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Role of early extraction of odontogenic focus in deep neck infections

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Role of early extraction of odontogenic focus in deep neck infections

dc.contributor.author	Treviño-Gonzalez, Jose Luis	es
dc.contributor.author	Santos-Santillana, Karla M	es
dc.contributor.author	Cortes-Ponce, Jose R	es
dc.contributor.author	Gonzalez-Andrade, Baltazar	es
dc.contributor.author	Morales-del-Angel, Josefina A	es
dc.date.accessioned	2023-06-16T08:36:52Z
dc.date.available	2023-06-16T08:36:52Z
dc.date.issued	2023	es
dc.identifier.citation	Treviño-Gonzalez, JL., Santos-Santillana, KM., Cortes-Ponce, JR., Gonzalez-Andrade, B., & Morales-del-Angel, JA. (2023). Role of early extraction of odontogenic focus in deep neck infections. En Medicina Oral Patología Oral y Cirugia Bucal (pp. e25-e31). Medicina Oral, S.L. https://doi.org/10.4317/medoral.25536	es
dc.identifier.uri	https://hdl.handle.net/10550/88169
dc.description.abstract	Odontogenic deep neck infections remain a common condition that presents a challenging issue due to the complex involvement of the neck and adjacent structures and its potential life-threatening risk. Periapical infection of the second or third molar with spread to the submandibular and parapharyngeal spaces is the most commonly observed scenario. However, the time of dental extraction of the infection focus remains controversial. The aim of this study is to provide an overview of the epidemiology, clinical and radiological features, and management in patients diagnosed with ODNI and to identify the role of early dental extraction on patient outcomes and recovery. This retrospective study included patients over 18 years old with a diagnosis of ODNI who were admitted to the University Hospital ?Dr Jose Eleuterio Gonzalez? from January 2017 to January 2022. ODNI diagnosis was based on clinical and radiological evidence of the disease supplemented by dental and maxillofacial evaluation for an odontogenic aetiology. A total of 68 patients were included in the study. The patients? mean age was 40.96 ± 14.9. Diabetes mellitus was the most common comorbidity. The submandibular space was the most common deep neck space involved (n=59, 86.8%). Mediastinitis, marginal nerve injury and orocervical fistula were observed in 7.5% of patients, with no fatality in this series. A delay of >3 days for dental extraction of the involved tooth was associated with an increased rate of mediastinitis (n=3, 100%, p= 0.022), number of surgical interventions (1.45 ± 0.61, p= 0.006), ICU stay (n=8, 40%, p= 0.019), and ICU length of stay (0.85 ± 0.8, p= 0.001). Expedited management with surgical drainage and intravenous antibiotic treatment, along with early extraction of the involved tooth, is mandatory.	es
dc.subject	parkinson's disease	es
dc.subject	periodontal disease	es
dc.subject	clinical attachment loss	es
dc.subject	oral hygiene	es
dc.title	Role of early extraction of odontogenic focus in deep neck infections	es
dc.type	journal article	es_ES
dc.subject.unesco	UNESCO:CIENCIAS MÉDICAS	es
dc.identifier.doi	10.4317/medoral.25536	es
dc.type.hasVersion	VoR	es_ES
dc.identifier.url	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9805327/