J Korean Assoc Oral Maxillofac Surg 2017; 43(3): 197~203
Modified drainage of submasseteric space abscess
Moon-Gi Choi1,2
1Department of Oral and Maxillofacial Surgery, College of Dentistry, Wonkwang University,
2Wonkwang Dental Research Institute, Wonkwang University, Iksan, Korea
Moon-Gi Choi
Department of Oral and Maxillofacial Surgery, College of Dentistry, Wonkwang University, 460 Iksan-daero, Iksan 54538, Korea
TEL: +82-63-859-2921 FAX: +82-63-859-4002 E-mail: omschoi@wonkwang.ac.kr ORCID: http://orcid.org/0000-0003-3502-7652
Received August 31, 2016; Revised January 15, 2017; Accepted February 5, 2017.; Published online June 30, 2017.
© Korean Association of Oral and Maxillofacial Surgeons. All rights reserved.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Once a submasseteric space infection is diagnosed, the key to resolving the infection is via surgical intervention to evacuate the pus. Although it is possible and occasionally practical to drain the submasseteric space via an intraoral approach, an extraoral approach may sometimes be required. Surgeons have encountered complications such as facial nerve damage during extraoral incision and drainage procedures, and they have felt that extraoral dissection was very difficult. As such, an easier and simpler technique is needed. Our department recently modified various drainage techniques for submasseteric space abscesses. Damage to the marginal branch of the facial nerve did not occur, and this technique was very simple and rapid, such that a novice physician could perform this procedure. This modified technique was possible with trismus and under local anesthesia. After intraorally checking the position of the drain, the intraoral wound is closed with an absorbable suture and the drain is fixed to the extraoral skin. When a masseteric space infection is diagnosed, multiple space involvement is ruled out, and dependent drainage is required, this modified drainage technique can be useful.
Keywords: Submasseteric space abscess, Modified drainage

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31 October 2017
Vol. 43
No. 5 pp. 287~360

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