Edward L. Sleeper

Spread of infection of dental origin; anatomic and surgical considerations.

Abstract 1. 1. The fasciae and fascial spaces of the head and neck are reviewed. 2. 2. The basic anatomy is related to infections of dental origin. 3. 3. The direct spread of infections by fascial pathways is discussed and illustrated. 4. 4. Principles in the management of cases originating in abscessed teeth are stressed and the general treatment of dental infections outlined.

III. Gelatin sponge in the obliteration of cavities resulting from the excision of cysts and tumors of the jaws

Abstract The use of the absorbable gelatin sponge has a definite place in the treatment of large cavities in bone left by the enucleation of cysts and tumors of the jaws. When used judiciously in selected cases, it acts as a space obliterator, and after absorption and replacement by fibrous tissue, is eventually incorporated into bone. Its application in spaces where there has been a long-standing chronic infection is not recommended, as very rapid absorption occurs, and thus no useful function is served. When used in cavities where there are unerupted or transplanted teeth, there is no interference with development or eruption, and these teeth will assume their position in the arch in a normal manner.