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Case Reports in Otolaryngology
Volume 2013, Article ID 215793, 3 pages
http://dx.doi.org/10.1155/2013/215793
Case Report

Endoscopic Drainage of an Odontogenic Pterygoid Muscle Abscess

1Department of Otolaryngology—Head & Neck Surgery, McGill University, Royal Victoria Hospital, 687 Avenue Des Pins Ouest, Suite E-4.41, Montreal, QC, Canada H3A 1A1
2Department of Otolaryngology—Head and Neck Surgery, King Abdulaziz University, Jeddah, Saudi Arabia

Received 11 July 2013; Accepted 18 August 2013

Academic Editors: Y. Orita, G. J. Petruzzelli, and G. Zhou

Copyright © 2013 Rickul Varshney et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The infratemporal fossa (ITF) is a potential space bounded by bony structures that can be occupied by both benign and malignant tumors. It is also a potential area of abscess development, most commonly of dental origin. As with any abscess, the treatment of an ITF abscess is surgical drainage. We present a case of an ITF abscess involving the pterygoid muscles following dental extraction in a poorly controlled diabetic patient. The ITF was accessed with an endoscopic transseptal approach through the maxillary sinus to drain the abscess. This case of successful management supports the feasibility of the endoscopic approach in dealing with abscesses of the ITF.