ABSTRACT
A program of early diagnostics of odontogenic mediastinitis was developed on the basis of an analysis of clinico-laboratory manifestations and the evaluation of its clinical efficiency is given. The criteria were established for determining the phases of odontogenic mediastinitis-reactive, toxic and terminal ones. A program of complex treatment was worked out and introduced into practice which included the methods of efferent therapy-hemosorption and perfusion through xenospleen. Substantially decreased lethality (from 39.5% to 15.3%) from odontogenic mediastinitis was obtained.
Subject(s)
Focal Infection, Dental/diagnosis , Mediastinitis/diagnosis , Acute Disease , Adolescent , Adult , Aged , Cellulitis/diagnosis , Cellulitis/therapy , Combined Modality Therapy , Diagnosis, Differential , Face , Female , Focal Infection, Dental/therapy , Humans , Jaw Diseases/diagnosis , Jaw Diseases/therapy , Male , Mediastinitis/therapy , Middle Aged , NeckABSTRACT
Contact odontogenic mediastinitis is a complication of advanced phlegmons of the face and neck. 22-year experience in the treatment of 107 patients with odontogenic mediastinitis, clinical and laboratory criteria of its diagnosis and differential diagnosis with advanced phlegmons are presented. The programs of intensive therapy adjusted for the disease phase and surgical treatment contributed to lowering of lethality from 50 to 15.3%.
Subject(s)
Focal Infection, Dental/diagnosis , Mediastinitis/diagnosis , Acute Disease , Cellulitis/complications , Cellulitis/therapy , Combined Modality Therapy , Diagnosis, Differential , Face , Focal Infection, Dental/etiology , Focal Infection, Dental/microbiology , Focal Infection, Dental/therapy , Humans , Mediastinitis/etiology , Mediastinitis/microbiology , Mediastinitis/therapy , Neck , Postoperative Care , Preoperative CareABSTRACT
Analyzes the results of extracorporeal connection of donor spleen in 9 patients with purulent diseases of the face and neck, complicated with sepsis. Presents the indications for the use of this treatment modality and its technique. Describes the changes in the clinical picture and time course of the basic homeostasis parameters over the course of therapy. Reduction of mortality rates to make them as low as 12.5% demonstrates a high efficacy of the suggested treatment as part of multiple-modality complex used in the treatment of odontogenic and surgical sepsis.
