Maxillofacial Plastic and Reconstructive Surgery

Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
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Cervico-facial Infection Due to Dental Origin: A Retrospective Clinical Study

치성 원인에 의한 경안면 감염에 대한 후향적 연구

  • Ryu, Kyung-Sun (Department of Oral and Maxillofacial Surgery, Inje University Busan Paik Hospital) ;
  • Lee, Hyun-Kyung (Department of Oral and Maxillofacial Surgery, Inje University Busan Paik Hospital) ;
  • Kim, Do-Young (Department of Oral and Maxillofacial Surgery, Inje University Busan Paik Hospital) ;
  • Kim, Moo-Gun (Department of Oral and Maxillofacial Surgery, Inje University Busan Paik Hospital) ;
  • Jung, Tae-Young (Department of Oral and Maxillofacial Surgery, Inje University Busan Paik Hospital) ;
  • Park, Sang-Jun (Department of Oral and Maxillofacial Surgery, Inje University Busan Paik Hospital)
  • 류경선 (인제대학교 부산백병원 구강악안면외과) ;
  • 이현경 (인제대학교 부산백병원 구강악안면외과) ;
  • 김도영 (인제대학교 부산백병원 구강악안면외과) ;
  • 김무건 (인제대학교 부산백병원 구강악안면외과) ;
  • 정태영 (인제대학교 부산백병원 구강악안면외과) ;
  • 박상준 (인제대학교 부산백병원 구강악안면외과)
  • Received : 2013.02.05
  • Accepted : 2013.07.25
  • Published : 2013.07.31
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Abstract

Purpose: The objective of this retrospective study is to evaluate the factors affecting the spread of odontogenic infection. Furthermore, this study was performed to apply to future treatments. Methods: A total of 65 patients, who had received treatment for odontogenic infections from 2010 to 2012 for 3 years, were enrolled in this study. The causes of infection, presence of systemic disease, and complications, durations of treatment, treatment methods, and inflammation levels were compared with the data. Results: Patients over 70 years with systemic disease required immediate drainage, systemic antibiotic therapy and hospitalization. We can determine the direction of the early diagnosis and treatment through blood tests (white blood cells, neutrophil, C-reactive protein [CRP]) and computed tomography. Patients over 70 years with systemic disease had the highest percentage. In addition, these patients showed high levels of inflammation index, such as CRP average of 24.8 and needed for a long-term treatment period and a wide range of surgical incision & drainage several times. Systemic diseases, particularly diabetes mellitus and hypertension, accelerate the spread of infection and had a negative effect that delays healing. Eventually, five of the 65 patients showed serious systemic complications. Conclusion: When evaluating cervico-facial infected patients due to odontogenic infection, the most important thing is deciding the appropriate diagnosis and degree of disease. Considering the patient's systemic status and age, we need to decide the treatment plan. Especially, those patients over 70 years with systemic disease should be treated with rapid surgical approach, and the use of a wide range of antibiotics and intensive care. If proper treatment principle does not apply, severe life-threatening complications will result, such as necrotizing fascitis, acute airway obstruction, mediastinitis, and others.

Keywords

References

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