Actinomicosis cervicofacial tras cirugía ortognáticaa propósito de un caso
- Germán Macía
- Fernando Nájera
- Ana Belén Guerra Martínez
- Alejandro Gutiérrez-Jiménez
- G. de la Peña Varela
- Julio Jesús Acero Sanz
ISSN: 1130-0558, 2173-9161
Année de publication: 2011
Volumen: 33
Número: 2
Pages: 75-78
Type: Article
D'autres publications dans: Revista española de cirugía oral y maxilofacial: Publicación Oficial de la Sociedad Española de Cirugía Oral y Maxilofacial
Résumé
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.