Management of severe orofacial infections: report of two cases and literature review 2

Management of severe orofacial infections: report of two cases and literature review 2

Author by Dr. Adetayo Am

Journal/Publisher: Int J Infect Trop Dis

Volume/Edition: 4

Language: English

Pages: 18 - 27

Abstract

Background: Severe orofacial infections are end results of initially long and slow

disease process, usually of odontogenic origin. The outcome of the management

of these conditions is to a large extent affected by the duration of the disease and

extent of spread prior to presentation in the hospital. Mediastinitis, pleuritis,

cerebral abscess and meningitis are documented complications secondary to

spreading odontogenic infections. Odontogenic infections should therefore, be

handled as an urgency to prevent acute emergency situations. Methods: We

present two cases of severe orofacial infections that were seen and managed at

our center. Findings: Apart from the advanced age of the case 2, there was no

systemic co-morbidity that usually predispose to severe orofacial infection, and

while normal oral flora was found in case 1, microscopy culture and sensitivity did

not yield any growth in case 2. Successful management of the two cases was,

however, achieved with aggressive serial surgical debridement. Conclusion:

successful management of these patients through serial surgical debridement

further lends credence to the importance of less dependence on waiting to know

the microbiology and its potentially harmful sensitive medications in the

management of severe orofacial infections.


Other Co-Authors