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Rev Mal Respir ; 34(7): 742-748, 2017 Sep.
Article in French | MEDLINE | ID: mdl-27132213

ABSTRACT

INTRODUCTION: Necrotizing cellulitis of dental origin is a serious disease and requires prompt and effective management to avoid adverse outcomes. The purpose of this work is to describe the diagnostic and therapeutic difficulties encountered in this condition. METHODS: This was a prospective study in the thoracic surgery department of Mali Hospital from January 2011 to February 2015. We collected consecutively 19 cases of complicating cervico-facial cellulitis of dental origin. The anatomical and clinical aspects, therapeutic modalities and difficulties are described. RESULTS: Dental pain and fever were the predominant symptoms followed by cervical edema. Chest CT-scan was the basis for the diagnosis in all cases. Cervicotomy with debridement was the most performed surgical procedure. Pleural drainage was performed in 6 cases. Three patients (15.8%) died. CONCLUSION: Necrotizing cellulitis of dental origin is a serious disease with high morbidity and mortality. The key radiological examination is the thoracic CT-scan. Early medico-surgical management by emergency care, tailored antibiotic therapy, removal of necrotizing tissues and drainage of collections are required to deliver a good outcome.


Subject(s)
Cellulitis/etiology , Face/pathology , Neck/pathology , Stomatognathic Diseases/complications , Adult , Cellulitis/diagnosis , Cellulitis/epidemiology , Cellulitis/pathology , Developing Countries/statistics & numerical data , Drainage , Female , Humans , Male , Mali/epidemiology , Middle Aged , Necrosis/complications , Necrosis/diagnosis , Necrosis/epidemiology , Necrosis/therapy , Retrospective Studies , Skin Transplantation , Stomatognathic Diseases/diagnosis , Stomatognathic Diseases/epidemiology , Stomatognathic Diseases/therapy , Young Adult
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