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筋膜间隙牙源性感染：超声检查作为磁共振成像的替代方法

Fascial space odontogenic infections: Ultrasonography as an alternative to magnetic resonance imaging.

作者信息

Ghali Sreenivasarao, Katti Girish, Shahbaz Syed, Chitroda Parita K, V Anukriti, Divakar Darshan Devang, Khan Aftab Ahmed, Naik Sachin, Al-Kheraif Abdulaziz A, Jhugroo Chitra

机构信息

Department of Oral Medicine and Radiology, Nanded Rural Dental College and Research Center, Nanded 431606, Maharashtra, India.

Department of Oral Medicine and Radiology, Al-Badar Dental College and Hospital, Kalaburagi 585102, Karnataka, India.

出版信息

World J Clin Cases. 2021 Jan 26;9(3):573-580. doi: 10.12998/wjcc.v9.i3.573.

DOI:10.12998/wjcc.v9.i3.573
PMID:33553395
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7829733/
Abstract

BACKGROUND

The introduction of modern diagnostic tools has transformed the field of maxillofacial radiology. Odontogenic infection and fascial space involvement have been evaluated with many diagnostic tools, including ultrasonography (USG) and magnetic resonance imaging (MRI).

AIM

To explore USG as an alternative model to MRI in the detection of fascial space spread of odontogenic infections.

METHODS

Among 20 patients, 50 fascial spaces were clinically diagnosed with odontogenic infection and included in this prospective study. Fascial space infection involvement was examined by USG and MRI. Results were compared for both and confirmed by microbiological testing.

RESULTS

Ultrasonography identified 42 (84%) of 50 involved fascial spaces. Whereas MRI identified all 50 (100%). USG could stage the infections from edematous change to cellulitis to complete abscess formation.

CONCLUSION

MRI was superior in recognizing deep fascial space infections compared to USG. However, USG is a significant addition and has a definite role in prognosticating the stage of infection and exact anatomic location in superficial space infections.

摘要

背景

现代诊断工具的引入改变了颌面放射学领域。牙源性感染和筋膜间隙受累已通过多种诊断工具进行评估，包括超声检查（USG）和磁共振成像（MRI）。

目的

探讨超声检查作为磁共振成像的替代模型在检测牙源性感染的筋膜间隙扩散中的应用。

方法

在20例患者中，50个筋膜间隙经临床诊断为牙源性感染，并纳入本前瞻性研究。通过超声检查和磁共振成像检查筋膜间隙感染情况。对两者的结果进行比较，并通过微生物检测进行确认。

结果

超声检查识别出50个受累筋膜间隙中的42个（84%）。而磁共振成像识别出所有50个（100%）。超声检查可以对感染从水肿改变到蜂窝织炎再到完全脓肿形成进行分期。

结论

与超声检查相比，磁共振成像在识别深部筋膜间隙感染方面更具优势。然而，超声检查是一个重要补充，在预测感染分期和浅表间隙感染的确切解剖位置方面具有明确作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1cff/7829733/3205d88503c8/WJCC-9-573-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1cff/7829733/816e21a0d9b9/WJCC-9-573-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1cff/7829733/ab72ce229357/WJCC-9-573-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1cff/7829733/14032345dc88/WJCC-9-573-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1cff/7829733/3205d88503c8/WJCC-9-573-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1cff/7829733/816e21a0d9b9/WJCC-9-573-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1cff/7829733/ab72ce229357/WJCC-9-573-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1cff/7829733/14032345dc88/WJCC-9-573-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1cff/7829733/3205d88503c8/WJCC-9-573-g004.jpg

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Multidisciplinary approaches to odontogenic lesions.牙源性病变的多学科治疗方法。
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