Department of Oral and Maxillofacial Surgery, Manipal College of Dental Sciences, Manipal Academy of Higher Education (MAHE), Manipal, Karnataka, India.
Department of Public Health Dentistry, Manipal College of Dental Sciences, Manipal Academy of Higher Education (MAHE), Manipal, Karnataka, India.
ScientificWorldJournal. 2024 Apr 9;2024:9304671. doi: 10.1155/2024/9304671. eCollection 2024.
To evaluate the profile of patients operated for maxillofacial space infections and associated risk factors for the length of hospital stay.
We conducted a retrospective study among patients operated for maxillofacial infections at our center from 2010 to 2020. Information collected from the records were age, sex, type and number of spaces involved, clinical signs and symptoms (pain, swelling, toothache, sore throat, otalgia, hoarseness, headache, cough, neck swelling, rancid breath, sialorrhea, gingival swelling, muffled voice, trismus, fever, dysphagia, odynophagia, malaise, lymphadenopathy, dyspnoea, pus discharge), treatment modality, total leukocyte count, evidence of bacterial growth, comorbidities, complications if any and length of hospital stay.
A total of 128 medical records were examined, out of which 59 were female. The mean age was 38.59 ± 19.7 and the length of hospital stay was 7.56 ± 3.8 days. The most commonly involved space was submandibular space (46.1%) and the common symptoms reported were swelling (99.2%), pain (86.7%), and trismus (68%). Four patients had complications like necrotizing fasciitis (1.6%), pneumonia (0.8%), and death in one patient (0.8%). Logistic regression showed that patients more than 36 years of age, male sex, evidence of bacterial growth, and diabetics had higher odds of increased hospital stay (>6 days). Multiple logistic regression analysis showed that age ( = 0.015; OR: 2.98) and evidence of bacterial culture ( = 0.001; OR:6.64) were potential predictors associated with increased hospital stay.
Our study showed that the age of the patient and evidence of bacterial culture were potential predictors of prolonged hospital stay among patients operated for maxillofacial space infections.
评估因颌面间隙感染而行手术治疗的患者的特征及其与住院时间延长相关的危险因素。
我们对 2010 年至 2020 年期间在我中心因颌面感染而行手术治疗的患者进行了回顾性研究。从病历中收集的信息包括年龄、性别、受累间隙的类型和数量、临床症状和体征（疼痛、肿胀、牙痛、咽痛、耳痛、声音嘶哑、头痛、咳嗽、颈部肿胀、口臭、流涎、牙龈肿胀、声音低沉、牙关紧闭、发热、吞咽困难、吞咽疼痛、不适、淋巴结肿大、呼吸困难、脓液排出）、治疗方式、白细胞总数、细菌生长的证据、合并症、任何并发症以及住院时间。
共检查了 128 份病历，其中 59 份为女性。平均年龄为 38.59±19.7 岁，住院时间为 7.56±3.8 天。最常受累的间隙是下颌下间隙（46.1%），报告的常见症状是肿胀（99.2%）、疼痛（86.7%）和牙关紧闭（68%）。有 4 例患者发生并发症，如坏死性筋膜炎（1.6%）、肺炎（0.8%）和 1 例死亡（0.8%）。Logistic 回归分析显示，年龄超过 36 岁、男性、有细菌生长和糖尿病的患者住院时间延长（>6 天）的可能性更高。多因素 logistic 回归分析显示，年龄（ = 0.015；OR：2.98）和细菌培养阳性（ = 0.001；OR：6.64）是与住院时间延长相关的潜在预测因素。
我们的研究表明，患者的年龄和细菌培养阳性是颌面间隙感染患者住院时间延长的潜在预测因素。
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