치성 원인에 의한 경안면 감염에 대한 후향적 연구
Cervico-facial Infection Due to Dental Origin: A Retrospective Clinical Study
류경선, 이현경, 김도영, 김무건, 정태영, 박상준,
소속 상세정보
류경선 ( Ryu Kyung-Sun ) - 인제대학교 부산백병원 구강악안면외과
이현경 ( Lee Hyun-Kyung ) - 인제대학교 부산백병원 구강악안면외과
김도영 ( Kim Do-Young ) - 인제대학교 부산백병원 구강악안면외과
김무건 ( Kim Moo-Gun ) - 인제대학교 부산백병원 구강악안면외과
정태영 ( Jung Tae-Young ) - 인제대학교 부산백병원 구강악안면외과
박상준 ( Park Sang-Jun ) - 인제대학교 부산백병원 구강악안면외과
KMID : 1036320130350040236
Abstract
Purpose: The objective of this retrospective study is to evaluate the factors affecting the spread of odontogenic infection. Furthermore, this study was performed to apply to future treatments.
Methods: A total of 65 patients, who had received treatment for odontogenic infections from 2010 to 2012 for 3 years, were enrolled in this study. The causes of infection, presence of systemic disease, and complications, durations of treatment, treatment methods, and inflammation levels were compared with the the data.
Results: Patients over 70 years with systemic disease required immediate drainage, systemic antibiotic therapy and hospitalization. We can determine the direction of the early diagnosis and treatment through blood tests (white blood cells, neutrophil, C-reactive protein [CRP]) and computed tomography. Patients over 70 years with systemic disease had the highest percentage. In addition, these patients showed high levels of inflammation index, such as CRP average of 24.8 and needed for a long-term treatment period and a wide range of surgical incision & drainage several times. Systemic diseases, particularly diabetes mellitus and hypertension, accelerate the spread of infection and had a negative effect that delays healing. Eventually, five of the 65 patients showed serious systemic complications.
Conclusion: When evaluating cervico-facial infected patients due to odontogenic infection, the most important thing is deciding the appropriate diagnosis and degree of disease. Considering the patient’s systemic status and age, we need to decide the treatment plan. Especially, those patients over 70 years with systemic disease should be treated with rapid surgical approach, and the use of a wide range of antibiotics and intensive care. If proper treatment principle does not apply, severe life-threatening complications will result, such as necrotizing fascitis, acute airway obstruction, mediastinitis, and others.
키워드
Odontogenic infection;Cervico-facial infection
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