings. Diss. The Ohio State University .

  14. Palaskar J, Sheikh S, Shambulingappa P, Aggarwal A, Gupta D, Salaria S. Role of ultrasonography in dentistry. Aids 1: 2

  15. Huang TT, Liu TC, Chen PR, Tseng FY, Yeh TH, Chen YS (2004) Deep neck infection: analysis of 185 cases. Head Neck 26:854–860

    Article  Google Scholar 

  16. Ariji Y et al (2002) Odontogenic infection pathway to the submandibular space: imaging assessment. Int J Oral Maxillofac Surg 31:165–169

    Article  CAS  Google Scholar 

  17. Jai Sanghar S, Ramsey JS, Austin RD (2012) Efficacy of ultrasound in the diagnosis of inflammatory swellings of odontogenic origin. J Indian Aca Oral Med Radiol 24(2):98–101

    Article  Google Scholar 

  18. Wang J, Ahani A, Pogrel MA (2005) A five-year retrospective study of odontogenic maxillofacial infections in a large urban public hospital. Int J Oral Maxillofac Surg 34:646–649

    Article  CAS  Google Scholar 

  19. Aarthi Nisha V et al (2013) The role of colour doppler ultrasonography in the diagnosis of fascial space infections. J Clin Diagn Res. 7(5):962–967

    Google Scholar 

  20. Mohan KR, Rao NK, Krishna GL, Kumar VS, Ranganath N, Lakshmi UV (2015) Role of ultrasonography in oral and maxillofacial surgery: a review of literature. J maxillofacial oral surg 14(2):162–170

    Article  Google Scholar 

  21. Rahman ZA, Hamimah H, Bunyarit SS (2005) Clinical patterns of Oro-facial infections. Ann Dent Univ Malaya 12:18–23

    Google Scholar 

  22. Fillingim RB, Edwards RR, Powell T (1999) The relationship of sex and clinical pain to experimental pain responses. Pain 83:419–425

    Article  Google Scholar 

  23. Elias FM, Jorge WA (1999) Negative ultrasonic findings in patients with odontogenic infections. J Oral Maxillofac Surg 57:754

    Article  CAS  Google Scholar 

  24. Khemaleelakul S, Baumgartner JC, Pruksakorn S (2002) Identification of bacteria in acute endodontic infections and their antimicrobial susceptibility. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 94:746–755

    Article  Google Scholar 

  25. Yusa H, Yoshida H, Ueno E, Onizawa K, Yanagawa T (2002) Ultrasound-guided surgical drainage of face and neck abscesses. Int J Oral Maxillofac Surg 31(3):327–329

    Article  CAS  Google Scholar 

  26. Gudi SS, Sarvadnya J, Hallur N, Sikkerimath BC (2013) Ultrasound guided drainage of submasseteric space abscesses. Ann maxillofacial surg 3(1):31

    Article  Google Scholar 

Download references

Funding

None

Author information

Authors and Affiliations

  1. Department of Oral and Maxillofacial Surgery, Ahmedabad Municipal Corporation Dental College, Bhalakia Mill compound, Opp. Anupam cinema, Khokhra, Ahmedabad, 380008, India

    Naiya Shah, Shital Patel, Taher Rupawala, Sanjay Makwana, Saloni Mansuri & Kruna Bhimani

Authors
  1. Naiya Shah
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Shital Patel
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Taher Rupawala
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Sanjay Makwana
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Saloni Mansuri
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Kruna Bhimani
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Naiya Shah.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Shah, N., Patel, S., Rupawala, T. et al. Evaluation of Efficacy of Ultrasonography as an Additional Diagnostic Tool for Deciding Management Protocol of Odontogenic Superficial Fascial Space Infections: A Prospective Clinical Study. J. Maxillofac. Oral Surg. 21, 1148–1154 (2022). https://doi.org/10.1007/s12663-021-01560-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12663-021-01560-x

Keywords

Search

Navigation