Odontogenic infections: a national survey to assess confidence of the OMFS “first on-call”

Roy, Sharmista; Sainuddin, Sajid; Clark, Stuart

doi:10.1016/j.bjoms.2016.08.001

Cited by 8 publications

(5 citation statements)

References 8 publications

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“…Odontogenic infections represent the cause of access to emergency units in 10% of cases, but only 2.28% of those patients required hospitalization;an important value for both the serious complications they can bring and for the public expense they represent [ 3 ]. Thomas et al stated that admissions in the emergency department for a dental abscess drainage almost doubled over a 10-year period (1998–2006) and increased by 60% between 2005 and 2014 [ 22 ], costing the NHS around £275/day [ 23 , 24 , 25 ].…”

Section: Discussionmentioning

confidence: 99%

“…A total of 88.8% of these patients could be managed in an outpatient setting and with effective risk scales they could be referred directly to dental clinics to continue treatment. For example, the “Red flags” (as signs of systemic illness, voice changes, elevated tongue or floor of mouth, dyspnea, dysphagia, trismus) suggested in the study by Roy et al, who proposed a telephone questionnaire for the first evaluation of the patient by the maxillofacial surgeon to identify the severity of the symptoms [ 24 ]. This questionnaire, proposed in the UK, should be validated and standardized so that it can be applied widely.…”

Section: Discussionmentioning

confidence: 99%

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Odontogenic-Related Head and Neck Infections: From Abscess to Mediastinitis: Our Experience, Limits, and Perspectives—A 5-Year Survey

Pucci

Cassoni

Carlo

et al. 2023

IJERPH

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Background: Head and neck infections are commonly caused by affections with an odontogenic origin. Untreated or non-responsive to treatment odontogenic infections can cause severe consequences such as localized abscesses, deep neck infections (DNI), and mediastinitis, conditions where emergency procedures such as tracheostomy or cervicotomy could be needed. Methods: An epidemiological retrospective observational study was performed, and the objective of the investigation was to present a single-center 5-years retrospective analysis of all patients admitted to the emergency department of the hospital Policlinico Umberto I “Sapienza” with a diagnosis of odontogenic related head and neck infection, observing the epidemiological patterns, the management and the type of surgical procedure adopted to treat the affections. Results: Over a 5-year period, 376,940 patients entered the emergency room of Policlinico Umberto I, “Sapienza” University of Rome, for a total of 63,632 hospitalizations. A total of 6607 patients were registered with a diagnosis of odontogenic abscess (10.38%), 151 of the patients were hospitalized, 116 of them were surgically treated (76.8%), and 6 of them (3.9%) manifested critical conditions such as sepsis and mediastinitis. Conclusions: Even today, despite the improvement of dental health education, dental affections can certainly lead to acute conditions, necessitating immediate surgical intervention.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Odontogenic-Related Head and Neck Infections: From Abscess to Mediastinitis: Our Experience, Limits, and Perspectives—A 5-Year Survey

Pucci

Cassoni

Carlo

et al. 2023

IJERPH

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“…In the clinic of maxillofacial surgery, abscesses and cellulitis of the maxillofacial area and neck, in terms of frequency of their occurrence, occupy one of the first places. [18][19][20][21][22][23][24][25][26][27][28][29][30] In recent years, the number of patients with this pathology has increased significantly, the course y of the process has worsened, which often leads to such severe complications as mediastinitis, sepsis, facial vein thrombosis of the face and brain sinuses. Thus, the relevance of this research topic does not cause doubts.…”

Section: Discussionmentioning

confidence: 99%

June’s 2019 Full Issue PDF

2019

J. Diagn. Treat. Oral Maxillofac. Pathol.

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“…La gravedad de las ITM puede variar desde infecciones de bajo grado, localizadas que requieren un tratamiento mínimo, hasta infecciones de alto grado y severas que pueden compremeter la vida del paciente y se deben tratar de manera oportuna y agresiva (3,4,5) . La mayoría de las ITM requieren tratamiento ambulatorio, en el caso de las infecciones de origen odontogénico consiste en el drenaje y/o extracción del diente causal y de tratamiento farmacológico (6) .…”

Section: Introductionunclassified

Epidemiología de la Infección Maxilofacial, tratada quirúrgicamente en el Hospital de Urgencia Asistencia Pública: 5 años de revisión.

Prats

Cuéllar

Riquelme

et al. 2022

Int. j interdiscip. dent.

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Introducción: Infecciones moderadas, severas y/o profundas del territorio maxilofacial (ITM) constituyen un desafío de gran relevancia en los centros hospitalarios de alta complejidad. Objetivo: Actualizar esta epidemiología de resolución quirúrgica bajo anestesia general, en pabellón central tratado en el Hospital de Urgencia Asistencia Pública (HUAP) durante el período comprendido entre diciembre de 2014 a diciembre de 2019 y compararla con la realidad de otros centros hospitalarios de alta complejidad en Chile y en el extranjero. Materiales y Método: Estudio retrospectivo que analizó los protocolos operatorios de los pacientes intervenidos quirúrgicamente por ITM, en pabellón central, bajo anestesia general, en un período de 60 meses. Las variables analizadas fueron edad, género, espacio anatómico comprometido y presentación clínica. Resultados: Se realizaron 291 procedimientos quirúrgicos, para 452 infecciones. La edad promedio de los pacientes fue 38 años, con predominio del sexo masculino (57,3%); el rango de edad más afectado fue entre los 30-39 años (26,1%); el espacio submandibular fue el más comprometido (29,5%). Discusión: Los resultados expuestos concuerdan con estudios a nivel nacional e internacional. Conclusión: Resulta necesario continuar la investigación epidemiológica para establecer políticas de prevención y tratamiento eficientes en relación a cada servicio y en conjunto a nivel de salud pública.

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Odontogenic infections: a national survey to assess confidence of the OMFS “first on-call”

Cited by 8 publications

References 8 publications

Odontogenic-Related Head and Neck Infections: From Abscess to Mediastinitis: Our Experience, Limits, and Perspectives—A 5-Year Survey

Odontogenic-Related Head and Neck Infections: From Abscess to Mediastinitis: Our Experience, Limits, and Perspectives—A 5-Year Survey

June’s 2019 Full Issue PDF

Epidemiología de la Infección Maxilofacial, tratada quirúrgicamente en el Hospital de Urgencia Asistencia Pública: 5 años de revisión.

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