Phlegmon nearby gnathic - the purulent diffuse inflammation hypodermic, under mucous and interfascial fats of maxillofacial area.

Etiology: streptococcuses, staphilococcuses, a dental spirochete.

The pathogenesis is bound to a condition of a lymph drainage and a venous bed of tissues, hit in deep layers of soft tissues of an infection and a condition of an allergic and nonspecific reactivity of an organism. Development of a phlegmon is preceded often an osteomyelitis of a jaw, acute nearby with apical diseases of a teeth, a lymphadenitis, etc.

Signs. Sharp morbidity at a mastication, disturbance of mobility jaws (masticatory spasm), respirations, the speeches, the complicated swallowing, a hypersalivation, asymmetry of the face. Poured, dense, morbid at a palpation a tumescence of the face on the party of a lesion, the skin shining, pleated does not gather. The phenomena of an intoxication - delicacy, a sweating, cold fits, an acceleration of pulse and respiration are expressed. A body temperature of 39-40 degrees. Current can become complicated an asphyxia, a clottage of veins of the face, a meningitis, a mediastinitis, a sepsis, etc.

The forecast at radical opening an abscess and an intensive antibioticotherapia, as a rule, favorable, at putrefactive phlegmons and overdue treatment doubtful.