雅温得第一大学教学医院的颈胸蜂窝织炎：约 50 例。
Cervico-thoracic cellulitis at the Yalgado Ouedraogo University Hospital: About 50 cases.
机构信息
Department of Stomatology and Maxillofacial Surgery of the Yalgado Ouedraogo University Hospital, CHU-YO Ougadougou: Centre Hospitalier Universitaire Yalgado Ouedraogo, Ouagadougou, Burkina Faso; Department of Stomatology and Maxillofacial Surgery of the University Hospital of Tengandogo, Ouagadougou, Burkina Faso.
Department of Stomatology and Maxillofacial Surgery of the Yalgado Ouedraogo University Hospital, CHU-YO Ougadougou: Centre Hospitalier Universitaire Yalgado Ouedraogo, Ouagadougou, Burkina Faso.
出版信息
J Stomatol Oral Maxillofac Surg. 2022 Nov;123(6):e724-e730. doi: 10.1016/j.jormas.2022.07.011. Epub 2022 Jul 16.
INTRODUCTION
Cervicofacial cellulitis is mainly due to neglected oral/pharyngeal diseases. Untreated or incorrectly treated, they can be complicated by thoraco-cervical necrosis, which has a gloomy prognosis and is difficult to manage, especially in an under-medicalized environment. The aim of this work was to report the difficulties of management in precarious context by underlining the interest of primary prevention.
PATIENTS AND METHOD
This was a descriptive cross-sectional retrospective study from January 2018 to March.
RESULTS
Fifty cases of thoracic-cervical necrosis were collected during this period. The man/woman sex ratio was 3.55. Dental etiology was found in 96% of cases. The main complications were: pneumopathy (n = 10), mediastinitis (n = 10), pleurisy (n = 3) and polyseritis (n = 2). The management combined medical and surgical treatment under local or general anesthesia. The mortality rate was 12.8%. The functional results were satisfactory in surviving cases.
CONCLUSION
The management of thoracic-cervical necrosis remains a challenge in precarious conditions. Primary must play a major role in these conditions.
简介
颈面部蜂窝织炎主要是由于口腔/咽疾病被忽视所致。如果未得到治疗或治疗不当，这些疾病可能会导致胸颈坏死，预后不佳，且难以处理，特别是在医疗条件不佳的环境中。本研究旨在报告在不稳定环境下的管理难点，强调初级预防的重要性。
患者和方法
这是一项描述性、回顾性的横断面研究，时间为 2018 年 1 月至 3 月。
结果
在此期间共收集到 50 例胸颈坏死病例。男女比例为 3.55。牙源性病因占 96%。主要并发症为：肺炎（n=10）、纵隔炎（n=10）、胸膜炎（n=3）和多发性浆膜炎（n=2）。管理采用局部或全身麻醉下的药物和手术联合治疗。死亡率为 12.8%。存活病例的功能结果令人满意。
结论
在不稳定条件下，胸颈坏死的管理仍然是一个挑战。初级预防在这些情况下必须发挥重要作用。
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