Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2020, Vol. 34 ›› Issue (6): 104-107.doi: 10.6040/j.issn.1673-3770.0.2019.559

Previous Articles     Next Articles

Clinical analysis of 63 cases with multiple oral, maxillofacial, and neck infections

HUANG Fang, ZHOU Xiaoping   

  1. Department of Otolaryngology & Head and Neck Surgery, Second Affiliated Hospital of Fujian Medical University, Quanzhou 362000, Fujian, China
  • Published:2021-01-11

PDF (PC)

257

Abstract: Objective To explore the clinical features and treatment of multiple oral, maxillofacial, and neck infections. Method The clinical data of 63 patients with multiple oral, maxillofacial, and neck infections admitted to our department between December 2013 and August 2018 were summarized and analyzed. Result The average age of the 35 males was(52.03±16.97)years and that of the 28 females was(45.67±19.18)years. There were two or more interstitial infections. Among the 63 cases, 16 were complicated with diabetes and 6 were treated with tracheotomy. Seventeen were treated for cellulitis; all of them were cured and discharged. Forty-six patients showed the formation of abscess, and they were treated with puncture and abscess incision and drainage; 43 were cured and discharged, 2 improved, and 1 left without being discharged. Conclusion Multiple oral, maxillofacial, and neck interstitial infections should be treated with broad-spectrum antibiotics as soon as possible to keep the respiratory tract unobstructed. If necessary, tracheotomy should be performed. After abscess formation, early incision and drainage should be performed. Diabetes, hypertension, heart disease, and other accompanying diseases should also be treated.

Key words: Maxillofacial neck, Fascial space, Infection, Bacterial culture, Surgical treatment

CLC Number: 

  • R632.9
[1] 隆梅辉, 牟艳云. 颈部多间隙感染诊治4例并文献复习[J]. 山东大学耳鼻喉眼学报, 2015, 29(5): 94-95.doi:10.6040/j.issn.1673-3770.0.2015.023. LONG Meihui, MU Yanyun. Diagnosis and treatment of neck space infection of 4 cases and review of the literature[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2015, 29(5): 94-95.doi:10.6040/j.issn.1673-3770.0.2015.023.
[2] 丛丙峰, 丁明超, 许方方, 等. 144例颌面部间隙感染患者的流行病学分析[J]. 实用口腔医学杂志, 2016, 32(2): 212-215. doi:10.3969/j.issn.1001-3733.2016.02.012. CONG Bingfeng, DING Mingchao, XU Fangfang, et al. An epidemiological analysis of 144 cases with maxillofacial space infection[J]. Journal of Practical Stomatology, 2016, 32(2): 212-215. doi:10.3969/j.issn.1001-3733.2016.02.012.
[3] Kouassi YM, Janvier B, Dufour X, et al. Microbiology of facial cellulitis related to dental infection[J]. Médecine et Maladies Infect, 2011, 41(10): 540-545. doi:10.1016/j.medmal.2011.01.014.
[4] Zhang CX, Tang YL, Zheng M, et al. Maxillofacial space infection experience in West China: a retrospective study of 212 cases[J]. Int J Infect Dis, 2010, 14(5): e414-e417. doi:10.1016/j.ijid.2009.08.002.
[5] 李连花, 付玉军, 介小霞, 等. 患者口腔颌面部间隙感染病原菌分布及药敏性[J]. 中华医院感染学杂志, 2017, 27(3): 635-638. doi:10.11816/cn.ni.2016-162561. LI Lianhua, FU Yujun, JIE Xiaoxia, et al. Distribution and drug resistance of pathogenic bacteria in patients with oral and maxillofacial space infections[J]. Chinese Journal of Nosocomiology, 2017, 27(3): 635-638. doi:10.11816/cn.ni.2016-162561.
[6] 汪彬哲, 郑宏良, 陈世彩, 等. 颈部蜂窝织炎及合并纵隔胸腔脓肿的保守治疗与外科处理[J]. 临床耳鼻咽喉头颈外科杂志, 2016, 30(6): 468-470, 473. doi:10.13201/j.issn.1001-1781.2016.06.012. WANG Binzhe, ZHENG Hongliang, CHEN Shicai, et al. Conservative treatment and surgical treatment of cervical cellulitis combineing mediastinal pleural abscess[J]. Journal of Clinical Otorhinolaryngology Head and Neck Surgery, 2016, 30(6): 468-470, 473. doi:10.13201/j.issn.1001-1781.2016.06.012.
[7] Plaza MG, Martínez-San MJ, Martínez-Vidal A. Is conservative treatment of deep neck space infections appropriate?[J]. Head Neck, 2001, 23(2): 126-133. doi:10.1002/1097-0347(200102)126.
[8] Lee YQ, Kanagalingam J. Deep neck abscesses: the Singapore experience[J]. Eur Arch Otorhinolaryngol, 2011, 268(4): 609-614. doi:10.1007/s00405-010-1387-8.
[9] 王磊, 沈敏华, 黄伟琴, 等. 老年糖尿病患者口腔颌面部感染临床治疗体会[J]. 中华老年口腔医学杂志, 2018, 16(2): 87-89. doi:10.3969/j.issn.1672-2973.2018.02.006. WANG Lei, SHEN Minhua, HUANG Weiqin, et al. Clinical experience of oral maxillofacial infection in elderly patients with diabetes mellitus[J]. Chinese Journal of Geriatric Dentistry, 2018, 16(2): 87-89. doi:10.3969/j.issn.1672-2973.2018.02.006.
[10] 陈秀梅, 宋西成. 颈部坏死性筋膜炎7例并文献复习[J]. 山东大学耳鼻喉眼学报, 2016, 30(3): 65-67, 72.doi:10.6040/j.issn.1673-3770.0.2015.305. CHEN Xiumei, SONG Xicheng. Diagnosis and treatment of cervical necrotizing fasciitis: a report of 7 cases and literature review[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2016, 30(3): 65-67, 72.doi:10.6040/j.issn.1673-3770.0.2015.305. doi:10.6040/j.issn.1673-3770.0. 2020.146.
[11] Laskar HA, Karim HM, Jamil M, et al. Diversified and unusual presentations of neck space infections: still a big concern for physicians[J]. J Maxillofac Oral Surg, 2015, 14( 4): 935-942.
[12] Wabik A, Hendrich BK, Nienartowicz J, et al. Odontogenic inflammatory processes of head and neck in computed tomography examinations[J]. Pol J Radiol, 2014, 79(7): 431-438.
[13] 丁磊,曹俊,鲁勇,等. 311例口腔颌面部间隙感染患者的回顾性分析[J].口腔医学, 2019, 39(2):121-125. doi:10.13591/j.cnki.kqyx.2019.02.006. DING Lei, CAO Jun, LU Yong, et al. Retrospective analysis of 311 cases of oral and maxillofacial space infection[J]. Stomatology,2019,39(2): 121-125. doi:10.13591/j.cnki.kqyx.2019.02.006.
[14] 徐建慧,叶飞,傅敏仪,等. 82例颈深部感染诊治分析[J]. 中国耳鼻咽喉头颈外科, 2019, 26(11):589-591. doi: 10.16066/j.1672-7002.2019.11.004. XU Jianhui, YE Fei, FU Minyi, et al. Deep neck infection: clinical analysis of 82 cases[J]. Chin Arch Otolaryngol Head Neck Surg, 2019, 26(11):589-591. doi: 10.16066/j.1672-7002.2019.11.004.
[15] 黄林剑,陈军,严君烈,等. 头颈部多间隙感染严重并发症危险因素的回顾分析[J]. 中国口腔颌面外科杂志,2019,17(1):40-43. doi:10.19438/j.cjoms.2019.01.007. HUANG Linjian, CHEN Jun, YAN Junlie, et al. A retrospective study of risk factors for life-threatening complications of multi-space infections of head and neck[J]. China Journal of Oral and Maxillofacial Surgery, 2019,17(1):40-43. doi:10.19438/j.cjoms.2019.01.007.
[1] WANG Juan, SONG Yingluan, GENG Jiangqiao, WEN Xin, SHI Yanan. Acute maxillary osteomyelitis complicated with nasal septal abscess in an infant: a case report and literature review [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(4): 91-96.
[2] FENG Yiyuan, YANG Jing, YANG Hongbin. Clinical analysis of 220 cases of deep neck space infection [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(2): 51-57.
[3] ZHAO Yaming, SHI Song. Three cases of diagnosis and treatment of cervical necrotizing fasciitis with a primary diagnosis of acute epiglottitis [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(4): 12-16.
[4] SHI Yuqi, SHE Cuiping, ZHANG Qingfeng, LIU Delong, JIAO Mengsi. Experience and lessons of diagnosis and treatment of laryngeal infection after low temperature plasma radiofrequency surgery for early glottic carcinoma [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(4): 129-134.
[5] CHENG Liyu, XU Wen. Clinical characteristics of functional dysphonia secondary to inadequate voice rest [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(3): 10-13.
[6] This study aimed to describe the clinical features of 74 patients with cleft palate cysts and fistulas and analyze the diagnosis and treatment methods. MethodsBetween January 2010 and September 2019, the clinical data of 74 patients with branchial cleft cysts and fistulas were retrospectively reviewed and analyzed with related literature in our department. ResultsOf the 74 patients, 50 patients were diagnosed with second branchial cleft anomalies, 13 patients had first branchial cleft lesions, 10 patients had third branchial cleft lesions, and one patient had a fourth branchial cleft lesion. All patients received surgical treatment. After the exclusion of 3 patients who were lost to follow-up, 67 patients were successfully treated, 3 patients reported relapse, and 1 had permanent facial paralysis. ConclusionsThe clinical manifestations of congenital cleft palate cysts and fistulas are diverse, and the differential diagnosis is complicated. It is essential to perform a detailed physical examination and preoperative evaluation to make an accurate diagnosis. The approach for management is individualized, and surgical rehabilitation is the preferred treatment.. Clinical analysis of 74 cases of branchial cleft cysts and fistulasWANG Yingying, ZHANG Liqing, ZHOU Han, DONG Shikun, CHEN Haibing, CHEN Xi, DONG Weida Department of Otorhinolaryngology, The First Affiliated Hospital, Nanjing Medical University, Nanjing 210029, Jiangsu, ChinaAbstract:Objective〓 [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2020, 34(4): 111-116.
[7] XIA Tongliang, WEI Dongmin, QIAN Ye, LI Wenming, JI Wei, PAN Xinliang, LEI Dapeng. Clinical analysis of malignant thyroid tumors with laryngotracheal invasion [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2020, 34(3): 46-51.
[8] HU Yabin, ZHENG Yan, ZHANG Jing, WANG Yan, ZHANG Qiulu, LIU Jing, XU Wen, ZHAI Changbin,. Detection of four infection indicators in 4 630 patients before refractive surgery [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2020, 34(2): 53-56.
[9] Yuxin TIAN,Jingjing WANG,Hui WANG,Yaqin WU,Haibo SHI,Zhengnong CHEN. Surgical treatment of iatrogenic facial paralysis [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2020, 34(1): 20-24.
[10] YUE Jianlin, LIN Yun, JIANG Zhen, LI Xuexin, SUN Ruijie, PAN Xinliang, LIU Dayu. Application of the hemi-tongue root flap for the repair of lateral defects in the pharyngeal cavity [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2020, 34(1): 63-66.
[11] NI Jing, LEI Fei, BAI Dan, ZHOU Yun, MA Jianmei, HUANG Wei, WANG Chunyang. Expression of immunological markers in middle ear effusion in children with secretory otitis media [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(4): 56-59.
[12] GE Peng, JIN Chunshun, YANG Jingpu, ZHAO Xue, CHAI Guijuan. Thyroid adenoma misdiagnose as primary tumors of trachea: a case report and literature review [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(4): 179-182.
[13] GAO Jinliang, NIAN Wanqing, LI Shuo. Evaluation of the clinical curative effect of nose surgery in combination with nasal corticosteroids in [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(2): 38-42.
[14] WANG Yaning, GENG Bo, LI Baiyan, CUI Chaoyang, WANG Qirong. The treatment experience on osteoradionecrosis of skull base with nasopharyngeal carcinoma after radiotherapy. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(6): 42-45.
[15] SUN Zhenfeng, ZHANG Jia, SU Tiantian, DONG Pin. Diagnosis and treatment of thyroid abscess and parapharyngeal space abscess caused by acute tonsillitis: a case report and literature review. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(6): 58-60.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
[1] LIN Bin,WANGHui-ge . Functional endoscopic sinus surgery, FESS[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2006, 20(6): 481 -487 .
[2] GONG Lei,SUN Jie,XUE Zi-chao,LI Jing-hua,XUE Wei-guo . DNA analysis of the cell cycle in sino-nasal neoplasm[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 193 -195 .
[3] CHEN Wen-wen . [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2006, 20(5): 472 -472 .
[4] LUAN Jiangang,LIANG Chuanyu,WEN Yanjun,LI Jiong . Construction of RNAi expressing plasmid vector of pSIRENshuttle for EGFR gene silencing[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2006, 20(1): 4 -8 .
[5] MA Jing, ZHONG Cui-ping . Surgical method for nasopharyngeal fibroangioma encroaching on fossa pterygopalatina: with a report of 5 cases[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2006, 20(1): 30 -32 .
[6] LIU Qiang-he,LUO Xiang-lin,GENG Wan-ping,CHEN Chen,LEI Xun,LIU Fang-xian,DENG Ming . Age-related spiral ganglion neuron damages and hearing loss in senescence accelerated mice[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 215 -217 .
[7] . [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 223 -226 .
[8] . [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 246 -247 .
[9] . [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 250 -252 .
[10] . [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 260 -262 .
Website Copyright: Editorial Office of Journal of Otolaryngology and Ophthalmology of Shandong University
Address: No.27 Shanda South Road, Jinan, Shandong, China. Post code: 250100 Tel: +86-0531-88366912 Email: ebhxb@sdu.edu.cn Supported by Beijing Magtech Co.Ltd