Korean J Otorhinolaryngol-Head Neck Surg.  2009 Jun;52(6):525-528. 10.3342/kjorl-hns.2009.52.6.525.

A Case of Neonatal Submandibular Gland Abscess

• Park YS
• Kwak DS
• Hwang IO

• KMID: 2277070
• DOI: http://doi.org/10.3342/kjorl-hns.2009.52.6.525

Abstract

Submandibular gland abscess is exceptionally rare in neonates. We present a case of submandibular gland abscess and etiology, investigations and treatment for this very rare condition. The patient was a 15-day-old neonate with a swelling in the right submandibualr region. She was born after a full term and showed a sign of dehydration. An ultrasound examination demonstrated a multiple lobulated echoic lesion and the right submandibular gland was nonvisible. A CT scan revealed a hypodense round mass measuring 2.5x2.8x2.8 cm and a multiple hyperdense lesion, but no right submandibular glands. A dignosis of submandibular abscess in association with acute suppurative sialadenitis was made. Under general anesthesia, the neck abscess was drained by a 2-cm long incision at two finger-breadths (3 cm) below the inferior border of the ramus of mandibule. A large amount of greenish pus emerged immediately after dividing the platysma. The submandibular salivary gland was nearly not found. Specimen from the pus were taken for the culturing of bacteria, fungi, actinomycetes, and tuberculosis. The wound was irrigated by normal saline and penrose drain was inserted. The antibiotics was administered for 7 days. A three-week follow-up showed no evidence of infection.

Keyword

Submandibular abscess; Neonate

MeSH Terms

Abscess
Actinobacteria
Anesthesia, General
Anti-Bacterial Agents
Bacteria
Dehydration
Follow-Up Studies
Fungi
Humans
Infant, Newborn
Neck
Salivary Glands
Sialadenitis
Submandibular Gland
Suppuration
Tuberculosis
Anti-Bacterial Agents