Diagnosis and management of orofacial infections: A retrospective study of 440 patients Orofasiyal enfeksiyonların diagnozu ve tedavisi: 440 Vaka i̇çeren retrospektif çalişma
Turkiye Klinikleri Journal of Medical Sciences, cilt.30, sa.3, ss.1002-1008, 2010 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 30 Sayı: 3
- Basım Tarihi: 2010
- Doi Numarası: 10.5336/medsci.2008-9420
- Dergi Adı: Turkiye Klinikleri Journal of Medical Sciences
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
- Sayfa Sayıları: ss.1002-1008
- Anahtar Kelimeler: Bacterial infections, pericoronitis, trismus, deglutition disorders
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: The purpose of this study was to evaluate the characteristics and clinical outcomes of patients with orofacial infections. Material and Methods: A retrospective study was conducted in 440 patients with orofacial infections treated in Diyarbaki{dotless}r Military Hospital from September 2004 through June 2008. Demographic data, situation before admission, etiologic factors, imaging studies, involved spaces, microbiology, treatment approach, and hospitalization days were analyzed. Results: Of the 440 patients, 374 (85%) were males and 66 (15%) were females. The most common etiologic factor was periapical abscess related to dental caries (n= 225) (51%), followed by pericoronitis (n= 141) (32%), periodontitis (n= 61) (14%), postextraction conditions (n= 8) (2%), and periimplantitis (n= 3) (1%). The involved spaces were the submandibular space (n= 173) (39%), the buccal space (n= 135) (31%), the fossa canina space (n= 97) (22%) and the lateral pharyngeal space (n= 35) (8%). Trismus and dysphagia were present at admission in over 70% of cases. The most commonly isolated bacterial pathogens were the aerobes. Two-hundred eighty three patients required surgical drainage of the abscess. Average length of hospital stay was 7.2 days. All patients recovered completely without any serious complications. None of the patients needed tracheotomy or fiberoptic intubation. The most commonly encountered postoperative sequela was the need of a second operation to correct the extraoral scar due to spontaneously ruptured abscess or a penrose drain. Conclusion: Treatment of orofacial infections necessitates accurate diagnosis aided by imaging studies, effective antibiotic therapy, airway maintenance and timely incision and drainage, when indicated. Culture and antibiotic susceptibility testing do not change the treatment approach in immunocompetent patients. © 2010 by Türkiye Klinikleri.