Clinical study on the fasical space infections of oral & maxillofacial region for recent 5 years.
- Author:
Sang Chull LEE
;
Yeo Gab KIM
;
Dong Mok RYU
;
Baek Soo LEE
;
Sung Hwan OH
;
Ok Byung YOON
;
Yu Jin PARK
- Publication Type:Original Article
- MeSH:
Anti-Bacterial Agents;
Deglutition Disorders;
Dehydration;
Drainage;
Fever;
Head;
Humans;
Ludwig's Angina;
Neck;
Suppuration;
Surgery, Oral;
Tooth
- From:Journal of the Korean Association of Oral and Maxillofacial Surgeons
1997;23(1):106-116
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Maxillofacial infection often place the oral and maxillofacial surgeon in situations where timely decisions have to be made. These decisions can be lifesaving. Odontogenic infection are frequently encountered in the practice of oral and maxillofacial surgery. These infections often repond to surgical and antimicrobial management. Otheriwise odontogenic infections have the potential to spread via the fasical spaces in the head and neck region. They can compromise vital structures in this region or involve distant structures. The classic signs of maxillofacial infections include pain, swelling, fever, dysphagia, and dehydration. The goals of management should be to correct these conditions. We have undertaken clinical studies on infections in the oral and maxillofacial regions (facial space) by analyzing hospitalized patients in the Dept. of Oral and Maxillofacial Surgery, Kyung Hee University Hospital past 5 years from 1991. To 1995. And bacterial cultures and antibiotics sensitivity test were performed and the comparative analysis of the antibiotics was done. The results were as follows: 1. The most frequent cause of oral and maxillofacial infection was odontogenic 68% and in 23% patients with signs and symptom aggrevated after teeth extraction. 2. The most common fascial spaces involved was buccal space 36.1%, followed by submandibular space 12.3% and 3 cases were Ludwig's angina. 3. Antibiotics were administrated in all cases and surgical incision and drainage was performed in 88.6%. 4. The most causative organisms isolated from the pus cultures were streptococci group 51.1%.
