| Identifier |
Dental_Infections_in_Neuro-Ophtho_Lee |
| Title |
Dental Infections in Neuro-Ophthalmology |
| Creator |
Andrew G. Lee, MD; Sruti Rachapudi |
| Affiliation |
(AGL) Chairman, Department of Ophthalmology, The Methodist Hospital, Houston, Texas; Professor of Ophthalmology, Weill Cornell Medicine, New York City, New York; (SR) Class of 2024, Baylor College of Medicine, Houston, Texas |
| Subject |
Dental; Maxilla; Mandibular; Molar |
| Description |
Dr. Lee lectures medical students on the impact of dental infections on neuro-ophthalmological health. |
| Transcript |
"So I want to talk about what a neuro-ophthalmologist needs to know about the teeth. So it's kind of like dental neuro-op here. And normally we don't overlap much with dentistry, however you need to know that there are some teeth that matter more to me. And the reason is, if you look at the teeth, the teeth that matter to me are these ones here, which are the back ones. So these, the front ones, those don't come to me. These central incisors, the lateral incisors, the canines, the premolars one and two- these just don't come to me because they're in the front. The ones that come to me are these back ones, these ones are called molars. The molars are where the mashing occurs so you have to push the food back there. These are like the cutting teeth, these are like the mashing teeth. And it's molar two and three, and obviously in the maxillary (the upper jaw) there's an analogous thing in the lower jaw. So again it's gonna be molar two/three but in the mandible. So we got mandibular and maxillary molar two/three. Those are the numbers you have to remember when you're talking about things that could end up with me. And the reason it ends up with me is, these teeth are very close to the buccal space. And so if you have a apical abscess (a tooth abscess) either in the maxillary molar (which is the top one) or in the mandibular molar (which is the bottom one- mandibular molar), both the maxillary apical abscess (tooth abscess) and the mandibular molar abscess have direct access to the buccal space. And the buccal space is a dangerous space because he has direct access upstairs to the infratemporal fossa, the inferior orbital fissure, and that means you can get right into the orbit. And so when we have a history that we have had dental surgery or dental procedure or tooth pulled or wisdom tooth extraction or dental anything, in mandibular molar or maxillary molar two/three, we really should be worried about extension from buccal space of that abscess. And it can either make a subperiosteal abscess, it can make an intraorbital abscess, or it can just cause diffuse orbital cellulitis. These subperiosteal and orbital abscess are going to be resistant to medical antibiotic therapy and often require surgical drainage." |
| Date |
2022-03 |
| Language |
eng |
| Format |
video/mp4 |
| Type |
Image/MovingImage |
| Collection |
Neuro-Ophthalmology Virtual Education Library: Andrew G. Lee Collection: https://novel.utah.edu/Lee/ |
| Publisher |
North American Neuro-Ophthalmology Society |
| Holding Institution |
Spencer S. Eccles Health Sciences Library, University of Utah, 10 N 1900 E SLC, UT 84112-5890 |
| Rights Management |
Copyright 2019. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright |
| ARK |
ark:/87278/s6ek9wdf |
| Setname |
ehsl_novel_lee |
| ID |
1751076 |
| Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6ek9wdf |
