Treatment of severe cellulitis of the mouth floor:A retrospective study of 41 cases
10.3969/j.issn.1001-3733.2015.05.019
- VernacularTitle:口底重症多间隙感染41例患者诊治的回顾性分析
- Author:
Bo QIAO
;
Junrui ZHANG
;
Bin LU
;
Liang KONG
;
Fang LIU
;
Xinghua FENG
- Publication Type:Journal Article
- Keywords:
Floor ofthe mouth;
Cellulites;
Odontogenic infection;
Airway;
Abscessus
- From:
Journal of Practical Stomatology
2015;(5):682-685
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze clinical data of 41 patients with severe mouth floor cellulitis.Methods:Patient's gender,age, epidemiological characteristics,origin of inflammation,symptoms of the disease,primary diagnosis,concomitant diseases,complica-tions,clinical diagnosis,the use of antibiotics (type and course),operation and outcomes were reviewed.Results:The male-fe-male ratio of the patients was 2.4∶1 .Age distribution was 1 0 -93 years old(with the mean of 46.23).The cases from urban-rural area was 3∶1 ,1 4.6% of the patients'primary diagnosis was not accurate.Only 31 % of the patients went to doctors in the first 5 days from the beginning of the disease.82.9% of the mouth floor cellulites were odontogenic.35% of the cases were diagnosed to be in-fectious diffusion to parapharyngeal,pterygomandibular spaces or to be complicating with neck infection at first examination.Infec-tion of 7.5% of the cases were spread to mediastinum.All the patients were administered with antibiotics and completed the surgical drainage as early as possible,except 2 transfered to respiratory medicine for mediastinum serious mediastinal and pulmonary infection and 1 to urinary surgery for renal failure.Conclusion:Odontogenic infection is most common for mouth floor cellulitis.Accurate di-agnose,maintenance of airway and initiate suitable antibiotics are rery important for the treatment of severe cellulitis of mouth floor. Prompt surgical drainage and comprehensive treatments are also essential to prevent patients from severe complications.
