Treatment of intractable orofacial infection: Case reports
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In severe cases, intractable infections in the orofacial area can lead to breathing difficulties due to closed airway, mediastinitis, and spread of infection along the blood vessels. Moreover, these conditions lead to sepsis, brain abscess, and cavernous sinus thrombosis, which can be life-threatening. The objective of this study was to evaluate the treatment of dental care and emergency situations of patients with intractable infections. In this study, two cases of intractable infection that occurred in multiple orofacial spaces were treated well through incision and drainage under general anesthesia, tracheostomy to secure an emergency airway, and active cooperation with other medical departments. Further, it is important to perform early incision and drainage with a high dose of antibiotics, obtain a discharge route with drainage, and manage infection through daily massive irrigation and dressing.
Abstract
In severe cases, intractable infections in the orofacial area can lead to breathing difficulties due to closed airway, mediastinitis, and spread of infection along the blood vessels. Moreover, these conditions lead to sepsis, brain abscess, and cavernous sinus thrombosis, which can be life-threatening. The objective of this study was to evaluate the treatment of dental care and emergency situations of patients with intractable infections. In this study, two cases of intractable infection that occurred in multiple orofacial spaces were treated well through incision and drainage under general anesthesia, tracheostomy to secure an emergency airway, and active cooperation with other medical departments. Further, it is important to perform early incision and drainage with a high dose of antibiotics, obtain a discharge route with drainage, and manage infection through daily massive irrigation and dressing.
참고문헌 (18)
- Larry J. Peterson, "Contemporary management of deep infections of the neck", Journal of Oral and Maxillofacial Surgery, 51(3), pp.226~231 (1993), Elsevier BV[DOI]
- Kim GW, "Oral & maxillofacial infection", pp.67~121 (2007), Jee Sung Publishing Co
- Mehdi Tavakoli, "Orbital Cellulitis as a Complication of Mandibular Odontogenic Infection", Ophthalmic Plastic and Reconstructive Surgery, 29(1), pp.e5~e7 (2013), Ovid Technologies (Wolters Kluwer Health)[DOI]
- 박민영, "Infratemporal fossa abscess of dental origin: a rare, severe and misdiagnosed infection", 대한구강악안면외과학회지, 44(1), pp.37~39 (2018), 대한구강악안면외과학회
- Joo HH, "A clinico-statistical analysis on the fascial space infections of oral and maxillofacial egion", J Korean Assoc Oral Maxillofac Surg, 26, pp.490~496 (2000)
- Baker KA, "The management of odontogenic infections. A rationale for appropriate chemotherapy", Dent Clin North Am, 38, pp.689~706 (1994)
- Rishi Thukral, "Actinomyces: a deceptive infection of oral cavity", 대한구강악안면외과학회지, 43(4), pp.282~285 (2017), 대한구강악안면외과학회
- Shermil Sayd, "Comparison of the efficacy of amoxicillin-clavulanic acid with metronidazole to azithromycin with metronidazole after surgical removal of impacted lower third molar to prevent infection", 대한구강악안면외과학회지, 44(3), pp.103~106 (2018), 대한구강악안면외과학회
- Flynn TR, "Odontogenic infections", Oral Maxillofac Surg North Am, 3, pp.311~329 (1991)
- Inderdeep Singh Walia, "Microbiology and Antibiotic Sensitivity of Head and Neck Space Infections of Odontogenic Origin", Journal of Maxillofacial and Oral Surgery, 13(1), pp.16~21 (2014), Springer Science and Business Media LLC[DOI]
- 이원혁, "최근 5년간 치성감염으로 인한 구강악안면부 근막간극에 발생한 농양환자의 임상 통계학적 검토", 대한구강악안면외과학회지, 30(6), pp.497~503 (2004), 대한구강악안면외과학회
- Lugo AFG, "Ludwig's angina : a report of two cases", Revista Española de Cirugía Oral y Maxilofacial, 36, pp.177~181 (2014)
- Falace DA, "Emergency dental care : diagnosis and management of urgent dental problems", pp.209~226 (1995), Williams and Wilkins
- Kruger GO, "Textbook of oral and maxillofacial surgery", pp.782~ (1986), CV Mosby
- Min Kyeong Kim, "Factors associated with length of stay and hospital charges for patients hospitalized with mouth cellulitis", Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology, 113(1), pp.21~28 (2012), Elsevier BV[DOI]
- Thomas R. Flynn, "Severe Odontogenic Infections, Part 1: Prospective Report", Journal of Oral and Maxillofacial Surgery, 64(7), pp.1093~1103 (2006), Elsevier BV[DOI]
- Daniel M. Laskin, "Systemic effects of oral infections: A possible preventive role for the oral and maxillofacial surgeon", Journal of Oral and Maxillofacial Surgery, 59(8), pp.853~ (2001), Elsevier BV[DOI]
- Little JW, "Dental management of the medically compromised patient", pp.332~364 (2002), Mosby