儿童急性牙源性病灶引起的眼眶并发症。病例报告。

Orbital complications due to an acute odontogenic focus in a child. A case report.

作者信息

Wysluch Andreas, Maurer Peter, Ast Jens, Kunkel M

机构信息

Department of Oral and Maxillofacial Plastic Surgery Knappschaftskrankenhaus Bochum-Langendreer, Ruhr-University Bochum, Bochum, Germany.

出版信息

Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009 Jan;107(1):e39-42. doi: 10.1016/j.tripleo.2008.09.017.

DOI:10.1016/j.tripleo.2008.09.017

PMID:19101481

Abstract

The full clinical manifestations of complications due to odontogenic foci are rarely seen in daily dental practice and can take a clinically foudroyant course of development in young people owing to anatomic conditions, as demonstrated in this clinical case in a 12-year-old girl. Endodontic treatment of the first right upper molar was started owing to increasing toothache and swelling of fossa canina and the periorbital region. During the course of treatment, the patient exhibited an acute increase in orbital inflammation, which required immediate surgical intervention with postsurgical intravenous antibiotic administration. This case should serve to emphasize the crucial requirement for intensive attention to orbital symptoms after dental procedures.

摘要

牙源性病灶引起的并发症的完整临床表现，在日常牙科实践中很少见，由于解剖条件，在年轻人中可能呈现临床急骤发展的过程，本临床病例中的一名12岁女孩便是如此。因右侧上颌第一磨牙牙痛加剧以及犬窝和眶周区域肿胀，遂开始对该牙进行根管治疗。在治疗过程中，患者眼眶炎症急剧加重，这需要立即进行手术干预，并在术后静脉注射抗生素。该病例应强调在牙科手术后密切关注眼眶症状的关键必要性。