Once eroded through bone, infection can express itself in a variety of places depending on thickness of overlying bone and relationship of muscle attachments to site of perforation. Six possible locations are the vestibular abscess (1), buccal space (2), palatal abscess (3), sublingual space (4), submandibular space (5), and maxillary sinus (6). Buccal space abscess with spontaneous transcutaneous path of drainage (often path of least resistance). (Modified from Flint PW, Haughey BH, Lund VJ, et al, eds. Cummings Otolaryngology: Head and Neck Surgery. 5th ed. Philadelphia: Elsevier; 2010.)