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Case Studies | Dentistry | Indonesia | Volume 9 Issue 5, May 2020 | Popularity: 6.8 / 10

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Right Submandibular Abscess Extended to the Right Neck and Right Auricular with Upper Airways Obstruction Grade 1 and Cerebral Palsy Spastic Quadriplegy: A Case Report

Akmalia Hardini, Seto Adiantoro Sadputranto, Agus Nurwiadh

Abstract: Introduction: The submandibular abscess is one of the forms of a deep neck abscess. The abscess of the inner neck may be a peritonsil abscess, retrophary abscess, submandibular abscess, and Ludwig's Angina. Cerebral palsy is a disorder or disorder that occurs in a period of time in the development of children, about motor cells in the central nervous system, is chronic and not progressive due to abnormalities or defects in brain tissue unfinished growth. Patients with submandibular abscess in children with cerebral palsy with Upper airways obstruction grade 1 are rare, requiring special handling at emergency especially in pediatric patients. Case Report: A 13yearold boy was complained of swelling on the right cheek without fever, the patient was given paracetamol syrup by the patient's parents and the swelling shrank. Then the patient complained about the swelling reappearing in the right neck and then the patient was taken to Hasan Sadikin Hospital Bandung and performed of urine catheter insertion for dehydration observation then drainage incision and application of penrose drain at submandible region. Medications given antibiotics, and intravenous analgesics. Discussion: The most important treatment of infections is removal of the offending source and proving path of drainage. Ancillary measures such as pharmacotherapy are aimed as supportive measures for the host, especially in cases of immune compromise. They are not meant to replace surgical interventionunlesstheinfectionisveryearly in itsstagesofdevelopment. Infections should be treated as soon as possible. To avoid respiratory failure, we should observe the patient's vital signs per 30 minutes. Conclusion: Successful results can be achieved for pediatric patients who can be treated with Incision and Drainage, removal of etiologic factor followed by a combo of three antibiotics.

Keywords: abscess, Cerebral palsy, Upper airways obstruction

Edition: Volume 9 Issue 5, May 2020

Pages: 775 - 779

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