• 作者：Germá ; n Mací ; a ; ^{german.macia@yahoo.es} ; Fernando Ná ; jera ; Ana Belé ; n Guerra ; Alejandro Gutié ; rrez-Jimé ; nez ; Gonzalo de la Peñ ; a ; Julio Acero
• 关键词：Actinomices ; Cervicofacial ; Ortogná ; tica ; Complicaciones
• 刊名：Revista Espa?ola de Cirug¨ªa Oral y Maxilofacial
• 出版年：2011
• 出版时间：April-June 2011
• 年：2011
• 卷：33
• 期：2
• 页码：75-78
• 全文大小：248 K

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.