Browse > Article

THE RETROSPECTIVE STUDY OF INTRAFASCIAL INFECTION FROM ODONTOGENIC INFECTION IN ORAL AND MAXILLOFACIAL REGION  

Kim, Sung-Hyuck (Department of Oral and Maxillofacial Surgery, College of Dentistry, Dankook University)
Lee, Jae-Hoon (Department of Oral and Maxillofacial Surgery, College of Dentistry, Dankook University)
Publication Information
Maxillofacial Plastic and Reconstructive Surgery / v.29, no.1, 2007 , pp. 42-49 More about this Journal
Abstract
Infections in oral and maxillofacial region are relativley common and self-limiting, but in some cases, infections spread to adjacent hard and soft tissue and to cause any complication, even threaten life. So we made retrospective study of patients with interfascial infection who had been hospitalized and been treated by surgical treatment in Dankook university about 10 years. We reviewed the charts of patient with interfascial infection from 1995 to 2005. The result were as follows: 1. In gender & age distribution, male(54.2%) & fouth decade were most frequently. 2. The most common cause of infection was dental caries(55.2%) and the most of involving teeth was lower posterior teeth(44.1%). 3. Submandibular space is most frequently involving space and most infection involved mainly one space. 4. The patients with systemic disease were 38.2%. Diabetic mellitus was 87.2% of systemic diease. The admission period was 19.5 days in systemic disease. 5. The most microorganism in culture was Streptococcus Viridans(36.2%) in all patient. Klebsiella Pneumoniae was found most in Diabetic Mellitus. 6. The patient were mainly treated I&D on admission day. Of them 5(1.1%) patients were received tracheostomy. 7. Serum albumin, CRP and body weight are associated with Nutritional Risk Index(NRI). High risk patient group according to NRI classification showed higher rate of complications & mortality. 8. The patients with complication were 28(6.7%) persons. 4(0.9%) patients were expired. Nutritional Risk Index was helpful to predict the prognosis. When interfascial infection starts to spread, we must pay attention to airway management. Fluid therapy with nutritional may support to healing of wound.
Keywords
Odontogenic infection; Interfascial space; Nutritional Risk Index;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Shapiro HH, Sleeper EL, Guralnick WC : Spread of infection on dental origin-anatomical and surgical consideration. J Oral Surg 3 : 1407, 1985   DOI   ScienceOn
2 Lee W, Cynthia CC, Roy AM : Cervical necrotizing fasci-itis of odontogenic origin : A case report and review of 12 cases. J Oral Maxillofac Surg 58 : 144, 2000   DOI   ScienceOn
3 Reuben DB, Keeler E, Seeman TE et al : Development of a method to identify seniors at high risk for high hospital utilization. Med Care 40 : 782, 2002   DOI   ScienceOn
4 Hasselmann M, Alix E : Rolls and procedure for screening for malnutrition and its associated in risks in hospital. Nutr Clin Metabol 17 : 218, 2003   DOI
5 Stienberg CM : Deep-neck space infections : diagnosis and management. Arch Otolaryngol Head Neck Surg 112 : 1274, 1986   DOI   PUBMED   ScienceOn
6 Har-El G, Aroesy JH, Shaha A et al : Changing trends in deep neck abscess. A retrospective study of 110 patient. Oral Surg Oral med Oral pathol 77 : 446, 1994   DOI   ScienceOn
7 Virofainen E, Haapaniemi J : Deep neck infections. Int J Oral Surg 8 : 407, 1979   DOI   PUBMED
8 Tom MB, Rice DH : Presentation and management of neck abscess : A retrospective analysis. Laryngoscope 98 : 877, 1988   PUBMED
9 Barratt GE, Koopmann CF, Coulthard SW : Retrophryngeal abscess - A ten-year experience. Laryngoscope 94 : 455, 1984   DOI   ScienceOn
10 Morse SS : Factors in the emergence of infectious disease. Emerg Infect Dis 1 : 7, 1995   DOI   PUBMED   ScienceOn
11 JJ, Woodson GE, Miller RH : Treatment of peritonsillar abscess. A prospective study of aspiration vs incision & drainage. Arch Otolaryngol Head Neck Surg 13 : 984, 1987
12 Kim KS, Lee DK : Oral And Maxillofacial infections : 1992, p.1
13 Laskin DM : Anatomic consideration on diagnosis and treatment of odontogenic infection. JADA 69 : 308, 1964
14 Everts EC, Evcherria J : Diseases of the pharynx and deep neck infections. Otoparyngology. 2nd ed. Philadelpia, 1980, p.2303
15 Thomas R Flynn : Odontogenic infections. Oral Maxillofac Surg Clin North Am 3 : 311, 1991
16 Peterson LJ : Contemporary management of deep infections of the neck. J Oral Maxillofac Surg 51 : 226, 1993   DOI   PUBMED   ScienceOn
17 Sakaguchi M, Sato S, Ishiyama T et al : Characterization and manageme of deep neck infections. Int J Oral Maxillofac Surg 26 : 131, 1997   PUBMED
18 Oh SS, Park EJ, Kim IK et al : Sepsis from odontogenic infection : A case report. J Kor Assoc Oral Maxillofac Surg 25 : 375, 1999
19 Herzon FS : Needle aspiration of non-peritonsillar head and neck abscess. A six year experience. Arch Otolayngol head neck surg 114 : 1312, 1998
20 Buzby GP. Knox LS, Crosby LO et al : A radomized clinical trial of total parenteral nutrition in malnourished surgical patient. Am J Clin Nutr 47 : 366, 1988   DOI   PUBMED
21 Chen MK, Wen YS, Chang CC et al : Predisposing factors of life-threatening deep infection regression analysis of 214 cases. The J Otolayngol 27 : 141, 1998
22 Ryan CC, James MC, James EA et al : presentation, Diagnosis and management of deep neck abscesses in infants. Arch Otolayngol Head Neck Surg 128 : 1361, 2002   DOI
23 Brook I : Aerobic and anaerobic bacteriology of peritonsilar abscess in children. Acta paediatr Scan 70 : 831, 1981   DOI
24 Li X, Tronstad L, Olsen I : Brain abscess caused by oral infection. Endod Dent Traumatol 15 : 95, 1999   DOI   PUBMED
25 Grodinsky M, Holyke EA : Fascia and fascial spaces of head, neck and adjacent regions. Am J Anat 63 : 367, 1983   DOI
26 Dzyak WR, Zide MF : Diagnosis and treatment of lateral pharyngeal space infection. J Oral Maxillofac Surg 42 : 243, 1984   DOI   ScienceOn
27 Wills Pl, Vernon RP : Complication of space infections of the head and neck. Laryngoscope 91 : 4129, 1981
28 Sandor GK, Low DE, Judd PL et al : Antimicrobial treatment options in the management of odontogenic infections. J Can Dent Assoc 64 : 508, 1988