Bell's palsy is defined as a neuropathy of the peripheral seventh cranial nerve or the facial nerve. It is usually from an idiopathic cause but it can result from traumatic, compressive, infective, inflammatory or metabolic abnormalities involving the facial nerve. Bell's palsy is more common in adults than in children. We present a case of Bell's palsy in an 38-year-old women who completely recovered after treatment with oral antiviral agents and steroids followed by regular facial physiotherapy. The dilemma in management of Bell's palsy with a review of relevant literature is discussed in this report.
Résumé -Le rôle prophylactique des antiseptiques appartenant à deux familles différentes, le digluconate de chlorhexidine à 0,12 % et l'hypochlorite de sodium à 0,5 %, a été étudié dans une étude prospective randomisée. La population était composée de trois groupes dont deux ont utilisé l'un des deux bains de bouche 5 jours avant l'extraction de dents de sagesse mandibulaires enclavées, l'autre groupe a servi de témoin. L'objectif était de déterminer l'effet des deux produits dans la prévention des complications inflammatoires et infectieuses postextractionnelles. Les résultats ont été statistiquement assez concluants et l'utilisation de ces deux bains de bouche présente un intérêt, surtout dans la réduction du taux d'alvéolites, et l'amélioration de la cicatrisation après les extractions non chirurgicales des dents de sagesse mandibulaires enclavées.Abstract -Interest of chlorhexidine 0.12% and sodium hypochlorite 0.5% in preoperative phase: comparative study. In a randomized prospective study, the prophylactic role of two antiseptics belonging to two different families, chlorhexidine digluconate 0.12% and sodium hypochlorite 0.5%, was studied. The population included three groups, of which two have used one of the two mouthwashes 5 days before extraction of the partially erupted mandibular third molar and the third group was a control one. The objective was to determine the effect of two antiseptic products regarding the prevention of post extraction infectious and inflammatory complications. Results were statistically conclusive and the use of these two mouthwashes could be of a great interest mainly in reducing the rate of alveolitis and improving of the postoperative healing for non-surgical extractions of partially erupted mandibular wisdom teeth.
Résumé -Introduction :Les sinusites maxillaires sont des infections fréquentes de la sphère ORL. On retrouve une étiologie dentaire dans environ 40 % des cas. L'extension des infections dentaires dans le sinus maxillaire est possible en raison de la proximité des racines des dents postérieures avec le bas fond sinusien. Observation : Un patient âgé de 27 ans était hospitalisé pour une tuméfaction frontale et orbitaire accompagnée d'une odontalgie ipsi-latérale. Les examens mettaient en évidence une pansinusite antérieure ethmoïdo-fronto-maxillaire d'origine dentaire. Le diagnostic et la prise en charge nécessitaient un bilan radiologique précis. Le traitement intéressait conjointement la cause dentaire et la sinusite. Une méatotomie moyenne associée à un élargissement du canal nasofrontal était réalisée afin de restaurer la fonction sinusienne. L'évolution était favorable. Commentaires et conclusion : Ce cas est atypique par son origine dentaire. Il illustre l'extension inhabituelle d'une infection d'origine dentaire dans le sinus maxillaire et le sinus frontal.Abstract -Ethmoido-fronto-maxillary sinusitis of dental origin: a case report. Introduction: Maxillary sinusitis is a common infection of the ENT sphere. A dental origin is found in about 40% of cases. The roots of the posterior maxillary teeth are adjacent to the sinus floor; extensions of dental infections are therefore possible to the nearby sinus. Case report: A 27-year-old patient was admitted for a frontal and orbital tumefaction associated with homolateral odontalgia. Investigations revealed fronto-ethmoido-maxillary sinusitis of dental origin. Conventional radiographs and CT scans were required for the diagnosis and proper management. Dental treatments combined with oral antibiotics to treat the infection were required. Endoscopic meatotomy associated with the enlargement of the nasofrontal duct was necessary to complete the treatment and restore adequate sinusal function. The evolution was favorable. Comments and conclusion: This case is atypical due to its dental origin; it illustrates an unusual extension of an odontogenic infection to the maxillary and frontal sinus.
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