scholarly journals Gangrenous cervicofacial cellulitis from odontogenic infection: two clinical cases

2019 ◽  
Vol 25 (1) ◽  
pp. 4
Author(s):  
David Hoarau ◽  
Mireille Folia ◽  
Narcisse Zwetyenga ◽  
Victorin Ahossi

Introduction: Cervicofacial cellulitis resulting from common odontogenic infections is rare but serious, with life-threatening complications and potential general or local complications. Observation: Two cases are discussed here. The first observed case concerned a 32-year-old patient, affected by gangrenous cellulitis, following the avulsion of teeth number 38. The second observed case was of a chronic periapical infection being left untreated. The urgency of these two cases required the coordination of medical and surgical specialist teams to ensure a stable and successful treatment, involving surgical treatment, drug therapy, and reanimation. Discussion: The inadequate treatment or chronic dental infections, associated with immunosuppression and some cofactors (tobacco, alcohol, drugs, pregnancy, etc.), can lead to severe case of cellulitis. Medical and surgical management should be carried out as soon as possible to prevent the onset of serious complications such as mediastinitis, septic shock, and thrombophlebitis.

2012 ◽  
Vol 94 (1) ◽  
pp. e41-e43 ◽  
Author(s):  
TC Clifton ◽  
S Kalamchi

Odontogenic infections can spread to any organ of the body and in some cases cause life threatening infections. We report a case of multiple odontogenic brain abscesses resulting from undetected tooth decay. Whereas most odontogenic brain abscesses occur following dental treatment, this report documents brain abscesses prior to dental treatment, signifying the dangers of covert dental infections. This case report updates the literature on the topic of odontogenic brain abscesses.


2017 ◽  
Vol 71 (5) ◽  
pp. 37-42 ◽  
Author(s):  
Alise Adoviča ◽  
Linda Veidere ◽  
Marks Ronis ◽  
Gunta Sumeraga

Objectives: In patients hospitalized due to deep neck infections (DNIs), to investigate the association between demographic parameters, etiology, and localization of abscesses and/or phlegmons, complications, comorbidities, treatment, and bacterial cultures. Methods: We analyzed data of 263 patients that were hospitalized from January 1, 2012, to December 31, 2015, due to deep neck space phlegmons and/or abscesses. We performed statistical analysis with the SPSS 22.0 software; statistical significance was set p<0.05. Results: Among the analyzed patients, dental infections were the most frequent, followed by acute phlegmonous pharyngitis. Submandibular space abscesses or phlegmons of the neck were the most frequent complications of these infections. Re-operation was performed in 19.8% of cases, and complications developed in 11% (mostly airway obstruction). DNI complications were less common in smokers than in non-smokers (OR=0.038, p=0.025). Discussion: In our study, dental infections accounted for 70.6% of DNI cases. Thus, our study explains why odontogenic DNIs are the most common DNI type studied in the literature. Poor oral health and odontogenic infections should not be underestimated because they can lead to uncommon but lethal diseases such as descending necrotizing mediastinitis, which requires aggressive surgical treatment and is associated with a mortality rate of 10%-40% despite treatment. The complication developed in 11.4% of cases. In conclusion, oral health and hygiene contribute to DNI development.


2021 ◽  
Vol 6 (2) ◽  
pp. 106
Author(s):  
Resi Pucci ◽  
Andrea Cassoni ◽  
Daniele Di Carlo ◽  
Marco Della Monaca ◽  
Umberto Romeo ◽  
...  

Odontogenic infections have the potential to develop into deep-space infections and may cause severe diseases with possible life-threatening complications. Dental infections during pregnancy require special attention in terms of possible complications and treatments due to the potential to affect the lives of two individuals. A case of a 36-year-old pregnant patient with a submandibular abscess caused by an odontogenic infection is reported, followed by a comprehensive systematic review of the literature in order to retrieve information regarding severe odontogenic infections and adverse pregnancy outcomes. The review was conducted according to the PRISMA guidelines using PubMed, Scopus, and Google Scholar databases. A total of 69 cases were included in the qualitative analysis. The mean age was 27.72 years. Patients were managed with surgery in combination with antibiotics. Nine infectious-related cesarean sections were detected, and preterm birth was associated in 3 cases, low birth weight in 2 cases, death of the fetus in 9 cases (13%), and maternal death in 4 cases (5.8%). The possible compromise of oral health during pregnancy is well known; however, severe odontogenic infections are rarely considered in the literature, and they may be associated with severe and life-threatening complications for both mother and the fetus.


Author(s):  
Nuray Emin ◽  
Kıymet Nural ◽  
Ayşegül Güzel

Hemorrhoids are swollen vascular vein pads in the upper part of the anal canal. The deformations in these tissues cause serious disturbances, and most important one is hemorrhoid, which is a symptomatic degenerative disease. Due to various etiologic factors, weakening and disintegration of connective tissue cause this disease. Many methods have been developed in the treatment of hemorrhoids from the past to the present day, and drug therapy is used as primary care. However, surgical treatment methods are applied in advanced stages in which the disease can not be treated with medication and when there is a life-threatening risk. As alternative medicine applications, herbal remedies have been used in hemorrhoid treatment for centuries. Prepared herbal mixtures or extracts are still frequently preferred by the patients today. In this context, in the research we have carried out in Beyköy village of Havza district; Teucrium orientale L. are used by regional people in the treatment of hemorrhoids and it was detected that the awareness of this herbal treatment is limited. In this study, the efficacy of T. orientale L. plant in hemorrhoid treatment was evaluated by conducting a questionnaire survey on the patients using plant extract. Of the approximately 500 patients using plant extracts, 89 agreed to fill out the questionnaire. Due to the results of the survey, it was found that all of the patients using the extract of T. orientale L. plant are healed partly or completely, and the benefit from the extract changed according to the patient's age and the stage of the disease. There has been no study on the use of this plant in the treatment of hemorrhoids in literature, and it is the first study to be done in this respect.


1988 ◽  
Vol 102 (11) ◽  
pp. 1060-1061 ◽  
Author(s):  
N. S. Violaris

AbstractIntractable aspiration is a life-threatening condition. The problems encountered in a young child with severe intractable aspiration due to bilateral bulbar palsy following the surgical removal of a cerebellar astrocytoma are described. The various options of surgical treatment are discussed and Sasaki's technique of triple layer closure of the larynx using a superiorly based sternohyoid muscle flap is outlined in detail.


2018 ◽  
Vol 32 (2) ◽  
pp. 283-289
Author(s):  
Johana Maraby-Salgado ◽  
Samer S. Hoz ◽  
Alexis Narvaez-Rojas ◽  
Guru Dutta Satyarthee ◽  
Loraine Quintana-Pajaro ◽  
...  

Abstract Odontogenic infections may cause brain abscesses. Although infrequent, infections can lead to development of aggressive brain lesions that may be life-threatening for patients. With the advent of new antibiotic treatments, dental abscesses appear to be under control but all patients with high risk of brain abscess should be assessed and treated properly. Hereby, we present an overview of the information available in the literature of the relationship between brain and dental abscesses.


1997 ◽  
Vol 33 (6) ◽  
pp. 537-539 ◽  
Author(s):  
MG Ritt ◽  
TW Fossum

The treatment and favorable outcome of a bitch with uterine torsion and two retained fetuses are described. The condition was corrected surgically by ovariohysterectomy. Complications (i.e., septic shock, peritonitis, and hemostatic abnormalities) were managed with aggressive medical therapy. Torsion of the gravid uterus in dogs is a life-threatening condition which can have a successful outcome if medical complications encountered in the pre- and postoperative periods are treated quickly and effectively.


2013 ◽  
Vol 154 (6) ◽  
pp. 225-227 ◽  
Author(s):  
Csaba Halmy ◽  
Zoltán Nádai ◽  
Krisztián Csőre ◽  
Adrienne Vajda ◽  
Róbert Tamás

Authors report on the use of Integra dermal regeneration template after excision of an extended, recurrent skin tumor in the temporal region. The area covered with Integra was 180 cm2. Skin grafting to cover Integra was performed on the 28th day. Both Integra and the skin transplant were taken 100%. Integra dermal regeneration template can provide good functional and aesthetic result in the surgical management of extended skin tumors over the skull. Orv. Hetil., 2013, 154, 225–227.


Author(s):  
Deepak Kaul ◽  
Farahnaz Muddebihal ◽  
Mohammed Anwar Ul Haque Chand

Osteomyelitis of maxillofacial skeleton is common in developing countries such as India. This case report describes successful surgical treatment of chronic suppurative osteomyelitis {CSO} of the mandible of a 35yr old female. The precipitating factor was thought to be eventful extraction in the {left } posterior body at the inferior border of mandible. Methods: Presurgical course of antibiotics ( Amoxycillin and metronidazole for 7 days and later followed by doxycycline for 1 month).Surgical debridement of the affected bone and reinforcing it with reconstruction plate using AO principles was done . Patient was kept on a high nutrient diet consisting of proteins. Conclusion: The case report demonstrates the typical features of CSO . The combination of the antibiotics therapy and surgical debridement was successful in the treatment of chronic suppurative osteomylitis.


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