Minimally Invasive Intraoral Approach to Submandibular Lodge

Journal of Clinical Medicine

Gabriele Miccoli¹  Antonella Polimeni¹  Massimo Galli¹  FrancescaRomana Federici¹  Benedetta Cassese¹  Luca Testarelli¹  Antonio Greco²  Massimo Fusconi²  Francesca Candelori²  Marco De Vincentiis² 

[1] Department of Oral and Maxillofacial Science, Sapienza University of Rome, Via Caserta 6, 00161 Rome, Italy;Department of Sensory Organs, Division of Otorhinolaryngology, Sapienza University of Rome, Viale del Policlinico 161, 00185 Rome, Italy;

关键词: odontogenic abscess;    cervicotomy;    surgery;    oral surgery;    neck surgery;    infection;   

DOI  :  10.3390/jcm9092971

来源: DOAJ

【 摘 要 】

The purpose of this study is to describe the Minimally Invasive Intraoral Approach (MIIA) performed on selected cases of abscesses and neck phlegmons of odontogenic origin when the infection has not spread beyond the inferior mandibular margin. This technique allows us to avoid cervicotomy by a direct approach to the abscess, draining it through the oral cavity. If the limits have already been crossed, then cervicotomy is necessary. The aim of the study is to show the surgical outcomes that we have achieved during a time span of two years, and to show the effectiveness of the MIIA and its results. We selected 66 patients with abscesses and neck phlegmons, from January 2018 to June 2020. Among these cases, five patients were excluded as it was not possible to recover medical records from database. The MIIA technique has been performed on 16 patients (26.2%) when a successful dental extraction and drainage of the submandibular lodge were accomplished. The patients who underwent the MIIA surgery have all perfectly healed and did not suffer from relapses during the follow-up. The results show the achievement of excellent healing, underlining the lower impact required by MIIA when compared to a more traditional approach through cervicotomy.

【 授权许可】

Unknown