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智齿拔除术后的深部颈部感染。

Deep neck infection after third molar extraction.

作者信息

Yilmaz Seda, Bas Burcu, Ozden Bora, Selcuk Umit, Cengel Kurnaz Senem

机构信息

Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Istanbul Aydın University, Turkey.

Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Ondokuz Mayıs University, Turkey.

出版信息

J Istanb Univ Fac Dent. 2015 Apr 29;49(2):41-45. doi: 10.17096/jiufd.82633. eCollection 2015.

Abstract

Odontogenic and oropharyngeal infections are relatively common in the cervicofacial region. In rare cases, odontogenic or peritonsillar abscesses may spread through the deep fascial cervical spaces and cause life-threatening complications. Odontogenic infection is the most common cause of deep neck infections and it accounts for 43% of the cases. Early diagnosis, immediate antibiotic treatment, and surgical drainage are the basis of therapeutic success. Deep neck infections are potentially life threatening complications if they are not diagnosed in time and treated quickly. This case report presents clinical, radiological features and treatment of the spread of abscesses through cervical spaces of an unusual case of deep neck infection that was caused by the secondary infection of the root remnants after extraction.

摘要

牙源性和口咽感染在颈面部区域相对常见。在罕见情况下,牙源性或扁桃体周围脓肿可能通过颈部深筋膜间隙扩散并导致危及生命的并发症。牙源性感染是颈部深部感染最常见的原因,占病例的43%。早期诊断、立即使用抗生素治疗和手术引流是治疗成功的基础。如果颈部深部感染未及时诊断和迅速治疗,可能会引发危及生命的并发症。本病例报告展示了一例因拔牙后牙根残留继发感染导致的罕见颈部深部感染病例,脓肿通过颈部间隙扩散的临床、影像学特征及治疗情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ff6/5573484/bb67a6154de2/jiufd-049-041-b-e001.jpg

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