Odontogenic Head and Neck Region Infections Requiring Hospitalization: An 18-Month Retrospective Analysis

The aim of this study was to comprehensively review our experience with odontogenic infections in the head and neck region requiring treatment at a national referral center. We retrospectively reviewed 85 patients treated at the Chair and Clinic of Maxillofacial Surgery of the University Hospital in Wrocław between January 2018 and June 2019. We excluded patients with nonondontogenic infections or other than purulent clinical forms of dentivitis in the head and neck region. Several demographic, clinicopathological, and treatment variables were assessed. The majority of patients were men who were referred for inpatient treatment by a dentist or family doctor, presented to the Hospital Emergency Ward (SOR) by themselves, or transported to the SOR by paramedics SOR from their home or another hospital. All patients were treated in accordance with the current guidelines for head and neck region odontogenic infections. An incision was made and the abscess was drained. The odontogenic cause was removed followed by the collection of tissue for microbiological examination. The course of infection was monitored by means of laboratory parameters such as leukocyte counts and c-reactive protein levels. Odontogenic infections in the head and neck region are a persistent and common problem. Rapid, accurate diagnosis and treatment minimizes the risk of life-threatening complications, shortens the hospitalization period, and lowers treatment costs.

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CULTURE SENSITIVITY OF ODONTOGENIC INFECTIONS IN THE HEAD AND NECK REGION.

International Journal of Advanced Research ◽

10.21474/ijar01/2661 ◽

2016 ◽

Vol 4 (12) ◽

pp. 2377-2383

Author(s):

SrinivasSaketh G ◽

◽

N.V.V.Satya Bhushan ◽

U. Siva Kalyan ◽

KhoChai Chiang ◽

...

Keyword(s):

Head And Neck ◽

Neck Region ◽

Head And Neck Region ◽

Odontogenic Infections ◽

Culture Sensitivity

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Microsurgical reconstruction of the head and neck region: Current concepts of maxillofacial surgery units worldwide

Journal of Cranio-Maxillofacial Surgery ◽

10.1016/j.jcms.2015.06.034 ◽

2015 ◽

Vol 43 (8) ◽

pp. 1364-1368 ◽

Cited By ~ 13

Author(s):

Katinka Kansy ◽

Andreas Albert Mueller ◽

Thomas Mücke ◽

Friederike Koersgen ◽

Klaus Dietrich Wolff ◽

...

Keyword(s):

Head And Neck ◽

Maxillofacial Surgery ◽

Neck Region ◽

Microsurgical Reconstruction ◽

Head And Neck Region

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Postoperative Care of the Maxillofacial Surgery Patient

Oral and Maxillofacial Surgery for the Clinician ◽

10.1007/978-981-15-1346-6_12 ◽

2021 ◽

pp. 239-255

Author(s):

J. Naveen Kumar ◽

Poornima Ravi

Keyword(s):

Head And Neck ◽

Postoperative Care ◽

Recovery Of Function ◽

Maxillofacial Surgery ◽

Neck Region ◽

The Body ◽

Early Recovery ◽

Head And Neck Region ◽

Anatomy And Physiology ◽

Surgery Patient

Abstract“Surgery” is defined as “treatment of injuries or disorders of the body by incision or manipulation, especially with instruments”. As such, it is nothing more than the mere performance of maneuvers at the operating room and certainly does not qualify to be called “treatment”. It is postoperative care that completes the process, ultimately benefitting the patient. In general, this includes the overall maintenance of wellbeing and early recovery of function before the patient can be discharged to be on his own. Additionally, the maxillofacial patient presents with issues exclusive to the anatomy and physiology of the head and neck region. One needs to have in-depth knowledge of these unique aspects, in addition to being a shrewd clinician at the postoperative ward. This chapter aims to equip the surgeon with such information as is necessary to provide the best of services following maxillofacial surgery.

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Dog Bite Injuries in the Head and Neck Region: A 20-Year Review

Craniomaxillofacial Trauma & Reconstruction ◽

10.1055/s-0038-1660441 ◽

2019 ◽

Vol 12 (3) ◽

pp. 199-204 ◽

Cited By ~ 4

Author(s):

Frederik Piccart ◽

JakobTitiaan Dormaar ◽

Ruxandra Coropciuc ◽

Joseph Schoenaers ◽

Michel Bila ◽

...

Keyword(s):

Head And Neck ◽

Secondary Infection ◽

Neck Region ◽

University Hospital ◽

Medical Attention ◽

Dog Bite ◽

Head And Neck Region ◽

Bite Wounds ◽

The Impact ◽

Bite Injuries

Dog bite-related wounds seem to have become a common problem, especially when they relate to the head and neck region. According to Overall and Love, up to 18 per 1,000 people sustain a dog bite every year, of whom 3 need medical attention. Approximately 1 to 2% of bite injuries require hospitalization of the victims. Most of the lacerations are found in the upper lip and the nose regions and they are classified according to severity and concomitant damage to other organs. Bite wounds are considered “dirty” wounds and are prone to infection. When dealing with bite wounds, there is always an indication for antibiotic treatment. Broad-spectrum antibiotics like amoxicillin-clavulanate and/or moxifloxacin cover most of the pathogenic flora and should be administered in every bite wound case at risk of infection. This article would like to present a medical record review: a retrospective analysis of all bite wounds sustained in the head and neck region, treated at the University Hospital of Leuven over the past 20 years. Furthermore, it provides an overview of the current literature and its standings on the treatment of dog bite injuries in the maxillofacial region. We assessed both surgical and medical treatment options, as well as primary management, which includes infection prevention strategies, closure management, and additional vaccination requirements. Secondary management or scar revision methods will be mentioned. After conducting a UZ Leuven database search using keywords such as “dog,” “dog bite,” “face,” “head,” “lip,” and others, 223 patients were included. Age at the time of injury, location of the injury, treatment method used, and whether secondary infection was present or not were documented. All patients have been divided in age groups. We concluded that 21.52% was 5 years old or younger. Almost half of our patients (49.33%) were 18 years old or younger. Of all patients, 79 were hospitalized (35.43%). Primary closure was the treatment of choice. In 141 patients, the wounds were closed primarily (63.23%), resulting in only 2.24% reported secondary infections. Only one fatality was reported in our center over the course of 20 years (0.45%), a 6-year-old girl who had been attacked by her father's Rottweilers. Most patients who sustained dog bite injuries in the head and neck region seem to be children, specifically toddlers. Due to their height, it is possible they are more prone to dog bite injuries in the head and neck region. It is essential to optimize management of these injuries due to the impact they have on patients. This article provides the epidemiological data and clinical outcome of the approach at our center.

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P8 A review of 836 skin lesions excised from the Head and Neck region between March 2001 and June 2009 in the Department of Oral and Maxillofacial Surgery Department at Rotherham NHS Foundation Trust

British Journal of Oral and Maxillofacial Surgery ◽

10.1016/s0266-4356(10)60099-x ◽

2010 ◽

Vol 48 ◽

pp. S27

Author(s):

C. Pace ◽

R. Crosher

Keyword(s):

Head And Neck ◽

Maxillofacial Surgery ◽

Neck Region ◽

Skin Lesions ◽

Oral And Maxillofacial Surgery ◽

Head And Neck Region ◽

Surgery Department

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Evaluation of Reliability of Ultrasonographic Parameters in Differentiating Benign and Metastatic Cervical Group of Lymph Nodes

ISRN Otolaryngology ◽

10.1155/2014/238740 ◽

2014 ◽

Vol 2014 ◽

pp. 1-7 ◽

Cited By ~ 6

Author(s):

Chintamaneni Raja Lakshmi ◽

M. Sudhakara Rao ◽

A. Ravikiran ◽

Sivan Sathish ◽

Sujana Mulk Bhavana

Keyword(s):

Lymph Nodes ◽

Head And Neck ◽

Neck Region ◽

Signs And Symptoms ◽

Control Group ◽

Chi Square ◽

Cervical Lymph Nodes ◽

Head And Neck Region ◽

Odontogenic Infections ◽

Chi Square Analysis

The aim of the current study is to determine the efficacy of ultrasound in differentiating between benign and metastatic group of cervical lymph nodes. The study included forty-five subjects who were divided into three groups with 15 in each, by stratified random sampling method. Group 1 comprised fifteen patients without signs and symptoms of any infection and neoplasms in head and neck region (control group). Group 2 included fifteen patients with signs and symptoms of malignancy in head and neck region. Group 3 consisted of fifteen patients with signs and symptoms of odontogenic infections. “MY LAB-40” ultrasound machine with linear array transducer of 7.5 MHZ frequency was used for detecting cervical lymph nodes following Hajek’s classification. The patients further underwent ultrasound guided FNAC under standard aseptic protocol and samples were subjected to cytopathological evaluation. Chi square analysis and one way ANOVA test were applied to obtain the results. We concluded that ultrasound and USG FNAC can be used accurately to assess the status of lymph nodes. The ultrasonographic features of lymph nodes with round shape, absence of hilar echo, sharp nodal borders, hyperechoic internal echogenicity, and presence of intranodal necrosis were highly suggestive of metastatic cervical lymph nodes.

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