Cervical and facial infections _ a real life threat

International Conference on Applied Sciences 2013

Rosu, S.^1 ; Fratila, M.^1

Maxillo-facial Surg. University of Medicine and Pharmacy Victor Babes¸ Timis¸oara, Piat¸a Eftimie Murgu No. 2, 300041 Timis¸oara, Romania^1

关键词: Emergency departments;    Intensive care;    Life threatening conditions;    Local conditions;    Oral and maxillofacial surgeries;    Recovery process;    Resistance to antibiotics;    Surgical treatment;   

Others  :  https://iopscience.iop.org/article/10.1088/1757-899X/57/1/012013/pdf
DOI  :  10.1088/1757-899X/57/1/012013

来源: IOP

【 摘 要 】

Cervicofacial infections of dental origin are a difficult and complex issue of oral and maxillofacial surgery. Recognizing in due time the situations which are likely to develop a life-threatening condition and medical surgical prompt interventions significantly reduce the rate of the complications. Between January 2009 and March 2013, at the Clinic of Oral and Maxillofacial Surgery of the University of Medicine and Pharmacy «Victor Babes» Timisoara, 17 patients with severe cervicofacial infections were admitted in the emergency department as they needed a complex medical surgical treatment in accordance with protocol established together with the intensive-care department. Assessing the situations, we noticed a difficult, prolonged time of the recovery process which needed a hospitalization period of around 20 days. It recorded two deceased because of cervical necrotizing fasciitis and oral floor phlegmon, the most severe forms of the cervicofacial infections. The severity of the condition of the patients with cervicofacial infections must be figured and as quickly as possible an energetic therapeutic attitude must be adopted. The experience shows a frequent resistance to antibiotics like ampicillin, penicillin and oxacillin. The patients must be guided in due time to a clinic which has an intensive care department, where the surgical treatment must be administrated together with an intensive treatment for supporting the general condition. The reduction of the vital risk of the cervicofacial infections of dental origin will be done through an attentive assessment of the general and local condition (status) of the outpatients, before the dental extraction. The absence of a treatment adapted to the situation and to the clinic development, meaningfully increases the rate of the complications and the length of the hospitalization, the lethal evolution being not excluded.