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智齿拔除术后深部颈部感染:一例报告。

Deep neck infection after third molar extraction: A case report.

作者信息

da Silva Junior Alberto Ferreira, de Magalhaes Rocha Gustavo Silvestre, da Silva Neves de Araujo Camila Fialho, Franco Ademir, Silva Rhonan Ferreira

机构信息

Maxillofacial Surgery and Traumatology of the Emergency Hospital of Goiania (HUGO), Goias, Brazil.

Maxillofacial Surgery, Paulista University, Goias, Brazil.

出版信息

J Dent Res Dent Clin Dent Prospects. 2017 Summer;11(3):166-169. doi: 10.15171/joddd.2017.030. Epub 2017 Sep 20.

Abstract

Deep neck infections are associated with high morbidity rates in dentistry. Early diagnosis and intervention play an essential part in decreasing morbidity rates. The present study aims to report a case of odontogenic deep neck infection after third molar extraction. A 51-year-old male patient underwent extraction of the mandibular right third molar. Seven days later, the patient developed symptoms and signs of progressive infection. Laboratorial and radiologic examinations in association with clinical investigations confirmed deep neck infection. Extraoral drainage was performed under orotracheal intubation. Postoperative laboratory tests and clinical examinations revealed signs of complete remission within a follow-up period of 10 days. Considering the invasive nature of pathogens related to deep neck infections, it is possible to infer that a combination of accurate diagnosis and early intervention plays an essential role in the field of maxillofacial surgery and pathology.

摘要

在牙科领域,深部颈部感染与高发病率相关。早期诊断和干预对于降低发病率起着至关重要的作用。本研究旨在报告一例下颌第三磨牙拔除术后发生的牙源性深部颈部感染病例。一名51岁男性患者接受了下颌右侧第三磨牙拔除术。七天后,患者出现了进行性感染的症状和体征。实验室检查、影像学检查以及临床检查证实为深部颈部感染。在经口气管插管下行口外引流术。术后实验室检查和临床检查显示,在10天的随访期内症状完全缓解。考虑到与深部颈部感染相关病原体的侵袭性,可以推断准确诊断和早期干预相结合在颌面外科和病理学领域起着至关重要的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98ef/5666216/51b0c2fdecd9/joddd-11-166-g001.jpg

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