Ghali S, Katti G, Shahbaz S, Chitroda PK, V Anukriti, Divakar DD, Khan AA, Naik S, Al-Kheraif AA, Jhugroo C. Fascial space odontogenic infections: Ultrasonography as an alternative to magnetic resonance imaging. World J Clin Cases 2021; 9(3): 573-580 [PMID: PMC7829733 DOI: 10.12998/wjcc.v9.i3.573]
Corresponding Author of This Article
Darshan Devang Divakar, MDS, PhD, Research Scientist, Department of Dental Health, College of Applied Medical Sciences, King Saud University, Riyadh 11433, Saudi Arabia. darshandevang@gmail.com
Research Domain of This Article
Dentistry, Oral Surgery & Medicine
Article-Type of This Article
Observational Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Jan 26, 2021; 9(3): 573-580 Published online Jan 26, 2021. doi: 10.12998/wjcc.v9.i3.573
Fascial space odontogenic infections: Ultrasonography as an alternative to magnetic resonance imaging
Sreenivasarao Ghali, Girish Katti, Syed Shahbaz, Parita K Chitroda, Anukriti V, Darshan Devang Divakar, Aftab Ahmed Khan, Sachin Naik, Abdulaziz A Al-Kheraif, Chitra Jhugroo
Sreenivasarao Ghali, Anukriti V, Department of Oral Medicine and Radiology, Nanded Rural Dental College and Research Center, Nanded 431606, Maharashtra, India
Girish Katti, Syed Shahbaz, Parita K Chitroda, Department of Oral Medicine and Radiology, Al-Badar Dental College and Hospital, Kalaburagi 585102, Karnataka, India
Darshan Devang Divakar, Aftab Ahmed Khan, Sachin Naik, Abdulaziz A Al-Kheraif, Chitra Jhugroo, Department of Dental Health, College of Applied Medical Sciences, King Saud University, Riyadh 11433, Saudi Arabia
Author contributions: Ghali S, Katti G, Shahbaz S and Naik S were involved in study design and drafted the manuscript; Chitroda PK, V Anukriti, Divakar DD, Khan AA and Al-Kheraif AA assisted in data analysis and interpretation; Naik S, Al-Kheraif AA and Jhugroo C involved in the acquisition of data and drafting the manuscript.
Supported byKing Saud University, Riyadh, Saudi Arabia, No. RSP-2020/31.
Institutional review board statement: Al-Badar Dental College ethical committee. Gulbarga, India
Conflict-of-interest statement: The authors declares that there is no conflict of interest regarding the publication of this paper.
Data sharing statement: All available data can be obtained by contacting the corresponding author.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Darshan Devang Divakar, MDS, PhD, Research Scientist, Department of Dental Health, College of Applied Medical Sciences, King Saud University, Riyadh 11433, Saudi Arabia. darshandevang@gmail.com
Received: July 4, 2020 Peer-review started: July 4, 2020 First decision: November 20, 2020 Revised: November 29, 2020 Accepted: December 23, 2020 Article in press: December 23, 2020 Published online: January 26, 2021 Processing time: 183 Days and 5.2 Hours
Abstract
BACKGROUND
The introduction of modern diagnostic tools has transformed the field of maxillofacial radiology. Odontogenic infection and fascial space involvement have been evaluated with many diagnostic tools, including ultrasonography (USG) and magnetic resonance imaging (MRI).
AIM
To explore USG as an alternative model to MRI in the detection of fascial space spread of odontogenic infections.
METHODS
Among 20 patients, 50 fascial spaces were clinically diagnosed with odontogenic infection and included in this prospective study. Fascial space infection involvement was examined by USG and MRI. Results were compared for both and confirmed by microbiological testing.
RESULTS
Ultrasonography identified 42 (84%) of 50 involved fascial spaces. Whereas MRI identified all 50 (100%). USG could stage the infections from edematous change to cellulitis to complete abscess formation.
CONCLUSION
MRI was superior in recognizing deep fascial space infections compared to USG. However, USG is a significant addition and has a definite role in prognosticating the stage of infection and exact anatomic location in superficial space infections.
Core Tip: Odontogenic infection originates from pulpal or periodontal pathology. These pathologies can spread to the head and neck spaces and may lead to cellulitis or abscess formation. Severe forms may lead to a life-threatening condition such as airway obstruction. Magnetic resonance imaging and ultrasonography are considered excellent tools for detecting these infections. However, these tools have their advantages and disadvantages in imaging capability, convenience, and availability. The present study explores the potential of these two tools in the detection of odontogenic infection spread to fascial spaces.
