Deep neck infection with dental origin: analysis of 85 consecutive cases (2000-2006)

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Title: Deep neck infection with dental origin: analysis of 85 consecutive cases (2000-2006)
Authors: Marioni G (AUTHOR), Rinaldi R (AUTHOR), Staffieri C (AUTHOR), Marchese-Ragona R (AUTHOR), Saia G (AUTHOR), Stramare R (AUTHOR), Bertolin A (AUTHOR), Borgo RD (AUTHOR), Ragno F (AUTHOR), Staffieri A (AUTHOR)
Source: Acta Oto-Laryngologica. Feb2008, Vol. 128 Issue 2, p201-206. 6p.
Abstract: Conclusions. Diagnostic work-up should include contrast-enhanced computed tomography (CT) and mandible orthopantogram. When a dental origin of deep neck infection is suspected, the intravenous antibiotic regimen has to be active against gram-positive bacteria, both aerobes and anaerobes. Surgical exploration and drainage may be mandatory at presentation, or in cases not responding to medical therapy within the first 24 h. Objectives. Deep neck infections are still associated with significant morbidity and mortality rates when complications occur. Despite worldwide improvement in dental care and oral hygiene, a significant prevalence of deep neck infections caused by dental infections has been described recently (>40%). Patients and methods. We analysed retrospectively 85 cases of deep neck infection with dental origin out of 206 consecutive cases of deep neck infection diagnosed in our institution between 2000 and 2006. Results. The most frequent dental source was a periapical infection of the first mandibular molar, followed by second and third molar, respectively. Submandibular space infection involvement was diagnosed in 73 of 85 patients (85.9%), masticatory space infection in 28 (32.9%); in 56 patients (65.9%) the infection involved more than one space. Twenty-four patients (28.2%) were treated only with intravenous antibiotic therapy; 61 patients (71.8%) required both medical and surgical procedures. [ABSTRACT FROM AUTHOR]
Copyright of Acta Oto-Laryngologica is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Deep neck infection with dental origin: analysis of 85 consecutive cases (2000-2006)
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  Data: <searchLink fieldCode="AR" term="%22Marioni+G%22">Marioni G</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Rinaldi+R%22">Rinaldi R</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Staffieri+C%22">Staffieri C</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Marchese-Ragona+R%22">Marchese-Ragona R</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Saia+G%22">Saia G</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Stramare+R%22">Stramare R</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bertolin+A%22">Bertolin A</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Borgo+RD%22">Borgo RD</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ragno+F%22">Ragno F</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Staffieri+A%22">Staffieri A</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Acta+Oto-Laryngologica%22">Acta Oto-Laryngologica</searchLink>. Feb2008, Vol. 128 Issue 2, p201-206. 6p.
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Conclusions. Diagnostic work-up should include contrast-enhanced computed tomography (CT) and mandible orthopantogram. When a dental origin of deep neck infection is suspected, the intravenous antibiotic regimen has to be active against gram-positive bacteria, both aerobes and anaerobes. Surgical exploration and drainage may be mandatory at presentation, or in cases not responding to medical therapy within the first 24 h. Objectives. Deep neck infections are still associated with significant morbidity and mortality rates when complications occur. Despite worldwide improvement in dental care and oral hygiene, a significant prevalence of deep neck infections caused by dental infections has been described recently (>40%). Patients and methods. We analysed retrospectively 85 cases of deep neck infection with dental origin out of 206 consecutive cases of deep neck infection diagnosed in our institution between 2000 and 2006. Results. The most frequent dental source was a periapical infection of the first mandibular molar, followed by second and third molar, respectively. Submandibular space infection involvement was diagnosed in 73 of 85 patients (85.9%), masticatory space infection in 28 (32.9%); in 56 patients (65.9%) the infection involved more than one space. Twenty-four patients (28.2%) were treated only with intravenous antibiotic therapy; 61 patients (71.8%) required both medical and surgical procedures. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
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  Data: <i>Copyright of Acta Oto-Laryngologica is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1080/00016480701387157
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              Text: Feb2008
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