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Journals / EurAsian Journal of Oral and Maxillofacial Surgery / 2026 / Volume: 5 Issue: 1

Combined temporal and infratemporal fossa abscess following tooth extraction: Case presentation and literature review

Diş çekimi sonrası gelişen kombine temporal ve infratemporal fossa apsesi: Olgu sunumu ve literatür derlemesi

Durmuş Göktürk Coşkun(Aydın Adnan Menderes)0009-0004-7839-8191
Kerim Batuhan Ener(Aydın Adnan Menderes University Faculty of Dentistry)0009-0004-1605-6305
Ömer Uranbey(Aydın Adnan Menderes Üniversitesi)0000-0003-0628-2419
Kamil Nelke(Health Department, Angelus Silesius Academy of Applied Sciences in Wałbrzych, Zamkowa 4, 58-300 Wałbrzych, Poland)0000-0003-4215-0798
Pages
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Publication Date
2026-01-30
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

This article presents a case of infratemporal fossa abscess following tooth extraction and discusses current diagnostic and therapeutic approaches in light of the literature.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Infratemporal fossa abscesses following tooth extraction are rare but potentially serious odontogenic infections.
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Key Findings & Data:They result from the spread of microorganisms from periapical lesions or iatrogenic causes into deep fascial spaces.
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Conclusion & Impact:This article presents a case of infratemporal fossa abscess following tooth extraction and discusses current diagnostic and therapeutic approaches in light of the literature.
🔬Design:Case Report
📍Scope:Comprehensive Sample
⚙️Variables:Temporal fossa · Infratemporal fossa · Odontogenic infection

Abstract

Infratemporal fossa abscesses following tooth extraction are rare but potentially serious odontogenic infections. They result from the spread of microorganisms from periapical lesions or iatrogenic causes into deep fascial spaces. Due to the complex anatomy and proximity to vital neurovascular structures, diagnosis can be challenging, with symptoms such as trismus, facial swelling, and pain. Contrast-enhanced CT or MRI is essential for assessing the extent of infection and differential diagnosis. Early surgical drainage combined with broad-spectrum antibiotic therapy plays a crucial role in preventing severe complications such as cavernous sinus thrombosis or intracranial spread. Secondly, intensive mechanotherapy helps improve mouth opening and reduces the future risk of limited mouth opening. This article presents a case of infratemporal fossa abscess following tooth extraction and discusses current diagnostic and therapeutic approaches in light of the literature.

Özet

Diş çekimi sonrası gelişen infratemporal fossa apseleri, nadir görülen ancak potansiyel olarak ciddi odontojenik enfeksiyonlardır. Bu apseler, periapikal lezyonlardan veya iatrojenik nedenlerden kaynaklanan mikroorganizmaların derin fasiyal aralıklara yayılması sonucu oluşur. Karmaşık anatomik yapı ve hayati nörovasküler yapılara yakınlık nedeniyle tanı zor olabilir; trismus, yüzde şişlik ve ağrı gibi semptomlarla kendini gösterebilir. Enfeksiyonun yayılımını değerlendirmek ve ayırıcı tanı yapmak için kontrastlı BT veya MRG görüntüleme gereklidir. Erken cerrahi drenaj ile geniş spektrumlu antibiyotik tedavisinin kombinasyonu, kavernöz sinüs trombozu veya intrakraniyal yayılım gibi ciddi komplikasyonları önlemede hayati rol oynar. Ayrıca, yoğun mekanoterapi ağız açıklığını artırmaya yardımcı olur ve gelecekte sınırlı ağız açıklığı riskini azaltır. Bu makalede, diş çekimi sonrası gelişen bir infratemporal fossa apsesi olgusu sunulmakta ve güncel tanı ve tedavi yaklaşımları literatür ışığında tartışılmaktadır.

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Cite This Article

Coşkun, D. G., Ener, K. B., Uranbey, Ö., Nelke, K. (2026). Combined temporal and infratemporal fossa abscess following tooth extraction: Case presentation and literature review. EurAsian Journal of Oral and Maxillofacial Surgery, Volume: 5 Issue: 1. https://ajindex.com/articles/1629614

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References (16)

  1. Zawiślak E, Nowak R. Odontogenic Head and Neck Region Infections Requiring Hospitalization: An 18-Month Retrospective Analysis. Biomed Res Int. 2021;2021. doi:10.1155/2021/7086763,
  2. Eisler L, Wearda K, Romatoski K, Odland RM. Morbidity and cost of odontogenic infections. Otolaryngology - Head and Neck Surgery (United States). 2013;149(1):84-88. doi:10.1177/0194599813485210,
  3. Stephens MB, Wiedemer JP, Kushner GM. Dental Problems in Primary Care. Am Fam Physician. 2018;98(11):654-660. Accessed September 7, 2025. https://www.aafp.org/pubs/afp/ issues/2018/1201/p654.html
  4. Young K, Tang DM, Wu AW. Infratemporal Fossa Abscesses: A Systematic Review of Cases. Ear Nose Throat J. 2025;104(6):375- 382. doi:10.1177/01455613221121040/SUPPL_FILE/SJ-PDF-1- EAR-10.1177_01455613221121040.PDF
  5. Ingallina F, Alfertshofer MG, Schelke L, et al. The Fascias ofthe Forehead and Temple Aligned—An Anatomic Narrative Review. Facial Plast Surg Clin North Am. 2022;30(2):215-224. doi:10.1016/j.fsc.2022.01.006
  6. Casale J, Bordoni B. Anatomy, Head and Neck: Infratemporal Fossa. StatPearls. Published online July 24, 2023. Accessed September 8, 2025. https://www.ncbi.nlm.nih.gov/books/NBK537034/
  7. Dang NP, Delbet-Dupas C, Mulliez A, Devoize L, Dallel R, Barthélémy I. Five Predictors Affecting the Prognosis of Patients with Severe Odontogenic Infections. International Journal of Environmental Research and Public Health 2020, Vol 17, Page 8917. 2020;17(23):8917. doi:10.3390/IJERPH17238917
  8. Akst LM, Albani BJ, Strome M. Subacute infratemporal fossa cellulitis with subsequent abscess formation in an immunocompromised patient. American Journal of Otolaryngology - Head and Neck Medicine and Surgery. 2005;26(1):35-38. doi:10.1016/j.amjoto.2004.06.015
  9. Mesgarzadeh AH, Ghavimi MA, Gok G, Zarghami A. Infratemporal space infection following maxillary third molar extraction in an uncontrolled diabetic patient. J Dent Res Dent Clin Dent Prospects. 2012;6(3):113-115. doi:10.5681/JODDD.2012.024,
  10. Varshney R, Zawawi F, Tewfik MA. Endoscopic Drainage of an Odontogenic Pterygoid Muscle Abscess. Case Rep Otolaryngol. 2013;2013:215793. doi:10.1155/2013/215793
  11. Yonetsu K, Izumi M, Nakamura T. Deep facial infections of odontogenic origin: CT assessment of pathways of space involvement. AJNR Am J Neuroradiol. 1998;19(1):123. Accessed September 10, 2025. https://pmc.ncbi.nlm.nih.gov/articles/PMC8337342/
  12. Guo YX, Sun ZP, Liu XJ, Bhandari K, Guo CB. Surgical safetydistances in the infratemporal fossa: Three-dimensional measurement study. Int J Oral Maxillofac Surg. 2015;44(5):555-561. doi:10.1016/j.ijom.2014.06.004
  13. Kotagiri R, Repp ML, Kim MH, Stipho F. Infratemporal abscess: a rare complication of a common procedure. Access Microbiol. 2024;6(2):000721.v3. doi:10.1099/ACMI.0.000721.V3
  14. Lisan Q, Leclerc N, Kania R, Guichard JP, Herman P, Verillaud B. Infratemporal fossa tumors: When to suspect amalignant tumor? A retrospective cohort study of 62 cases. Eur Ann Otorhinolaryngol Head Neck Dis. 2018;135(5):311-314.doi:10.1016/j.anorl.2018.06.005
  15. Łysenko L, Leśnik P, Nelke K, Gerber H. Immune disorders in sepsis and their treatment as a significant problem of modern intensive care. Postepy Hig Med Dosw (Online). 2017;71(1):703-712. doi:10.5604/01.3001.0010.3849
  16. Pereira RS, Guerra RC, Hochuli-Vieira E, Alves FRF. Cavernous sinus thrombosis followed by brain ischaemia in a type-1 diabetic patient: a persistent endodontic infection report. Australian Endodontic Journal. 2022;48(3):510-514. doi:10.1111/AEJ.12579