Clinical Department of Oral and Maxillofacial Surgery, Medical University Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria,
Wien Klin Wochenschr. 2013 Nov;125(21-22):680-6. doi: 10.1007/s00508-013-0428-x. Epub 2013 Oct 22.
Odontogenic infections represented a challenge for every craniomaxillofacial surgeon in the pre-antibiotic era, not least due to the frequent association with septic complications and lethal consequences. Nowadays, the incidences of serious infection-related complications are less frequent thanks to the medical progress. Nevertheless, the development of severe infections is still hard to foresee. The following analysis provides an overview of four patients with severe, life-threatening odontogenic deep neck space infections treated at the University Clinic for Oral and Maxillofacial Surgery in Innsbruck and describes the etiology, therapy, and outcome for each patient while analyzing differences between the single cases. Crucial aspects in origin, progression, and treatment of DNIs are highlighted, comparing the results with the international literature.
在抗生素问世之前，牙源性感染对每一位面颌外科医生来说都是一个挑战，尤其是因为其常与脓毒症并发症和致命后果有关。如今，由于医学的进步，严重感染相关并发症的发生率已降低。尽管如此，严重感染的发展仍然难以预测。以下分析介绍了在因斯布鲁克大学口腔颌面外科诊所接受治疗的 4 名患有严重、危及生命的牙源性深部颈间隙感染的患者，并分别描述了每位患者的病因、治疗和结果，同时分析了各病例之间的差异。本文重点介绍了 DNIs 的起源、进展和治疗中的关键方面，并将结果与国际文献进行了比较。
