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Ultrasound protocol in odontogenic infections:a new proposal

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Ultrasound protocol in odontogenic infections:a new proposal

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dc.contributor.author Costa, Samuel Macedo es
dc.contributor.author Ribeiro, Bruna Campos es
dc.contributor.author Jesus, Alessandro- Oliveira de es
dc.contributor.author Libanio, Gustavo Rezende es
dc.contributor.author Lanes-Silveira, Roger es
dc.contributor.author Amaral, Márcio Bruno Figueiredo es
dc.date.accessioned 2023-06-16T08:36:53Z
dc.date.available 2023-06-16T08:36:53Z
dc.date.issued 2023 es
dc.identifier.citation Costa, SM., Ribeiro, BC., de-Jesus, AO., Libanio, GR., Lanes-Silveira, R., & Amaral, MB. (2023). Ultrasound protocol in odontogenic infections: a new proposal. En Medicina Oral Patología Oral y Cirugia Bucal (pp. e56-e64). Medicina Oral, S.L. https://doi.org/10.4317/medoral.25583 es
dc.identifier.uri https://hdl.handle.net/10550/88173
dc.description.abstract Point-of-care-ultrasound can be applied to preview a difficult airway, detect the presence of fluid collection, and soft-tissue edema, and guide the drainage location, although is rarely used. The purpose of this study is to validate a protocol for the assessment of these clinical features on patients with severe odontogenic infections. This was a single-group prospective cohort study (n=20) including patients with the diagnosis of deep-neck propagation of odontogenic infection. A transcervical linear high-frequency probe transducer (13-6 MHz) was used to scan the structures of the upper airway and the infectious collections. The drainage was guided by ultrasound and the patients were daily evaluated, according to the protocol. The data were extracted and the airway volume, midline deviation, and other important data such as length of hospital stay, dysphagia, voice alteration, raised floor of the mouth, dyspnea, and neck swelling were registered. The ultrasound examination was correlated with multiple clinical findings, such as dyslalia (p=0,069), dysphagia (p=0,028), dyspnea (p=0,001), among others. This protocol has an advantage as it can be used at bedside evaluation, allowing the assessment of severe and unsTable patients, and predicting the increase of the hospitalization time (p=0,019). This protocol is reliable for the assessment of the upper airway, even in an emergency, predicting not only the severity of the clinical features but aids in the determination of the length of the hospitalization time. es
dc.subject odontogenic infection es
dc.subject cervical abscess es
dc.subject acute mediastinitis es
dc.subject descending necrotizing mediastinitis es
dc.subject mortality rate es
dc.title Ultrasound protocol in odontogenic infections:a new proposal es
dc.type journal article es_ES
dc.subject.unesco UNESCO:CIENCIAS MÉDICAS es
dc.identifier.doi 10.4317/medoral.25583 es
dc.type.hasVersion VoR es_ES
dc.identifier.url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9805334/

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