PMC6721268_01
Petechiae on the skin in the area of the elbow bend.
CRID2019-8260605.001.jpg
PMC6721268_01_CRID2019-8260605.001.jpg
fig1
During examination on the skin of the surface of the elbow, shoulder, and forearm, multiple petechiae were determined (Figures 1 and 2).
Petechiae on the skin of the forearm.
CRID2019-8260605.002.jpg
PMC6721268_01_CRID2019-8260605.002.jpg
fig2
During examination on the skin of the surface of the elbow, shoulder, and forearm, multiple petechiae were determined (Figures 1 and 2).
Collateral edema of the soft tissues of the left buccal region.
CRID2019-8260605.003.jpg
PMC6721268_01_CRID2019-8260605.003.jpg
fig3
The collateral edema of the soft tissues of the left buccal region was visualized, and the lymph nodes of the left submandibular and submental regions were slightly painful on palpation, mobile, and enlarged to 1.5 cm in diameter (Figure 3).
Orthopantomogram of patient K.
CRID2019-8260605.004.jpg
PMC6721268_01_CRID2019-8260605.004.jpg
fig4
Cutting the subperiosteal abscess using an erbium laser.
CRID2019-8260605.005.jpg
PMC6721268_01_CRID2019-8260605.005.jpg
fig5
Under infiltration anesthesia and using an erbium laser with an irradiation energy of 300 mJ and a frequency of 10 Hz without water-air cooling, an incision was made along the transition fold in the 2.4, 2.5, and 2.6 teeth areas, bluntly penetrating deep into the inflammatory focus, and a rich purulent discharge was obtained (Figure 5).
View of the wound immediately after the intervention.
CRID2019-8260605.006.jpg
PMC6721268_01_CRID2019-8260605.006.jpg
fig6
The wound was treated with an erbium laser (Figure 6).
Wound on the 3rd day after drainage removal.
CRID2019-8260605.007.jpg
PMC6721268_01_CRID2019-8260605.007.jpg
fig7
Drainage was removed, and further healing of the wound proceeded without features (Figure 7).