A retrospective study of 256 patients with space infection

Gupta, Manisha; Singh, Virendra

doi:10.1007/s12663-010-0011-1

Cited by 17 publications

(13 citation statements)

References 8 publications

(8 reference statements)

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“…In the maxilla, infections have been documented spreading into the paranasal and frontal sinuses, leading to the orbit and the potential to reach the cavernous sinus. In the mandible, infection may spread into the floor of the mouth affecting the submandibular and/or sublingual spaces . With severe infections, this will compromise breathing.…”

Section: Technical Risk Factors (Procedural)mentioning

confidence: 96%

Risk factors in bone augmentation procedures

Moy

Aghaloo

2019

Periodontology 2000

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Bone augmentation is an extremely common procedure in implant dentistry today because of significant advancements with reactive biomaterials, a better understanding of the mechanism of action that is found with growth factors contained in platelets, and improvements in surgical techniques. The expectation is for the surgeon to place the dental implant in the position that best serves the requirements of the prosthetic restorations. With the increasing demands that patients have for ideal prosthetic results, surgeons are expected to predictably augment both hard and soft tissues to provide the anticipated esthetic and functional outcomes. Bone grafting can be performed before, during, and after the implant placement; however, these augmentation procedures come with increased cost, the risk of complications such as infection or failure, and lengthening of the total treatment time. In addition, a plethora of grafting materials are available commercially, where they are often inadequately studied, or there is minimal information regarding their predictability or long‐term success, or ability to support dental implants. It is clear that although the surgical field has seen major progress since early implant surgical techniques in the 1980s, major challenges still exist with hard tissue augmentation procedures. This review will discuss these challenges that are increased and often specific to bone graft healing, and which are becoming more common as implant site development often requires bone augmentation to improve volume or contour deficiencies. The risk factors that patients may present with that will affect outcomes with bone augmentation procedures are identified, and recommendations for the prevention of complications or managing complications once they have occurred are provided.

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Section: Technical Risk Factors (Procedural)mentioning

confidence: 96%

Risk factors in bone augmentation procedures

Moy

Aghaloo

2019

Periodontology 2000

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“…After the pus‐filled cavity is opened sufficiently, the traditional treatment method is to allow toxic purulent material to flow out of the infected area by gravity. After that, the abscess cavity was irrigated daily with hydrogen peroxide and saline (Gupta & Singh, 2010; Qiu et al., 2019). However, traditional treatment method results in several problems, including long hospital stay, high cost, and poor appearance.…”

Section: Discussionmentioning

confidence: 99%

“…The patients in the two groups underwent extensive incision and blunt dissection under general anesthesia to fully drain the involved infected spaces. After that, 1% hydrogen peroxide and 0.9% normal saline were used to irrigate alternately and repeatedly until the irrigating solution was clear (Gupta & Singh, 2010; Qiu et al., 2019). Bacterial culture and drug sensitivity test were performed on the purulent samples, and the empirical antibiotic treatment at admission was adjusted according to the results.…”

Section: Methodsmentioning

confidence: 99%

Negative pressure drainage‐assisted irrigation for maxillofacial space infection

et al. 2020

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Objective In this study, the clinical effect of negative pressure drainage‐assisted irrigation (NPDI) technique was evaluated in treating maxillofacial space infection (MSI) by comparing with traditional technique. Method A prospective study was conducted in 58 patients with MSI. The patients were randomly divided into two groups based on different treatment techniques. Thirty patients receiving NPDI were included in NPDI group, and 28 patients receiving traditional technique were included in traditional group. Case data (gender, age, etiology, concurrent illness, diabetes, involved spaces, preoperative white cell count, airway control method) and clinical effect (postoperative hospital stay, total cost of admission) for the two groups were analyzed. Results Patients in both groups were cured clinically. There were no significant differences in gender, age, etiology, concurrent illness, diabetes, involved spaces, preoperative white cell count, and airway control method in NPDI group and traditional group (p > .05). The postoperative hospital stay and the total cost of admission in the NPDI group were significantly lower than the traditional group (p < .001). Conclusion Negative pressure drainage‐assisted irrigation used in the treatment of MSI can shorten the postoperative hospital stay, reduce the total cost of admission, and show favorably clinical effect. It is a clinically recommended method for MSI.

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“…The elimination of all active and potential sources of infection, both odontogenic and non-odontogenic, is very important in compromised patients and decreases the potential risk of severe complications. The most common organism in diabetic patients is Klebsiella pneumoniae [8,9]. Older age and underlying systemic diseases increase the mortality in cases of deep neck infections [9].…”

Section: Discussionmentioning

confidence: 99%

Deep neck infections of non-odontogenic origin: clinical manifestation and treatment

Błochowiak¹,

Kamiński²,

Sokalski³

2018

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Słowa kluczowe: ropień przygardłowy, ropień zagardłowy, głębokie infekcje szyi, zapalenie migdałków, ropień okołomigdałkowy. AbstractDeep neck abscesses of non-odontogenic origin are characterised by different microbiological and clinical manifestations. Based on clinical presentations, the possible complications and results of different methods of treatment were described. We present five cases of non-odontogenic deep neck infections. Computed tomography was used to confirm the diagnosis and monitor the treatment's effectiveness. In three cases, the cause of infection was unidentified, while in the remaining cases pharyngitis and sialoadenitis were non-odontogenic causes of infection. Usually the causative flora were not identified, but in the remaining cases Streptococcus anginosus and Eschericha coli predominated. Computed tomography is the most recommended diagnostic method to detect infection and monitor its progression and treatment. The choice of surgical approach depends on the location of the abscess and its progression. Empirical antibiotic therapy provides additional medical support and complements surgical treatment. Diabetes is an important predisposing factor of deep neck infections. StreszczenieRopnie głębokie szyi pochodzenia niezębopochodnego charakteryzują się różnym obrazem mikrobiologicznym i klinicznym. Na podstawie serii przypadków zostały przedstawione ich możliwe komplikacje i wyniki różnych metod leczenia. Zaprezentowano 5 przypadków ropni głębokich szyi pochodzenia niezębopochodnego. Tomografia komputerowa pozwoliła na potwierdzenie diagnozy i monitorowanie efektywności leczenia. W trzech przypadkach przyczyna infekcji została niezidentyfikowana, w pozostałych przypadkach wykryto zapalenie gardła i zapalenie ślinianek. Flora przyczynowa nie została w większości zidentyfikowana, w pozostałych przypadkach dominowały Streptococcus anginosus i Eschericha coli. Tomografia komputerowa jest rekomendowaną metodą w diagnostyce oraz monitorowaniu progresji infekcji i efektów jej leczenia. Wybór metody chirurgicznej zależy od lokalizacji ropnia i jego progresji. Antybiotykoterapia empiryczna stanowi uzupełnienie leczenia. Cukrzyca jest ważnym czynnikiem predysponującym do rozwoju tego typu infekcji.

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A retrospective study of 256 patients with space infection

Cited by 17 publications

References 8 publications

Risk factors in bone augmentation procedures

Risk factors in bone augmentation procedures

Negative pressure drainage‐assisted irrigation for maxillofacial space infection

Deep neck infections of non-odontogenic origin: clinical manifestation and treatment

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