Odontogenic Inflammatory Processes of Head and Neck in Computed Tomography Examinations

Wabik, Aleksandra; Hendrich, Barbara; Nienartowicz, Jan; Guziński, Maciej; Sąsiadek, Marek

doi:10.12659/pjr.890808

Cited by 14 publications

(8 citation statements)

References 11 publications

(15 reference statements)

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“…Despite good access to dental care, availability of antibiotic therapy, and good socioeconomic conditions, odontogenic infections of the head and neck region are still the main cause of hospitalization in maxillofacial surgery departments [ 1 , 2 , 7 , 13 , 31 ]. Infection of the deep fascial space may not manifest as a clear deterioration of general condition, which hinders early diagnosis, delays the initiation of treatment, and increases the risk of complications [ 7 , 18 , 28 ]. Odontogenic infections are the most common infections in the head and neck region [ 2 , 6 , 8 , 32 ].…”

Section: Discussionmentioning

confidence: 99%

Odontogenic Head and Neck Region Infections Requiring Hospitalization: An 18-Month Retrospective Analysis

Zawiślak

Nowak

2021

BioMed Research International

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The aim of this study was to comprehensively review our experience with odontogenic infections in the head and neck region requiring treatment at a national referral center. We retrospectively reviewed 85 patients treated at the Chair and Clinic of Maxillofacial Surgery of the University Hospital in Wrocław between January 2018 and June 2019. We excluded patients with nonondontogenic infections or other than purulent clinical forms of dentivitis in the head and neck region. Several demographic, clinicopathological, and treatment variables were assessed. The majority of patients were men who were referred for inpatient treatment by a dentist or family doctor, presented to the Hospital Emergency Ward (SOR) by themselves, or transported to the SOR by paramedics SOR from their home or another hospital. All patients were treated in accordance with the current guidelines for head and neck region odontogenic infections. An incision was made and the abscess was drained. The odontogenic cause was removed followed by the collection of tissue for microbiological examination. The course of infection was monitored by means of laboratory parameters such as leukocyte counts and c-reactive protein levels. Odontogenic infections in the head and neck region are a persistent and common problem. Rapid, accurate diagnosis and treatment minimizes the risk of life-threatening complications, shortens the hospitalization period, and lowers treatment costs.

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Section: Discussionmentioning

confidence: 99%

Odontogenic Head and Neck Region Infections Requiring Hospitalization: An 18-Month Retrospective Analysis

Zawiślak

Nowak

2021

BioMed Research International

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“…Broadly used imaging techniques are enhanced CT and MRI. Both can reflect the actual state of abscess precisely and can identify the pathway of infection [ 7 , 43 ]. Also, ultrasonography can be used to diagnose fascial space abscesses.…”

Section: Discussionmentioning

confidence: 99%

Orofacial fascial space abscess disguised as temporomandibular disorder: a report of 3 cases and literature review

Kim,

Lee

2024

BMC Oral Health

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Fascial space abscess is a condition in which infections spread into fascial spaces. It is a severe and life-threatening disease unless treated at an early stage. Due to the similarity of clinical symptoms, fascial space abscesses in the orofacial area are often disguised as other diseases, such as temporomandibular disorder (TMD). In this case series, we report three cases of fascial space abscesses disguised as TMD. In all cases, patients complained of severely limited mouth opening and pain in the temporomandibular joint (TMJ) and masseter muscles, which led clinicians to diagnose them with TMD. After two patients showed facial swelling and the third complained of dyspnea, clinicians realized the possibility of an orofacial fascial space abscess. On further evaluation, all patients showed increased C-reactive protein in blood tests, and the location of the fascial space abscess was confirmed by enhanced computed tomography images. Moreover, all patients had suspicious sources of odontogenic infections in panoramic images, periapical abscess on maxillary molars and periodontal disease on maxillary and mandibular molars, which were not appropriately evaluated at the first visit. This case series emphasizes the need for clinicians to realize the possibility of orofacial fascial space abscesses based on: clinical symptoms of severely limited mouth opening (< 15 mm) with pain in the facial area, including TMJ or masseter muscle, and possible sources of infection such as odontogenic infection, other infectious lesions, trauma, or invasive treatments. These clinical insights will enable the early detection of fascial space abscesses.

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“…A contrast-enhanced head and neck CT scan is the examination of choice in such cases because it determines the type, localization and the extent of inflammation [11].…”

Section: Discussionmentioning

confidence: 99%

Aggressive abscesses in the head and neck region of probable odontogenic origin – two case reports

Suska,

Wiatr,

Lara

et al. 2023

Reviews and Research in Medical Microbiology

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Odontogenic infections are the most common type of infections of the head and neck among adults. They usually spread continuously from the mandible and/or maxilla into the sublingual, submandibular or masticatory spaces, then directly into the parapharyngeal space. They require comprehensive diagnostic and therapeutic management, as they may potentially lead to life-threatening complications. We present two clinical manifestations of aggressive abscesses in the head and neck region of probable odontogenic origin and discuss different therapeutic approaches. The first patient, a 31-year-old man, was admitted because of a tumor-like lesion within the right maxillary sinus. He complained of purulent nasal discharge of two weeks duration despite antibiotic therapy. In the Caldwell-Luc operation a cyst filled with puss was displayed, the sac of the cyst and the polypoid mass were removed. The second patient, a 28-year-old man, was admitted due to an abscess of the left half of the neck and viscerocranium, with a large edema of this area, neck pain, fever, dyspnea and lockjaw. The patient was qualified for surgery. During intubation, a purulent collection emptied into the oral cavity and throat. In both cases, simultaneously with the surgery, an empirical broad-spectrum antibiotic therapy was administered. Microbiological analysis of the material collected during the operations revealed Prevotella melaninogenica in the first case, and Streptococcus group C in the second. Treatment of aggressive odontogenic infections must take a comprehensive approach, including both surgical intervention and antibiotic therapy covering Gram-positive as well as Gram-negative aerobic and anaerobic pathogens.

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Odontogenic Inflammatory Processes of Head and Neck in Computed Tomography Examinations

Cited by 14 publications

References 11 publications

Odontogenic Head and Neck Region Infections Requiring Hospitalization: An 18-Month Retrospective Analysis

Odontogenic Head and Neck Region Infections Requiring Hospitalization: An 18-Month Retrospective Analysis

Orofacial fascial space abscess disguised as temporomandibular disorder: a report of 3 cases and literature review

Aggressive abscesses in the head and neck region of probable odontogenic origin – two case reports

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