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العنوان
Ultrasonographic and magnetic resonance imaging assessment of the spread of odontogenic infections to the fascial spaces of the head and neck /
المؤلف
Bassiony, Maaly Ahmed Awad.
هيئة الاعداد
باحث / معالى أحمد عوض بسيونى
مشرف / عبدالمنعم توفيق جادالله
مشرف / جي يانج
مشرف / صبري علم الدين الموجي
مشرف / ماجدة محمد النجدي
الموضوع
Ultrasonography. Magnetic resonance imaging. Odontogenic infection. Fascial spaces. head and neck.
تاريخ النشر
2009.
عدد الصفحات
161 p. :
اللغة
الإنجليزية
الدرجة
الدكتوراه
التخصص
Oral Surgery
تاريخ الإجازة
1/1/2009
مكان الإجازة
جامعة المنصورة - كلية طب الأسنان - قسم جراحة الفم
الفهرس
Only 14 pages are availabe for public view

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Abstract

Purpose The aim of this study was to investigate capability of ultrasonography (USG) as an alternative imaging method to MRI in detection of fascial space spread of odontogenic infections. Materials and Methods Forty-seven fascial spaces out of twenty subjects, clinically-diagnosed as odontogenic infections, were included in this prospective study. The fascial space involvements were examined using ultrasonography( USG) and magnetic resonance imaging (MRI) and the results were confirmed with microbiology tests. Results USG demonstrated 37 (78.7%) of 47 involved fascial spaces. There was 100% agreement between USG and MRI on 37 superficial space involvements, including 15 buccal (BS), 12 Submandibular (SMn.S), 6 canine(CS), 2 submasseteric(SMS), one submental (SMt.S), and one infraorbital (IOS)spaces. USG did not detect the 4 masticator (MS) spaces and all 4 parapharyngeal (PPS) space involvements. USG was able to stage infections starting from edematous change to cellulitis to complete abscess formation. Conclusions USG could be considered as an effective method in detecting and staging spread of odontogenic infections to the superficial fascial spaces such as buccal, submandibular, and canine spaces. However, it was difficult to detect deep fascial space involvements.