Conservative Management of Submandibular Space Infection in a 5-Year-Old Child: A Case Report

Authors

  • Sanchita Khadka College of Dental Surgery, B.P. Koirala Institute of Health Sciences, Dharan, Nepal
  • Bandana Koirala College of Dental Surgery, B.P. Koirala Institute of Health Sciences, Dharan, Nepal
  • Mehul Rajesh Jaisani College of Dental Surgery, B.P. Koirala Institute of Health Sciences, Dharan, Nepal
  • Siddhartha Rai College of Dental Surgery, B.P. Koirala Institute of Health Sciences, Dharan, Nepal

DOI:

https://doi.org/10.3126/jnapd.v2i1.41603

Keywords:

Incision and drainage, ludwig's angina, orofacial fascial, submandibular space infection

Abstract

 Submandibular space infection is a potentially fatal infection that could arise as a result of odontogenic or non-odontogenic infections. The management should be prompt as the infection can spread rapidly leading to airway obstruction. A 5-year-old child reported with a complaint of swelling on the left side of the face for four days. On examination, patient had a diffuse swelling involving the left submandibular region with decreased mouth opening secondary to carious 75. The patient was administered intravenous (i.v) fluids, antibiotics and analgesics. Incision and drainage of the abscess was done extraorally under i.v sedation using midazolam with local anaesthesia followed by rubber drain placement. Patient responded to the treatment with progressive decrease in the swelling. Pulpectomy of 75 was performed followed by stainless-steel crown placement. This case highlights the importance of prompt appropriate treatment supplemented by salvage treatment to overcome the associated morbidity at this very young age.

 

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Author Biographies

Sanchita Khadka, College of Dental Surgery, B.P. Koirala Institute of Health Sciences, Dharan, Nepal

Junior Resident, Department of Pedodontics and Preventive Dentistry

Bandana Koirala, College of Dental Surgery, B.P. Koirala Institute of Health Sciences, Dharan, Nepal

Professor, Department of Pedodontics and Preventive Dentistry

Mehul Rajesh Jaisani, College of Dental Surgery, B.P. Koirala Institute of Health Sciences, Dharan, Nepal

Additional Professor, Department of Oral and Maxillofacial Surgery

Siddhartha Rai, College of Dental Surgery, B.P. Koirala Institute of Health Sciences, Dharan, Nepal

Junior Resident, Department of Oral and Maxillofacial Surgery

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Published

2021-12-31

How to Cite

Khadka, S., Koirala, B., Jaisani, M. R., & Rai, S. (2021). Conservative Management of Submandibular Space Infection in a 5-Year-Old Child: A Case Report. Journal of Nepalese Association of Pediatric Dentistry, 2(1), 36–40. https://doi.org/10.3126/jnapd.v2i1.41603

Issue

Section

Case Reports