Criteria for admission of odontogenic infections at high risk of deep neck space infection

European Annals of Otorhinolaryngology, Head and Neck Diseases
N AlotaibiD Salvan

Abstract

Many patients with odontogenic infections are hospitalised because of the risk of deep neck space infection. The objective of this study was to identify risk factors allowing more reliable selection of patients requiring hospitalisation for both specialists and emergency physicians. This retrospective study was based on a cohort of 97 patients hospitalised for odontogenic infection in the Department of Otorhinolaryngology and Head and Neck Surgery of Centre hospitalier Sud Francilien, Île-de-France, from January 2008 to June 2012. The majority of patients presented with dental abscess (66 patients; 68%). Nineteen patients (20%) presented with deep neck space infection. The frequency of deep neck space infection was significantly higher in patients with mandibular odontogenic infection (16/55 patients (29%) than in those with maxillary odontogenic infection (3/42 (7%); P ≤ 0.009). The incidence of deep neck space infection was significantly higher in patients with dental abscess (17/66, (26%) than in those without dental abscess (2/31 (6%); P ≤ 0.03). In addition to the well-known classical criteria (fever, neck swelling, dyspnoea, dysphagia, trismus, leukocytosis, elevated C reactive protein (CRP)), the criteria for admission f...Continue Reading

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Citations

Jun 18, 2017·Australian Dental Journal·S Vytla, D Gebauer
May 23, 2019·Oral and Maxillofacial Surgery·Maximilian RiekertVolker C Schick
Dec 5, 2019·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Jarno VelhonojaIlpo Kinnunen
Dec 10, 2019·Maxillofacial Plastic and Reconstructive Surgery·Jinyoung ParkJae-Min Song
Dec 12, 2019·Minerva stomatologica·Massimo FusconiMarco de Vincentiis
Jul 31, 2020·SAGE Open Medical Case Reports·Endang SjamsudinTantry Maulina
Sep 27, 2020·British Dental Journal·Phil JevonNick Pigadas
Jan 28, 2021·Acta Odontologica Scandinavica·Jussi FuruholmJohanna Snäll
Dec 4, 2020·International Journal of Environmental Research and Public Health·Nathalie Pham DangIsabelle Barthélémy
Jul 11, 2021·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Kevin C LeeElie M Ferneini

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