Complications of Cervicofacial Cellulitis Supported in University Hospital Yalgado Ouedraogo

Abstract

Introduction: The complications of cervicofacial cellulitis are one of the most serious emergencies Oto-Rhino-Laryngology (ORL). These complications are still observed in our context despite the advent of antibiotics. The aim of our study was to describe the clinical presentation and management of patients admitted to our institution for complications of cervicofacial cellulitis. Patients and Methods: It came from a retrospective study in the ORL service, a department of Yalgado Ouédraogo Hospital of Ouagadougou, between January 2005 and December 2014, during which all patients with cervicofacial cellulitis complications were identified. Results: We collected over 10 years, 69 cases of complicated cellulitis, a frequency of 54.3% of cervicofacial cellulitis and 2.3% of all hospitalizations. The group included 33% women and 67% men to 29 years of average age. The non-steroidal anti-inflammatory isolated was the main factor contributing 59.4%. The front door was mainly dental 43.5% and pharyngeal 36.2%. The most frequent complications were mediastinitis thoracic dissemination 24.6%, sepsis 21.7% and spontaneous fistula 20.3% with orostome or pharyngostome. Medico-surgical treatment was associated with a reanimation in most cases. The outcome was favorable in 79.7% of cases. Mortality was 17.4%. Conclusion: The complications of cervicofacial cellulitis are frequent and often life-threatening. Their management is done in a multidisciplinary framework. The prevention and early treatment remain the pledge of their control.

Evolution and prognosis of severe cervicofacial cellulitis in a Cameroonian secondary hospital

“…ey were observed in our series when the treatment was not respected and was the cause of death in 4.44% of cases. ey compromise the prognosis of the patient and increase the demand for monitoring in an intensive care unit [20]. e unsightly scars were observed in cases of necrosis with tissue loss and were associated with a poor aesthetic prognosis in 13.33% of cases.…”

Odontogenic Cervicofacial Infection in Pregnancy: A Need for Oral Care

“…A recent study from Nigeria found cervicofacial infection to be one of the leading causes of death in a maxillofacial unit, accounting for about 41.3% of maxillofacial mortality over a 10 years period ( 7 ). Other reported incidences of mortality in developing countries are 17.4% in Burkina-Faso ( 9 ), 5.8% in Ghana ( 10 ) and 0.8% in China ( 11 ). Generally, a higher incidence of cervicofacial infection and mortality rate has been reported in developing countries and this has been attributed to malnutrition, late presentation and poor health services ( 7 ).…”