Midline odontogenic infections: a continuing diagnostic problem

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Midline odontogenic infections: a continuing diagnostic problem Helen Witherow, Pratibha Washan, Peter Blenkinsopp British Journal of Plastic Surgery Volume 56, Issue 2, Pages 173-175 (March 2003) DOI: 10.1016/S0007-1226(03)00032-8

Figure 1 Lesion on upper lip. British Journal of Plastic Surgery 2003 56, 173-175DOI: (10.1016/S0007-1226(03)00032-8)

Figure 2 Radiograph illustrating a radioleucent area associated with the non-vital upper right central crowned incisor. British Journal of Plastic Surgery 2003 56, 173-175DOI: (10.1016/S0007-1226(03)00032-8)

Figure 3 Submental lesion. British Journal of Plastic Surgery 2003 56, 173-175DOI: (10.1016/S0007-1226(03)00032-8)

Figure 4 Extraoral sites for odentogenic sinuses in the Maxilla. Legends: (a) Zygomaticus major (b) Zygomaticus minor (c) Levator Labi superioris arising from the infra-orbital foramen (d) Levator Labi superioris alaque nasi (e) Compressor nares (f) Dilator nares (g) Levator anguli oris and (h) Risorius. 1. Odontogenic sinuses tracking from the upper incisors or occasionally the lateral incisor may present in the floor of the nose or philtrum directed by dilator nares muscles. 2. A sinus may present in the lateral nasal region from infections tracking from the canine or occasionally the lateral incisor. 3. Infections tracking to the medial aspect of the eye (the danger area) usually from apical infection of the canine or first molar. 4. Odontogenic sinuses from the upper molars may rarely present on the cheek if their apices are above buccinator. British Journal of Plastic Surgery 2003 56, 173-175DOI: (10.1016/S0007-1226(03)00032-8)