Unkel J H, McKibben D H, Fenton S J, Nazif M M, Moursi A, Schuit K
Department of Pediatric Dentistry, University of Tennessee-Memphis, USA.
Pediatr Dent. 1997 Nov-Dec;19(8):476-9.
Facial cellulitis in the pediatric hospital population can be classified as odontogenic and nonodontogenic. Emergency departments welcome timely diagnosis from consultants as cellulitis is associated with significant morbidity in children. The purpose of this retrospective study is to assist pediatric dentists in recognizing differences between odontogenic and nonodontogenic facial cellulitis and to determine whether odontogenic infections make up a major portion of facial swellings seen upon admission to the hospital. The completed medical records of 100 patients admitted to Children's Hospital of Pittsburgh from 1980-1989 with an ICD-9 diagnosis of facial cellulitis were reviewed. The types of cellulitis were differentiated using admission data. The information reviewed included age, sex, temperature, white blood cell count, location of facial infection, and season of the year. Odontogenic cellulitis comprised approximately 50% of the total hospital facial infections of the records reviewed during the 10-year period. Upon admission, patients with odontogenic and nonodontogenic facial cellulitis have similarities (season of onset during the year, febrile temperature, and location of infection) and differences (mean admission temperature, age at time of affliction, white blood cell count, and most commonly occurring microorganisms.
儿科医院中的面部蜂窝织炎可分为牙源性和非牙源性。急诊科欢迎顾问医生进行及时诊断，因为蜂窝织炎在儿童中会导致严重的发病率。这项回顾性研究的目的是帮助儿科牙医识别牙源性和非牙源性面部蜂窝织炎之间的差异，并确定牙源性感染是否占入院时所见面部肿胀的主要部分。对1980年至1989年在匹兹堡儿童医院住院的100例国际疾病分类第九版（ICD-9）诊断为面部蜂窝织炎的患者的完整病历进行了回顾。使用入院数据区分蜂窝织炎的类型。所回顾的信息包括年龄、性别、体温、白细胞计数、面部感染部位和一年中的季节。在这10年期间所回顾记录的医院面部感染中，牙源性蜂窝织炎约占总数的50%。入院时，牙源性和非牙源性面部蜂窝织炎患者有相似之处（发病季节、发热温度和感染部位），也有不同之处（平均入院温度、发病时年龄、白细胞计数和最常见的微生物）。
