Odontogenic infections (OI) are a major reason for consultation in dental practice. They affect people of all ages, and most of them respond well to current medical and surgical treatments. However, some OI can spread to vital and deep structures, overcome the host immune system - especially in diabetic, immunocompromised or weakened patients - and even prove fatal. Ludwig's angina is a severe form of diffuse cellulitis that can have an acute onset and spread very rapidly, bilaterally affecting areas of the head and neck, and may prove life threatening. A case of severe dental infection is presented in which emphasis is placed on the importance of airway maintenance, followed by surgical decompression under adequate antibiotic coverage. Ludwig's angina, severe odontogenic infection, surgical decompression, dental infection.
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http://dx.doi.org/10.4317/jced.53308 | DOI Listing |
Eur Arch Otorhinolaryngol
December 2024
Pulmonology and Thoracic Surgery Service, General Hospital of Mexico "Dr. Eduardo Liceaga", Dr. Balmis 148, Colonia Doctores, 06726, Mexico City, Mexico.
Purpose: To describe the clinical features and identify mortality risk factors in descending necrotizing mediastinitis (DNM) complicating deep neck abscesses (DNA) among patients admitted to the ICU.
Methods: A retrospective analysis was conducted on consecutive patients admitted to the ICU of a tertiary care public hospital. Data were collected from July 2017 to July 2024.
Acta Odontol Scand
December 2024
Section of Oral Biology and Immunopathology, Department of Odontology, University of Copenhagen, Copenhagen, Denmark; Department of Oral and Maxillofacial Surgery, Copenhagen University Hospital, Copenhagen, Denmark.
Objectives: The aim was to provide an in-depth characterization of patients hospitalized with severe odontogenic infections (SOI), especially in relation to the origin of the infection. Furthermore, the aim was to generate an overview of which kind of treatment the patients had received before hospitalization and to analyze risk factors for prolonged length of hospital stay.
Material And Methods: The study was a retrospective cross-sectional study, which included patients hospitalized at the University Hospital of Copenhagen, Denmark, with SOI from November 2012 through 2019.
Front Oral Health
December 2024
Institute of Medical Microbiology and Virology, University of Oldenburg and Klinikum Oldenburg AöR, Oldenburg, Germany.
Odontogenic infections have a high prevalence and can lead to severe complications. Due to demographic changes, the number of geriatric patients has increased in recent years. The aim of this study was to analyse odontogenic abscesses in elderly patients and to differentiate them from non-elderly patients regarding clinical presentation, bacterial analysis and therapy.
View Article and Find Full Text PDFJ Stomatol Oral Maxillofac Surg
December 2024
Department of Oral and Maxillofacial Surgery, Traumatology and Prosthesis - Faculty of Dentistry of the University of São Paulo, São Paulo-SP, Brazil.
Purpose: This study aims to document the experiences of the authors during a maxillofacial humanitarian mission in Angola, with a focus on assessing the challenges faced by local maxillofacial surgeons. Additionally, the study evaluates the role of internet-based tools in planning and executing such missions to enhance the efficiency and impact of future interventions.
Material And Methods: THE STUDY INVOLVED TWO PARTS: (1) An online survey conducted with maxillofacial surgeons across various regions of Angola to assess local needs, difficulties, and obstacles before the mission.
Odontology
December 2024
Department of Oral and Maxillofacial Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.
In this study, we aimed to identify risk factors that predict the postoperative need for advanced or prolonged airway management in patients with severe odontogenic deep neck infections (DNIs). This retrospective case-control study included patients of both sexes aged ≥ 18 years who had undergone surgical drainage including debridement of necrotic tissues of odontogenic deep neck abscesses and necrotizing soft tissue infection under general anesthesia between April 2016 and September 2023 at a single center. The patients' characteristics, laboratory tests, and computed tomography (CT) findings were analyzed and compared between the difficult postoperative airway group, which required prolonged intubation or tracheostomy, and the short-term intubation group.
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