Combination of Medical and Surgical Treatment In Submandibular Abscess Due to Neglected Left Mandibular Angle Fracture (A case report)

• Main Author: , Heri Herliana
• Format: Article NonPeerReviewed
• Published: [Yogyakarta] : Fakultas Kedokteran Gigi Universitas Gadjah Mada 2013
• Online Access: https://repository.ugm.ac.id/96042/; http://repository.ugm.ac.id/digitasi/index.php?module=cari_hasil_full&idbuku=3860
• Institution: Universitas Gadjah Mada

<p>Introduction: One of the complications resulted from fracture of the jaw is an infection/abscess, mainlyin the delayed jaw fracture or neglected jaw fracture. We report about the combination of medical and surgical treatment in submandibular abscess due to neglected left mandibular angle fracture. Case presentation: A male 38 years old, came to the Erof Hasan Sadikin Hospital, Bandung with chief complaint of swelling and pain in the left lower jaw accompanied by fever and increasing of respiratory rate. Seven days before admission the patient had an accident in.his workplace that was collide by PVCpipe under leftjaw. Panoramic x-rayshowed the fracture line at left mandibular angle region. The working diagnosis of this patient was submandibular abscess due to neglcted left mandibular angle fracture with sepsis. Emergency treatment was conducted according to survivingsepsis campaign guidelines, include: oxygenation, fluid resuscitation, antibiotic and analgesic administration, and drainage of abscess. Atthe inpatient ward, patient was treated with antibiotics ceftriaxone, ciprofloxacin and metronidazole, it needed 7 days of treatment until abscess was cured based on clinical findings no swellingand pain, from the laboratory findings leukocyte count within normal limits. Once the abscess was cured then we performed Open Reduction and Internal RigidFixation(ORIF) surgery for mandibular angle fracture with the Intermaxillary Fixation (lMF) continued for 6 weeks. Evaluation post ORIFand IMFof mandibular angle fracture in the sixth week, IMFwas removed, clinicallythere was no pain, no swellingor abscess recurrence, normal occlusion, and from the panoramic showed the fracture line was fused. Conclusions: The combination of adequate medical and proper surgical treatment was quite effective in the management of abscess as a complication of neglected jaw fracture.</p>