Zawiślak Ewa, Nowak Rafał
Department of Maxillofacial Surgery, Silesian Piast Medical University, Borowska 213, Wrocław 50-556, Poland.
Biomed Res Int. 2021 Jan 18;2021:7086763. doi: 10.1155/2021/7086763. eCollection 2021.
The aim of this study was to comprehensively review our experience with odontogenic infections in the head and neck region requiring treatment at a national referral center. We retrospectively reviewed 85 patients treated at the Chair and Clinic of Maxillofacial Surgery of the University Hospital in Wrocław between January 2018 and June 2019. We excluded patients with nonondontogenic infections or other than purulent clinical forms of dentivitis in the head and neck region. Several demographic, clinicopathological, and treatment variables were assessed. The majority of patients were men who were referred for inpatient treatment by a dentist or family doctor, presented to the Hospital Emergency Ward (SOR) by themselves, or transported to the SOR by paramedics SOR from their home or another hospital. All patients were treated in accordance with the current guidelines for head and neck region odontogenic infections. An incision was made and the abscess was drained. The odontogenic cause was removed followed by the collection of tissue for microbiological examination. The course of infection was monitored by means of laboratory parameters such as leukocyte counts and c-reactive protein levels. Odontogenic infections in the head and neck region are a persistent and common problem. Rapid, accurate diagnosis and treatment minimizes the risk of life-threatening complications, shortens the hospitalization period, and lowers treatment costs.
本研究的目的是全面回顾我们在一家国家转诊中心治疗头颈部牙源性感染的经验。我们回顾性分析了2018年1月至2019年6月期间在弗罗茨瓦夫大学医院颌面外科主席及诊所接受治疗的85例患者。我们排除了头颈部非牙源性感染或非脓性牙炎临床形式的患者。评估了几个人口统计学、临床病理和治疗变量。大多数患者为男性，由牙医或家庭医生转诊进行住院治疗，自行前往医院急诊病房（SOR），或由护理人员从其家中或其他医院转运至SOR。所有患者均按照当前头颈部牙源性感染指南进行治疗。切开脓肿引流。去除牙源性病因，随后采集组织进行微生物学检查。通过白细胞计数和C反应蛋白水平等实验室参数监测感染过程。头颈部牙源性感染是一个持续且常见的问题。快速、准确的诊断和治疗可将危及生命的并发症风险降至最低，缩短住院时间，并降低治疗成本。
