Clinical analysis of 5 cases of odontogenic maxillofacial-neck-mediastinal infection treated with negative pressure sealing drainage
10.12016/j.issn.2096-1456.2020.09.006
- Author:
WANG Ke
1
;
PENG Guoguang
1
;
HE Shanzhi
1
;
TAN Yulian
1
;
YI Lilei
2
Author Information
1. Stomatological Medical Center, Foshan Hospital of Traditional Chinese Medicine
2. Radiology Department, Foshan Hospital of Traditional Chinese Medicine
- Publication Type:Journal Article
- Keywords:
odontogenic infection;
maxillofacial and neck;
multi-space infection;
mediastinal abscess;
vacuum sealing drainage;
diabetes;
kidney failure;
multidisciplinary combination therapy
- From:
Journal of Prevention and Treatment for Stomatological Diseases
2020;28(9):581-585
- CountryChina
- Language:Chinese
-
Abstract:
Objective :To explore the effect of negative pressure sealing drainage on the treatment of maxillofacial-neck-mediastinal infection in multiple spaces.
Methods: Vacuum sealing drainage (VSD) was applied in five patients with maxillofacial-neck-mediastinal infection caused by odontogenic infection accompanied by diabetes or renal failure and other systemic diseases. After extensive debridement, a negative pressure drainage sponge was placed in the pus cavity and then the wound was closed. Continuous negative pressure drainage was continued after the operation. At the same time, multidisciplinary consultation was applied to control basic diseases and, strengthen anti-inflammatory responses, and nutrition and other systemic treatments were applied.
Results:Four patients underwent continuous negative pressure drainage and successful removal of the negative pressure sponge after inflammatory symptoms subsided. One patient′s inflammatory symptoms became more serious after the operation, and we performed another operation to change the placement of the negative pressure sponge. All 5 patients underwent VSD with negative pressure sponge replacement ranging from 1 to 3 times during treatment. After multidisciplinary consultation, they were all cured and discharged from the hospital.
Conclusion:For infection of the mediastinum, maxillofacial region and neck, local treatment and systemic treatment are emphasized, as well as the treatment of infected lesions and basic diseases. Negative pressure closure and drainage technology promotes the alleviation of inflammation, and multidisciplinary combined treatment is beneficial for the control of basic diseases.
- Full text:负压封闭引流术治疗牙源性颌面-颈部-纵膈感染5例临床分析.pdf
