Treatment of Submandibular Space Infection Caused by Odontogenic Origin
Submandibular space infection of odontogenic origin is commonly found when compared to all types of fascial space infection in the maxillofacial region. Infection usually spreads from mandibular molars through the lingual plate of mandible below the mylohyoid muscle attachment. The infection often causes typical swelling beneath the mandible locating on the same side of an infectious tooth. The infection may also spread to other adjacent fascial spaces. In this review article, the author described the anatomy of submandibular space, the submandibular space infection and spreading, and the management of submandibular space infection by surgery, i.e. incision and drainage. In addition to the surgical techniques, the author summarized the principles, concepts, and studies with respect to choosing antibiotics of choice in combination with surgery for the treatment of odontogenic infection, which must be correlated with the type of causative pathogens.
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