PDF(Pubmed)
Abstract：
The infratemporal fossa (ITF) contains many critical neurovascular structures and the muscles of mastication. Infections of the ITF are rare and carry significant pathologic implications due to nearby structures. Abscesses of the ITF often occur due to odontogenic spread and present with trismus and facial pain. We present the case of a 26-year-old male with an uncommon ITF abscess of the lateral pterygoid following maxillary wisdom tooth extraction. The abscess resolved following bedside and operative intraoral drainage in addition to intravenous antibiotic therapy. We highlight the rarity of lateral pterygoid abscesses and the importance of distinguishing ITF abscesses from other similarly presenting conditions such as temporomandibular joint dysfunction.
摘要：
颞下窝（ITF）包含许多关键的神经血管结构和咀嚼肌肉。ITF的感染很少见，并且由于附近的结构而具有重要的病理意义。ITF脓肿通常是由于牙源性扩散而发生的，并伴有三端和面部疼痛。我们介绍了一名26岁的男性，上颌智齿拔除后外侧翼状体的不常见ITF脓肿。除静脉抗生素治疗外，在床旁和手术口内引流后，脓肿得以解决。我们强调了翼外脓肿的稀有性，以及将ITF脓肿与其他类似情况（例如颞下颌关节功能障碍）区分开的重要性。
