Journal of the Korean Association of Oral and Maxillofacial Surgeons

The Korean Association of Oral and Maxillofacial Surgeons (대한구강악안면외과학회)
권호 표지

CLINICOSTASTICAL STUDY OF INPATIENTS OF ABSCESS IN FASCIAL SPACES FOR THE LAST 5 YEARS

최근 5년간 치성감염으로 인한 구강악안면부 근막간극에 발생한 농양환자의 임상 통계학적 검토

  • Lee, Won-Hyuk (Dept. of Dentistry, Oral & Maxillofacial Surgery, Daegu Catholic University Hospital) ;
  • Ahn, Kyung-Mi (Dept. of Dentistry, Oral & Maxillofacial Surgery, Daegu Catholic University Hospital) ;
  • Jang, Bo-Young (Dept. of Dentistry, Oral & Maxillofacial Surgery, Daegu Catholic University Hospital) ;
  • Ahn, Mi-Ra (Dept. of Dentistry, Oral & Maxillofacial Surgery, Daegu Catholic University Hospital) ;
  • Lee, Jung-Yub (Dept. of Dentistry, Oral & Maxillofacial Surgery, Daegu Catholic University Hospital) ;
  • Sohn, Dong-Suk (Dept. of Dentistry, Oral & Maxillofacial Surgery, Daegu Catholic University Hospital)
  • 이원혁 (대구가톨릭대학병원 치과 구강악안면외과학교실) ;
  • 안경미 (대구가톨릭대학병원 치과 구강악안면외과학교실) ;
  • 장보영 (대구가톨릭대학병원 치과 구강악안면외과학교실) ;
  • 안미라 (대구가톨릭대학병원 치과 구강악안면외과학교실) ;
  • 이중엽 (대구가톨릭대학병원 치과 구강악안면외과학교실) ;
  • 손동석 (대구가톨릭대학병원 치과 구강악안면외과학교실)
  • Published : 2004.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

One of the most difficult problems to damage in dentistry is an odontogenic infection. These infections may range from low-grade, well-localized infections that require only minimal treatment to a severe, life-threatenig fascial space infection. Although the overwhelming majority of odontogenic infections are easily managed by minor surgical procedures and supportive medical therapy that includes antibiotic administration, the practitioner must constantly bear in mind that these infections may become severe in a very short time. We made an investigation was targeting on 78 male and 47 female patients (125 patients in total) who had been hospitalized because of the fascial space abscess on the oral and maxillofacial area and gained a complete recovery in Daegu Catholic University Hospital, Oral & Maxillofacial Surgery from January 1999 to December 2003. By tracing their charts, we could grasp the characteristics such as age, gender, the time of breakout and specific areas of the attacks, making a conclusive study of the statistical analysis and finally, we could reach conclusions. Now, we report the conclusion from the investigation with the literature. The proportion of males and females was approximately 3 to 2, and in age group, patients under 10 years old marked the highest, 22.4%. The patients between the age of 10 and 40 were only 14.4%, yet those who were between 40 and 80 marked 53.6% in contrast. In the monthly distribution, the order was Dec.(13.6%)-Sep.(12%)-Jan.(10.4%) and in seasonal distribution, it was winter(30.4%)-fall(28%)- summer(24.4%)- spring(19.2%). Considering the medical history, D.M. was the highest which was 30.3%, hypertension marked 24.4%, and the patients with both D.M. and hypertension were 9.0%. The major cause of infection of oral and maxillofacial areas was odontogenic infection, which marked about 96%, and especially the cases related to dental caries occurred most frequently, which was 51.2%. In the number of relaxed fascial space, single fascial space was 81.6%, and in the degree of relaxation of fascial space, the buccal space abscess marked 40.8%, following submandibular space abscess, which was 30.4%.

Keywords

References

  1. Thomson, G: The use and abuse of the toothbrush. Br Dent 48:92,1927
  2. Shafer, W.G.;Hine,M.K; and Levy,B.M Atextbook of oral pathology. W.B. Saunders Co.,Philadelphia, ed 3, 1974, 740
  3. Hirschfeld, I. The toothbrush: its use and abuse. Dent Items Interest Pub. Co., Brooklyn, 1939,pp180-365
  4. Glickman,I.Clinical periodontology.W.B. saunders Co.,Philadelphia, ed 4, 1972, p93
  5. Prichard, J.F. Advanced periodontal disease, ed 2. W.B. saunders Co., Philadelphia, 1972,p609
  6. Grant, D. A.;Stern, I.B.; and Everett, F.G. Orban`s periodontics, ed 4. C. V. Mosby Co., St. Louis, 1972,p354
  7. Har-El G, Aroesty JH, Shaha A, Lucente FE: Changing trends in deep neck abscess. A retrospective study of 110 patients. Oral Surg Oral Med Oral Pahol 77(5):446-450, 1994
  8. Peterson LJ: Comtemporary management of deep infections of the neck. J Oral Maxillofac Surg. 51(3):226-231, 1993
  9. Tom MB, Rice DH: Presentation and management of neck abscess: a retospective analysis. Laryngospcope. 98(8 Pt 1):877-880, 1988
  10. Chen MK, Wen YS, Chang CC, HUang MT: Predisposing factors of life-threatening deep infection: regression analysis of 214 cases. The Journal of Otolaryngology. 27(3):141-144.1998
  11. Ryan C. Cmejrex, MD;James M. Coticchia, MD;James E. Arnold, MD.: Presentation, Diagnosis, and management of deep-neck abscesses in infants. Arch otolaryngol. head neck surg/vol 128. dec2002 p1361-1364
  12. B.R.PYNN, T.SANDS, M,J,PHAROAH:Odontogenic infections: Anatomy and radiology: Oral Health. May. 1995, P.7-10
  13. Laskin DM: Anatomic considerations in diagnosis and treatment of odontogenic infections. JADA 1964;69:308
  14. Sicher, H: Oral Anatomy. St. Louis, CV Mosby Co.1965
  15. 오성섭,박은진,김일규,김형돈,최진호,오남식:악안면 근막극감염의 임상적 고찰. 대한치과의사협회지 제38권 제1호 2000 p94-102
  16. Peterson LJ: Contemporary management of deep infections of neck J oral Maxillofac Surg 1993; 51:226
  17. Kruger GO: Textbook of Oral Surgery 6th ed CV Mosby Co., St. Louis, 1986
  18. Topazian RG, Goldberg MH: Oral and Maxillofacial Infections, 3rd ed WB Saunders Company, Philadelphia
  19. Thomas R Flynn: Odontogenic infections. Oral Maxillofac Surg Clin North Am 1991; 3: 311
  20. Thomas R Flynn: Odontogenic infections. Oral Maxillofac Surg Clin North Am 1991; 3: 311
  21. Larry J. Peterson, Edward Ellis III, James R.Hupp, Myron R. Tucker: Contemporary Oral and Maxiilofacial Surgery, St. Louis, CV Mosby Co.1988
  22. 주현호,원동환,이상휘,김일현:구강악안면 근막간극 감염에 관한 임상통계학적 분석. 대한구강악안면외과학회지. 26(5):490-496,2000
  23. Har-El G, Aroesty JH, Shaha A,Lucente FE: Changing trends in deep neck abscess. A retrospective study of 11 patients. Oral Surg Oral Med Oral Pahol 77(5);446-450,1994