RESUMO
A 47-year-old man was admitted to our hospital for treatment of an odontogenic infection. He presented with a fever, signs of sepsis, and neck swelling, and was initially diagnosed as having a neck abscess. After cervical drainage, he showed no improvement, and mediastinitis was detected by chest X-ray and computed tomography. A thoracotomy and mediastinal drainage was subsequently performed for descending necrotizing mediastinitis, which resulted in marked improvement. To date, only 83 cases of descending necrotizing mediastinitis have been reported in Japan. We present herein an additional case, followed by a review of the Japanese literature.
Assuntos
Infecção Focal Dentária/complicações , Mediastinite/diagnóstico , Mediastinite/etiologia , Infecções Estreptocócicas/diagnóstico , Drenagem/métodos , Infecção Focal Dentária/diagnóstico , Infecção Focal Dentária/cirurgia , Seguimentos , Humanos , Masculino , Mediastinite/patologia , Mediastinite/cirurgia , Pessoa de Meia-Idade , Necrose , Infecções Estreptocócicas/complicações , Infecções Estreptocócicas/cirurgia , Toracotomia/métodos , Extração Dentária/efeitos adversos , Resultado do TratamentoRESUMO
PURPOSE: This report evaluates the use of a pedicled buccal fat pad graft for closure of oroantral fistulae. MATERIALS AND METHODS: Fourteen patients with oroantral communications, ranging from 8 to 20 mm in diameter, were treated by the use of a pedicled buccal fat pad graft. RESULTS: The procedure was successful in 13 of 14 patients. Postoperatively, the orally exposed fat gradually was transformed into a granulation-like tissue and epithelization developed within 3 weeks. CONCLUSION: It was concluded that the procedure has wide application and a high degree of success.
