Facial Paralysis and Mediastinitis Due to Odontogenic Infection and Poor Prognosis

Bucak, Abdulkadir; Ulu, Şahin; Kokulu, Serdar; Öz, Gürhan; Solak, Okan; Kahveci, Orhan Kemal; Ayçiçek, Abdullah

doi:10.1097/scs.0b013e31829ac617

Cited by 6 publications

(6 citation statements)

References 15 publications

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“…Fever occurs within a few hours but it can be delayed. Other symptoms like dyspnea, dysphagia, trismus and otalgia are less usual [14]. From the 29 analyzed cases included in our review, the most common initial clinical manifestations reported were swelling and pain, followed by fever and erythema.…”

Section: Discussionmentioning

confidence: 96%

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Facial Necrotizing Fasciitis in Adults. A Systematic Review

DA¹

2016

Heighpubs Otolaryngol and Rhinol

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Introduction: Necrotizing Fasciitis (NF) is a rapidly progressing, severe suppurative infection of the superfi cial fascia and the sorrounding tissues that may lead to necrosis, septic shock and death if left untreated. Facial NF is rarely seen and symptoms may be non-specifi c at the onset and depend on the origin site and the stage of the disease, making it diffi cult for diagnosis. Materials and Methods: A systematic review was done following the PRISMA guidance. PubMed database was searched for case reports published between January 2007 and March 2017. Full text articles were obtained and assesed for relevance. Data extraction was performed as an iterative process. Results: A total of 24 articles, describing 29 adult patients with facial NF were included. Facial NF was more common in males. Skin trauma was the most frequent mechanism of lesion and diabetes mellitus was the most common associated systemic disorder. Periorbital area was the most affected area. In order of appereance, swelling and pain were the most common initial clinical manifestations. Group A Streptococcus was the most frequent microorganism isolated. Advanced airway management was needed in more than 50% of the cases and surgical management was done in 90% of the cases. Conclusions: Practitioners should be aware of its existance, epidemiology, etiology, risk factors and initial clinical manifestations to develop a high index of suspicion, to order studies that may discard or confi rm the diagnosis, and to offer prompt treatment to preserve patient's life and reduce the disfi gurement and disability that it may cause.

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Section: Discussionmentioning

confidence: 96%

“…Systemic indings can include fever, tachycardia and hypotension [6]. The main clinical inding, especially at the onset of the disease, is pain, which is sudden and violent [14]. The extreme and disproportionate sensation that it cause seems to be pathognomonic and it is likely caused due to neural involvement [32].…”

Section: Discussionmentioning

confidence: 99%

Facial Necrotizing Fasciitis in Adults. A Systematic Review

DA¹

2016

Heighpubs Otolaryngol and Rhinol

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“…In this context, Poeschl et al (2010) reported that 14% of odontogenic infections in the head and neck area were resistant to clindamycin, 14% to macrolides and 7% to penicillin G(9). On the other hand, if the treatment of such infections is unsuccessful, they might spread to dangerous areas such as the mediastinum, cavernous sinus, etc, to threaten the patient's life (7,10). In addition, only one-third of dentists have access to an oral and maxillofacial surgeon when necessary and it is not possible to refer all the patients to oral and maxillofacial surgeons (8).…”

Section: Discussionmentioning

confidence: 99%

Knowledge of Senior Dental Students on Odontogenic Infections

Arta

Yazdani

Ghanizadeh

et al. 2019

ABCMed

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Odontogenic infections are the most common infections that require early diagnosis and proper treatment. Given the sensitivity of the issue, the dental community needs to have correct information about the current status. Therefore, this study aimed to assess the knowledge of students in Tabriz University of Medical Sciences about the treatment of odontogenic infections in 2017. In this descriptive‒analytical study, all the senior students of Tabriz Faculty of Dentistry were evaluated. Data were collected using a questionnaire consisting of 20 questions related to students’ awareness about the treatment of odontogenic infection. Data were analyzed with descriptive statistics and chi-squared test. The results indicated that the mean knowledge score of the students was 8.64±2.6. Knowledge of 77.4 % of students was low, 20.8 % had moderate knowledge and 1.8 % had a high level of knowledge. There were no significant differences in knowledge between male and female students. Knowledge of senior dental students in Tabriz University of Medical Sciences was poor, with no difference between male and female students.

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“…Mediastinitis is already a risk in uncomplicated coronary artery bypass surgery [ 3 , 4 ]. Perforation in the oral pharynx can lead to cervical necrotizing fasciitis, which can be fatal [ 5 , 6 ]. As a dislodged device passes distally, esophageal perforation can occur, and also lead to mediastinitis [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

Preventing “A Bridge Too Far”: Promoting Earlier Identification of Dislodged Dental Appliances During the Perioperative Period

et al. 2015

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The presence of fixed partial dentures presents a unique threat to the perioperative safety of patients that require orotracheal intubation or placement of instruments into the gastrointestinal (GI) tract. There are many chances for the displacement of a fixed partial denture: instrumentation of the airway for intubation, or introduction of temporary devices, such as gastroscopes or transesophageal echo probes. If dislodged, the fixed partial dentures can enter the hypopharynx, esophagus or lungs and cause perforations with their sharp tines. Oral or esophageal perforation can lead to potentially fatal mediastinitis. We describe a case of a patient with a fixed partial denture who underwent cardiac surgery with intubation and transesophageal echocardiography (TEE). His partial denture was intact after the procedure. After extubation, he reported that his teeth were missing. Multiple procedures were required to remove his dislodged partial dentures. In sign-out reports, verbal descriptions of the patient’s partial dentures were not adequate in this case. A picture of the patient’s denture and oral pharynx pre-operatively would have provided a more accurate template for the post-operative team to refer to when caring for the patient. This may have avoided the multiple potentially risky procedures the patient had to undergo. We describe a suggested protocol utilizing a pre-operative photo to reduce the incidence of unrecognized partial denture dislodgement in the perioperative period. Because the population is aging, this will become a more frequent issue confronting practitioners. This protocol could mitigate this complication.

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Facial Paralysis and Mediastinitis Due to Odontogenic Infection and Poor Prognosis

Cited by 6 publications

References 15 publications

Facial Necrotizing Fasciitis in Adults. A Systematic Review

Facial Necrotizing Fasciitis in Adults. A Systematic Review

Knowledge of Senior Dental Students on Odontogenic Infections

Preventing “A Bridge Too Far”: Promoting Earlier Identification of Dislodged Dental Appliances During the Perioperative Period

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