CLINICAL AND LABORATORY MANIFESTATIONS OF PURULENT-SEPTIC COMPLICATIONS OF ODONTOGENIC INFLAMMATORY DISEASES
Keywords:
odontogenic inflammatory diseases, sepsis, multiple organ dysfunctionAbstract
Diagnosis and treatment of purulent-inflammatory diseases of the maxillofacial region are currently one of the most pressing problems. This is evidenced by numerous scientific publications, conferences, symposia, congresses devoted to these issues. In the last decade, there has been a significant increase in the number of purulent-inflammatory diseases of the maxillofacial region. According to a number of authors, inflammatory diseases of the face and neck account for 10% to 30% of surgical patients who go to dental clinics, and about 50-60% of patients hospitalized in specialized dental clinics. Among them, the greatest danger to the health and life of patients is phlegmons of the maxillofacial region. In recent years, the clinical course of odontogenic purulent-inflammatory diseases has changed significantly. On the one hand, there was a significant shift in the structure of morbidity towards the prevalence of cellulitis. Progressive, including fulminant forms of purulent-inflammatory processes, spreading to several cell spaces, began to occur more frequently. The number of severe complications of purulent-inflammatory diseases of the face and neck, such as acute sepsis, toxic-infectious shock, septic meningoencephalitis, brain abscess, cerebral sinus thrombosis, arrosive bleeding, mediastinitis, septic endo- and myocarditis, which pose a threat to the life of patients, has increased. This article provides information on the clinical and laboratory manifestations of purulent-septic complications of odontogenic inflammatory diseases.
References
Lin YT, Lu PW. Retrospective study of pediatric facial cellulitis of odontogenic origin. Pediatr Infect Dis J. 2006 Apr;25(4):339-42.
Kiddee W, Preechawai P, Hirunpat S. Bilateral septic cavernous sinus thrombosis following the masticator and parapharyngeal space infection from the odontogenic origin: a case report. J Med Assoc Thai. 2010 Sep;93(9):1107-11.
Watkins LM, Pasternack MS, Banks M, Kousoubris P, Rubin PA. Bilateral cavernous sinus thromboses and intraorbital abscesses secondary to Streptococcus milleri. Ophthalmology. 2003 Mar;110(3):569-74.
Goawalla A, Mansell N, Pearson A. Septic cavernous sinus thrombosis with bilateral secondary orbital infection. Orbit. 2007 Jun;26(2):113-6.
Colson AE, Daily JP. Orbital apex syndrome and cavernous sinus thrombosis due to infection with Staphylococcus aureus and Pseudomonas aeruginosa. Clin Infect Dis. 1999 Sep;29(3):701-2.
Peleg M, Heyman Z, Ardekian L, Taicher S. The use of ultrasonography as a diagnostic tool for superficial fascial space infections. J Oral Maxillofac Surg. 1998 Oct;56(10):1129-31; discussion 1132.
Baurmash HD. Ultrasonography in the diagnosis and treatment of facial abscesses. J Oral Maxillofac Surg. 1999 May;57(5):635-6.
Elias FM, Jorge WA. Negative ultrasonic findings in patients with odontogenic infections. J Oral Maxillofac Surg. 1999 Jun;57(6):754.
Srinivas K, Sumanth KN, Chopra SS. Ultrasonographic evaluation of inflammatory swellings of buccal space. Indian J Dent Res. 2009 Oct-Dec;20(4):458-62.
Pynn BR, Sands T, Pharoah MJ. Odontogenic infections: Part one. Anatomy and radiology. Oral Health. 1995 May;85(5):7-10, 13-4, 17-8 passim.
Spijkervet FK, Vissink A, Raghoebar GM. Een abces uitgaande van een odontogene ontsteking. Ontstaan, behandeling en uitbreidingen in het orofaciale gebied [The odontogenic abscess. Aetiology, treatment and involvement in the orofacial region]. Ned Tijdschr Tandheelkd. 2004 Apr;111(4):120-7.
Abbiramy GK, Raghavendra K, Soman S, Gopinathan PA. Management of fascial space infections using ultrasonography as a surgical guide for drainage - A case series. Natl J Maxillofac Surg. 2023 Sep-Dec;14(3):485-491.
Delantoni A, Sarafopoulos A, Giannouli N, Rafailidis V. Maxillofacial inflammations visualized with ultrasonography. Description of the imaging features and literature review based on a characteristic case series. J Ultrason. 2023 May 11;23(93):e80-e89.
Shah N, Patel S, Rupawala T, Makwana S, Mansuri S, Bhimani K. Evaluation of Efficacy of Ultrasonography as an Additional Diagnostic Tool for Deciding Management Protocol of Odontogenic Superficial Fascial Space Infections: A Prospective Clinical Study. J Maxillofac Oral Surg. 2022 Dec;21(4):1148-1154.
