Diagnosis and treatment of deep neck space abscesses

Daramola, Opeyemi O.; Flanagan, Carrie E.; Maisel, Robert H.; Odland, Rick M.

doi:10.1016/j.otohns.2009.03.033

Cited by 94 publications

(94 citation statements)

References 24 publications

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“…Fewer patients referred to problems such as functional limitation, physical disability, or handicap. (21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35)(36)(37)(38)(39)(40) years in the present study population; Fig. 1).…”

Section: Patients' Age Distribution (Years)mentioning

confidence: 77%

Management of 112 Hospitalized Patients with Spreading Odontogenic Infections: Correlation with DMFT and Oral Health Impact Profile 14 Indexes

Boffano

Roccia

Pittoni

et al. 2012

Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology

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Section: Patients' Age Distribution (Years)mentioning

confidence: 77%

Management of 112 Hospitalized Patients with Spreading Odontogenic Infections: Correlation with DMFT and Oral Health Impact Profile 14 Indexes

Boffano

Roccia

Pittoni

et al. 2012

Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology

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“…Other reported complications of disseminating dental infections include brain abscess (21)(22)(23)(24), septicemia in a patient with multiple myeloma (25), deep neck infection (26,27), mediastinitis (14,(28)(29)(30), necrotizing fasciitis (31)(32)(33), orbital abscess (34)(35)(36), and cervical spondylodiscitis with spinal epidural abscess (37). It has been suggested that some host-related factors may contribute toward increased morbidity and mortality associated with acute dental abscesses, including diabetes, chronic alcohol and tobacco consumption, malnourishment, and the use of illicit substances (26,27,33).…”

Section: Complications Stemming From Acute Apical Abscessesmentioning

confidence: 99%

“…It has been suggested that some host-related factors may contribute toward increased morbidity and mortality associated with acute dental abscesses, including diabetes, chronic alcohol and tobacco consumption, malnourishment, and the use of illicit substances (26,27,33).…”

Section: Complications Stemming From Acute Apical Abscessesmentioning

confidence: 99%

Microbiology and Treatment of Acute Apical Abscesses

2013

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SUMMARY Acute apical abscess is the most common form of dental abscess and is caused by infection of the root canal of the tooth. It is usually localized intraorally, but in some cases the apical abscess may spread and result in severe complications or even mortality. The reasons why dental root canal infections can become symptomatic and evolve to severe spreading and sometimes life-threatening abscesses remain elusive. Studies using culture and advanced molecular microbiology methods for microbial identification in apical abscesses have demonstrated a multispecies community conspicuously dominated by anaerobic bacteria. Species/phylotypes commonly found in these infections belong to the genera Fusobacterium , Parvimonas , Prevotella , Porphyromonas , Dialister , Streptococcus , and Treponema . Advances in DNA sequencing technologies and computational biology have substantially enhanced the knowledge of the microbiota associated with acute apical abscesses and shed some light on the etiopathogeny of this disease. Species richness and abundance and the resulting network of interactions among community members may affect the collective pathogenicity and contribute to the development of acute infections. Disease modifiers, including transient or permanent host-related factors, may also influence the development and severity of acute abscesses. This review focuses on the current evidence about the etiology and treatment of acute apical abscesses and how the process is influenced by host-related factors and proposes future directions in research, diagnosis, and therapeutic approaches to deal with this disease.

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“…21 It plays a crucial role in shaping the involved areas and monitoring the development of the infection, with the intent to plan the proper surgical approach. [22][23][24] Ultrasound is another useful method in guiding diagnostic needle aspiration and therapeutic drainage, in cases where there is no immediate airway compromise. In two cases, percutaneous drainage under ultrasound guidance was performed.…”

Section: Discussionmentioning

confidence: 99%

How to avoid life-threatening complications following head and neck space infections: an algorithm-based approach to apply during times of emergency. When and why to hospitalise a neck infection patient

et al. 2017

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Background: Head and neck space infections present with a potential mortality rate of 40-50 per cent. This paper proposes an algorithm-based management of head and neck space infection to prevent life-threatening events.Methods: A total of 225 patients with head and neck space infection were prospectively analysed at our institution. An experimental scoring system determined the level of clinical risk for the development of major complications. Accordingly, patients were classified into three risk groups: low-, intermediate-and high-risk.Results: Only intermediate-and high-risk patients were hospitalised. Intermediate-risk patients received intravenous medical therapy with daily re-evaluation; 18 of them required delayed surgery. Of the high-risk patients, three required immediate surgical treatment and five received delayed surgery, while in five cases medical therapy was the only treatment received. Low-risk patients were treated in an out-patient setting.Conclusion: The algorithm-based management of head and neck space infection was successful in enabling the avoidance of lethal complications onset.

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Diagnosis and treatment of deep neck space abscesses

Abstract: Substance abuse and poor orodental hygiene are important predisposing factors to deep neck abscesses. Appropriate management continues to favor a combination of early surgical drainage and systemic antibiotics.

Cited by 94 publications

References 24 publications

Management of 112 Hospitalized Patients with Spreading Odontogenic Infections: Correlation with DMFT and Oral Health Impact Profile 14 Indexes

Management of 112 Hospitalized Patients with Spreading Odontogenic Infections: Correlation with DMFT and Oral Health Impact Profile 14 Indexes

Microbiology and Treatment of Acute Apical Abscesses

How to avoid life-threatening complications following head and neck space infections: an algorithm-based approach to apply during times of emergency. When and why to hospitalise a neck infection patient

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