牙源性颈坏死性筋膜炎：1例病例报告及12例病例回顾
Cervical necrotizing fasciitis of odontogenic origin: a case report and review of 12 cases.
作者信息
Whitesides L, Cotto-Cumba C, Myers R A
机构信息
Hyperbaric Medicine, R. Adams Cowley Shock Trauma Center, University of Maryland Medical System, Baltimore 21201, USA.
出版信息
J Oral Maxillofac Surg. 2000 Feb;58(2):144-51; discussion 152. doi: 10.1016/s0278-2391(00)90327-6.
PURPOSE
This article reviews the demographics, presentation, cause, clinical findings, and treatment of 12 cases of cervical necrotizing fasciitis of odontogenic origin.
PATIENTS AND METHODS
A retrospective chart review of 12 cases treated between 1987 and 1997 was done.
RESULTS
Most cases resulted from an abscessed mandibular molar. The most common significant medical conditions in the patient's history were diabetes, hypertension, obesity, and substance abuse. All patients were treated surgically within 24 hours of admission. Hyperbaric oxygen (HBO) was used as adjunctive treatment in all cases. The average length of hospital stay was 31 days. All patients recovered.
CONCLUSION
Early surgical intervention and the use of HBO decreases morbidity and improves the clinical outcome.
目的
本文回顾了12例牙源性颈坏死性筋膜炎患者的人口统计学资料、临床表现、病因、临床检查结果及治疗情况。
患者与方法
对1987年至1997年间治疗的12例患者进行回顾性病历分析。
结果
多数病例由下颌磨牙脓肿引起。患者既往最常见的重要疾病为糖尿病、高血压、肥胖及药物滥用。所有患者均在入院后24小时内接受手术治疗。所有病例均采用高压氧（HBO）作为辅助治疗。平均住院时间为31天。所有患者均康复。
结论
早期手术干预及使用HBO可降低发病率并改善临床疗效。
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