Department of Geriatrics, Peking University First Hospital, Beijing, People's Republic of China.
J Int Med Res. 2024 Aug;52(8):3000605241271862. doi: 10.1177/03000605241271862.
Mouth floor cellulitis is a type of diffuse cellulitis involving the submandibular, submental, and sublingual spaces. This condition may cause asphyxia due to elevation and posterior deviation of the tissues of the floor of the mouth. The severity of submandibular gland infection often escalates in the presence of underlying comorbidities. Advanced age, hyperglycemia, and an immunocompromised status often lead to the rapid development of infection, resulting in complications such as acute upper airway obstruction. These complications increase treatment difficulty and the risk of mortality. We herein report a case involving an older adult with diabetes who developed mouth floor cellulitis secondary to a submandibular gland infection. Despite the severity of the submandibular gland infection, a timely, effective, and multidisciplinary approach improved the patient's prognosis.
口底蜂窝织炎是一种弥漫性蜂窝织炎，涉及下颌下、颏下和舌下间隙。这种情况可能会导致口底组织向上抬起和向后移位而导致窒息。下颌下腺感染的严重程度在存在潜在合并症的情况下往往会加剧。高龄、高血糖和免疫功能低下通常会导致感染迅速发展，导致急性上呼吸道梗阻等并发症。这些并发症增加了治疗难度和死亡率。本文报告了一例老年糖尿病患者继发于下颌下腺感染的口底蜂窝织炎。尽管下颌下腺感染严重，但及时、有效和多学科的方法改善了患者的预后。
