Our app roach to deep neck abscesses of dental origin

While medical treatment and treatment of the tooth with disease may be sufficient at early stages, surgery in addition to medical treatment may be required if any complication develops.

📌 3 Key Takeaways

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Objective & Hypothesis:Objectives: This study aims to review our approach to deep neck abscesses of dental origin.

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Key Findings & Data:Patients and Methods: We retrospectively analyzed files of eight patients (3 males, 5 females; mean age 40.5±12.1 years; range 22 to 59 years) who admitted to Başkent University Adana Teaching and Research Center Ear-Nose-Throat Clinic between July 2008 and July 2014 due to deep neck abscess of dental origin and were administered in-patient treatment.

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Conclusion & Impact:While medical treatment and treatment of the tooth with disease may be sufficient at early stages, surgery in addition to medical treatment may be required if any complication develops.

🔬Design:Review & Systematic Survey

📍Scope:2008 Verileri

⚙️Variables:Domain Parameters

Abstract

Objectives: This study aims to review our approach to deep neck abscesses of dental origin. Patients and Methods: We retrospectively analyzed files of eight patients (3 males, 5 females; mean age 40.5±12.1 years; range 22 to 59 years) who admitted to Başkent University Adana Teaching and Research Center Ear-Nose-Throat Clinic between July 2008 and July 2014 due to deep neck abscess of dental origin and were administered in-patient treatment. We evaluated patients demographical features, examination and imaging findings, and surgery notes. Results: Of the patients, we observed that abscess developed in parapharyngeal zone in two, submandibular zone in one, sublingual zone in one, masticatory zone in two, submandibular and sublingual zones in one, and masticatory and submandibular zones in one. Origins of abscesses were upper molar tooth in one patient and lower molar tooth in others. Abscesses which did not respond to medical treatment were treated surgically. Conclusion: Infections of the teeth may transform into life threatening deep neck infections and abscesses if not treated adequately. While medical treatment and treatment of the tooth with disease may be sufficient at early stages, surgery in addition to medical treatment may be required if any complication develops.

Özet

Amaç: Bu çalışmada diş kökenli derin boyun apselerine yakla- şımımız gözden geçirildi. Hastalar ve Yöntemler: Temmuz 2008 - Temmuz 2014 tarihleri arasında Başkent Üniversitesi Adana Uygulama ve Araştırma Merkezi Kulak Burun Boğaz Kliniğine diş kökenli derin boyun apsesi nedeni ile başvuran ve yatırılarak tedavi edilen sekiz hastanın (3 erkek, 5 kadın; ort. yaş 40.5±12.1 yıl; dağılım 22-59 yıl) dosyası retrospektif olarak incelendi. Hastaların demografik özellikleri, muayene ve görüntüleme bulguları ve ameliyat notları değerlendirildi. Bulgular: Hastalardan ikisinde parafarengeal bölgede, birin- de submandibüler bölgede, birinde sublingual bölgede, iki- sinde mastikatör bölgede, birinde hem submandibüler hem sublingual bölgede ve birinde de hem mastikatör hem de submandibüler bölgede apse geliştiği görüldü. Apselerin kökenleri bir hastada üst molar diş, diğerlerinde alt molar diş idi. Medikal tedaviye yanıt vermeyen apseler cerrahi olarak tedavi edildi. Sonuç: Diş enfeksiyonları yeterli tedavi edilmedikleri takdir- de yaşamı tehdit edici derin boyun enfeksiyonu ve apselerine dönüşebilmektedir. Erken aşamalarda medikal tedavi ve hastalıklı diş tedavisi yeterli olabilirken komplikasyon geliş- mesi halinde medikal tedaviye ilaveten cerrahiye gereksinim duyulabilir.

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Cite This Article

SÖKMEN, M. F., ERKAN, A. N., YILMAZ, S., ÖZER, F., YILMAZER, C., YAVUZ, H., ÖZER, C., ÇAYLAKLI, F., ÇAĞICI, C. A., YILMAZ, İ. (2015). Our app roach to deep neck abscesses of dental origin. Kulak Burun Boğaz Uygulamaları, Cilt: 3 - Sayı: 3, 105–109. https://ajindex.com/articles/343499

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