Actinomicosis cervicofacial tras cirugía ortognáticaa propósito de un caso

  1. Germán Macía
  2. Fernando Nájera
  3. Ana Belén Guerra Martínez
  4. Alejandro Gutiérrez-Jiménez
  5. G. de la Peña Varela
  6. Julio Jesús Acero Sanz
Zeitschrift:
Revista española de cirugía oral y maxilofacial: Publicación Oficial de la Sociedad Española de Cirugía Oral y Maxilofacial

ISSN: 1130-0558 2173-9161

Datum der Publikation: 2011

Ausgabe: 33

Nummer: 2

Seiten: 75-78

Art: Artikel

DOI: 10.1016/S1130-0558(11)70014-4 DIALNET GOOGLE SCHOLAR

Andere Publikationen in: Revista española de cirugía oral y maxilofacial: Publicación Oficial de la Sociedad Española de Cirugía Oral y Maxilofacial

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Zusammenfassung

Objectives: Presentation of a case of cervicofacial actinomycosis after orthognathic surgery. Material and methods: A 32-year-old male underwent bimaxillary orthognathic surgery at another clinic. Several weeks after surgery, the patient developed a right lateral mass in the neck with intermittent signs of local inflammation. Cervical imaging suggested a solid or vascular tumor. The cytology revealed lymphocytosis. Results: Two years after the index intervention, surgery performed through a Risdontype cervical incision revealed a granuloma in the lower right submaxillary cell with a fistula to the mandibular angle. The pathology report was consistent with chronic abscess with actinomyces colonization. Conclusions: Early diagnosis of cervicofacial actinomycosis is difficult and only 10% of cases are detected at onset. Although uncommon, cervicofacial actinomycosis should be considered in patients with orthognathic surgery who develop a cervical mass in the weeks after surgery.