Controversies in the Management of Oral and Maxillofacial Infections

Taub, Daniel; Yampolsky, Andrew; Diecidue, Robert J.; Gold, Lionel

doi:10.1016/j.coms.2017.06.004

Cited by 51 publications

(60 citation statements)

References 41 publications

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“…It is administered parenterally in its leading pharmaceutical form in an inpatient setting. If anaerobic strain involvement is suspected, metronidazole is a treatment of choice [15][16][17]. The indications for antibiotic therapy include severe systemic symptoms, extensive local inflammation, immunosuppression, systemic comorbidities (diabetes, RA, liver damage) and upper face or mid-face involvement.…”

Section: General Characteristics Of Head and Neck Infectionsmentioning

confidence: 99%

CT Manifestation of Abscess Occupying the Infratemporal Fossa and Temporoparietal Region in a 73-Year-Old Male- Case Report

Zawiślak¹

2020

LOJPCR

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Commonly available dental care and a widespread use of antibiotics in an outpatient setting have not eliminated odontogenic infections which may require inpatient admission as potentially life-threatening conditions. The spread of infection to the deep fascia of the head and neck may lead to severe and life-threatening complications, such as airway obstruction, mediastinitis, sepsis and septic shock, endocarditis or intracranial abscess formation. Clinical presentation of deep fasciitis of the head and neck may not correspond to the systemic deterioration in the same patient. Therefore, contrast-enhanced computed tomography should be a standard diagnostic imaging in such cases, as it enables accurate location of inflammation, whereas contrast enhancement enables differentiation between soft tissue inflammation and fluid collections based on their density relative to the one of air. It substantially aides the diagnosis, where the history and clinical presentation are inconclusive. The aim of the paper is to discuss the diagnostic management, presentation and spread of odontogenic infections of the head and neck by presenting the rare case of abscess occupying the left infratemporal fossa and temporoparietal region in a 73-year-old male.

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Section: General Characteristics Of Head and Neck Infectionsmentioning

confidence: 99%

CT Manifestation of Abscess Occupying the Infratemporal Fossa and Temporoparietal Region in a 73-Year-Old Male- Case Report

Zawiślak¹

2020

LOJPCR

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“…Head and neck are less likely to be affected by chronic infections due to their abounding blood flow. Although some odontogenic, sinusitis-induced and iatrogenic infection cases are reported, the facial abscess occurrences are known to be very low [1].…”

Section: Introductionmentioning

confidence: 99%

Korean Complementary Acupuncture Treatment Associated Severe Facial Infection Case

Kim

Lee²,

Shim

et al. 2019

J Wound Manag Res

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“…All this attracted the attention of doctors to the problem of purulent infection ones again. [1][2][3][4][5][6] Despite the use of antibiotics, the number of purulent complications is steadily increasing and now it has reached the level of the 40-50 of the last century.…”

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confidence: 99%

“…In 22 percent of patients, foci of chronic odontogenic inflammation disappear in 4-8 months, and in 68% -only in 1-2 years or later. [1][2][3][4][5][6][7] Violation of certain methods and terms of treatment of patients with periodontitis, pulpitis leads to the fact that the foci of open infection become closed, undrained and become one of the main sources causing sensitization of the organism to bacteria, toxins and decomposition products of damaged tissues.…”

mentioning

confidence: 99%

“…In addition, the resistance of bacteroides, especially the type of fragilis, to a wide range of antibiotics creates difficulties in treating patients. [1][2][3][4][5] Recent studies have noted that the main causative agents of acute odontogenic infection include not only staphylococcus, but also various representatives of gram-negative microflora: Proteus, E. coli, Klebsiella, etc. More and more often there are reports that the purulent contents of the lesions of odontogenic inflammation are "sterile".…”

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2019

J. Diagn. Treat. Oral Maxillofac. Pathol.

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To determine the effectiveness of the use of the antiseptic solution "Octenisept" in complex for the treatment of purulent wounds in patients with phlegmons of the maxillofacial and neck areas. Methods A clinical examination of 38 patients with phlegmons of the maxillofacial area and neck was conducted. Intervention Radical excision of an upper lip mass with microscopically negative margins and immediate reconstruction using Abbe flap followed by delayed flap separation. ResultsOn the basis of the conducted examinations of patients with phlegmons of the maxillofacial area and neck it was objectively proved that the antiseptic solution "Octenisept" used for the local treatment of purulent wounds has a pronounced antiseptic effect, which is much higher than that of traditional antiseptic agents (chlorhexidine). ConclusionsIn patients with phlegmons of the maxillofacial area and neck the antiseptic solution "Octenisept" may be recommended for the local treatment of purulent wounds in order to prevent the development of severe inflammatory complications.

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Controversies in the Management of Oral and Maxillofacial Infections

Cited by 51 publications

References 41 publications

CT Manifestation of Abscess Occupying the Infratemporal Fossa and Temporoparietal Region in a 73-Year-Old Male- Case Report

CT Manifestation of Abscess Occupying the Infratemporal Fossa and Temporoparietal Region in a 73-Year-Old Male- Case Report

Korean Complementary Acupuncture Treatment Associated Severe Facial Infection Case

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