Factors Affecting the Outcome in the Management of Cervicofacial Infection

Abbas, Mohammed Kamal; Ftohy, Tarek El Sayed; Ahmed, Ahmed Eisa; El-Sharkawy, Kamal Hassanein

doi:10.21608/smj.2018.42001

Factors Affecting the Outcome in the Management of Cervicofacial Infection

Document Type : Original Article

Authors

¹ Department of surgery, Faculty of medicine, Sohag university.

² General Surgery Faculty of Medicine , Sohag university.

³ Department, of General Surgery , Faculty of Medicine, Sohag University

⁴ Department of General Surgery, Faculty of Medicine, Sohag University.

10.21608/smj.2018.42001

Abstract

Introduction Facial cellulitis and abscesses are common in public health problems and early recognition and management is critical, as they are becoming more severe with a noticeable increase in hospitalization. Aim of work detection of factor affecting outcome in the management of cervicofacial infections and complication to reduce associated mortality and morbidity. Patient and method This study was a prospective study which was conducted at Sohag University Hospital, General Surgery Department. It included patients with cervicofacial infection of odontogenic or non-odontogenic origin either localized or diffuse infection attended to at the Oral and Maxillofacial Surgery Clinic or the Accident and Emergency Unit from October 2016 to October 2017. Results This study included 35 cases, the submandibular space was the most common single site affected (11-34.29%), followed by bilateral or multi- space involvement presented (13-37.14%) of study patients, Diabetes mellitus was the most common associated co- morbidity among study population (12-34.29%), and other systemic diseases (6-17.14%). Conclusion Diabetes, bad general condition, impaired laboratory parameters including an elevated blood sugar level and metabolic acidosis at time of admission were found to be significant risk factors for development of post intervention complications and/ or delayed recovery.

Keywords

References

1.Adekeye EO and Adekeye JO. The pathogenesis and microbiology of idiopathic cervicofacial abscesses. J Oral Maxillofac Surg. 1982; 40:100-6}}

2.Al-Malik M and Al-Sarheed M. Pattern of management of oro-facial infection in children: A retrospective. Saudi Journal of Biological Sciences. 2017; 24:1375-9

3.Aloosi S, Abdullah H and Yaqub F . Factors influencingManagement Outcome of Hospital-ised Patients with Odontogenic Infection.2017; vol 4

4.Bakathir A A, Moos K F, Ayoub A F . et al. Factors Contributing to the Spread of Odontogenic Infections: A prospective pilot study. Sultan Qaboos University medical journal. 2009; 9 296-304

5.Bakir S, Tanriverdi M H, Gun R. et al. Deep neck space infections: a retrospective review of 173 cases. American journal of otolaryngology. 2012; 33 56-63

6.Fomete B, Agbara R, Osunde D O. et al. Cervicofacial infection in a Nigerian tertiary health institution: a retrospective analysis of 77 cases. Journal of the Korean Association of Oral and Maxillofacial Surgeons. 2015; 41 293-8

7.Herr RD, Serious Soft Tissue Infections of the Head and Neck, American Family Physician, September 1991;60:830-34

8.Juncar M, Popa A R, Baciut M F. et al. Evolution assessment of head and neck infections in diabetic patients--a case control study. Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery. 2014; 42 498-502

9.Kamat R D, Dhupar V, Akkara F.et al. A comparative analysis of odontogenic maxillofacial infections in diabetic and nondiabetic patients: an institutional study. J Korean Assoc Oral Maxillofac Surg. 2015; 41 176-80

10.Karkos PD, Leong SC, Beer H, et al. Challenging airways in deep neck space infections. Am J Otolaryngol 2007; 28:415e8.

11.McDonald C, Hennedige A, Henry A.et al. Management of cervicofacial infections: a survey of current practice in maxillofacial units in the UK. British Journal of Oral and Maxillofacial Surgery. 2017; 55 940-5

12.Peters E S, Fong B, Wormuth D W . et al. Risk factors affecting hospital length of stay in patients with odontogenic maxillofacial infections. Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons. 1996; 54 1386-91; discussion 91-2.

13.Bakathir AA, Moos KF, Ayoub AF, et al . Factors Contributing to the Spread of Odontogenic Infections: A prospective pilot study. Sultan Qaboos Univ Med J 2009;9(3):296-304.

14.Cachovan G, Nergiz I, Thuss U. et al. Penetration of moxifloxacin into rat mandibular bone and soft tissue. Acta Odontol Scand (2009); 67(3):182-6.

15.Paster BJ, Falkler JW Jr, Enwonwu CO, et al. Prevalent bacterial species and novel phylotypes in advanced noma lesions. J Clin Microbiol. 2002; 40:2187-2191.

16.Sette-Dias AC, Maldonado AJT, Aguiar EGd. et al. Profile of patients hospitalized with odontogenic infections in a public hospital in Belo Horizonte, Brazil. J Clin Exp Dent.2012; 4(5):271-4.

17.Wang J, Ahani A and Pogrel MA. A five-year retrospective study of odontogenic maxillofacial infections in a large urban public hospital. Int J Oral Maxillofacial Surg. 2005; 34:646-9

18.Zamiri B, Bron. HS, Hill. HS. et al. Prevalence of Odontogenic Deep Head and Neck Spaces Infection and its Correlation with Length of Hospital Stay. Shiraz Univ Dent J 2012; 13(1):29-35.