Presenting complaints A 58-year-old male with hypertension and diabetes reported to the emergency department with complaints of painful swelling in the right submandibular and submental areas. Clinical observations A mouth opening of 10 mm Reddish face Tenderness in the right submental area Moderate pus discharge at the #37 tooth extraction site Severe caries at the #46 tooth The preoperative chest x-ray was normal (Image 1a). Image 1 . Preoperative (a) and postoperative (b) chest X-ray images of the patient Surgery details Facial and intraoral incision and drainage (I&D) were conducted under general anesthesia for over two hours.
There were no surgical complications in the right submental, submandibular, buccal, pterygomandibular, and left sublingual spaces. The SPO2 of the patient immediately after the operation was stable (97% to 99%). Post-operative observations 30 minutes…
