ODONTOJENİK KAYNAKLI FASİYAL ŞİŞLİKLERİN KLİNİK, ULTRASONOGRAFİK VE BİYOKİMYASAL BULGULARININ DEĞERLENDİRİLMESİ

Year 2020, Volume: 29 Issue: 3, 173 - 179, 30.11.2020

Meryem Etöz , Firdevs Aşantoğrol , Fatma Doğruel

https://doi.org/10.34108/eujhs.738746

Abstract

Bu çalışmanın amacı fasiyal şişliği olan hastaların selülit ve apse teşhisinde klinik muayene ve buna yardımcı bir tanı aracı olan ultrasonografi ile elde edilen bulguları incelemek ve hastaların biyokimyasal bulguları ile karşılaştırmaktır. Kliniğimize fasiyal şişlikle başvuran 34 hastadan, panoramik radyografi alınarak etken diş belirlenip kaydedildi. Enfeksiyon safhaları sonografik olarak selülit, preapse ve apse safhası olmak üzere 3 grupta, yüksek çözünürlüklü ultrasonografi cihazı kullanılarak sınıflandırıldı. Hemoglobin, hematokrit, trombositler, beyaz kan hücresi, diferansiyel sayımlar ve yüzdeler ADVIA 2120 Hematoloji Sistemi kullanılarak belirlendi. Çalışmamızda yer alan 34 bireyden 19’u kadın (%56) ve 15’i erkekti (%44). Apse veya selülit şikâyeti ile hasteneye en yoğun başvuruların 0-10 (%35.3) yaş aralığında olduğu bulundu. Apse ile selülit gruplarının biyokimyasal bulguları karşılaştırıldığında hs-CRP, WBC ve nötrofil sayımı değerlerinin ortalamalarının apse grubunda selülit grubundan daha düşük bulundu. WBC değerleri apse grubunda; 10.18±2.31 mm3, selülit grubunda 11.95±3.48 mm3 bulundu. hs-CRP değerleri apse grubunda 38.22 mg/L (min:3.14-max:118), selülit grubunda 72.21 mg/L (min:3.17-max:159.17) bulundu. Nötrofil değerleri apse grubunda; 6.57±2.12 mm3, selülit grubunda 9.4±3.93 mm3 olarak bulundu. Her üç parametrenin selülite göre daha lokal bir klinik cevap olan apsede düşük olması klinik bulgular ile uyumludur. Yirmi altı apse vakasının on dördü (% 53.84) mandibular posterior diş kaynaklıydı. Orofasiyal bölge enfeksiyonu şikâyeti ile hastanede yatan hastalar için tekrarlanan takip muayenelerinde USG yararlı bir teknik olabilir.

Keywords

apse, odontojenik enfeksiyonlar, ultrasonografi, yüzeysel yüz boşluğu enfeksiyonları

Thanks

Yazarlar, Erciyes Üniversitesi Ağız, Diş ve Çene Cerrahisi Anabilim Dalı asistan ve öğretim üyelerine katkılarından dolayı teşekkür eder.

EVALUATION OF CLINICAL, ULTRASONOGRAPHIC AND BIOCHEMICAL FINDINGS OF ODONTOGENIC ORIGINATED SWELLING

Abstract

The aim of this study is to examine the findings obtained through clinical examinations and ultrasonography in the diagnosis of cellulite and abscess in patients with facial swelling and to compare with the biochemical findings of the patients. Panoramic radiography was obtained from 34 patients who applied to our clinic with facial swelling and the active tooth was identified and recorded. Infection stages were classified sonographically in 3 groups as cellulite, preapse and abscess using high resolution ultrasonography device. Hemoglobin, hematocrit, platelets, white blood cell, differential counts, and percentages were determined using the ADVIA 2120 Hematology System. Of the 34 individuals in our study, 19 were female (56%) and 15 were male (44%). With the complaint of abscess or cellulite, it was found that the most frequent applications to hospital were in the 0-10 (35.3%) age range. When the biochemical findings of abscess and cellulite groups were compared, the mean of hs-CRP, WBC and neutrophil counts were lower than the cellulite group in the abscess group. WBC values were 10.18±2.31 mm3 in the abscess group; In the cellulite group, it was found to be 11.95±3.48 mm3. The hs-CRP values were 38.22 mg/L (min: 3.14-max: 118) in the abscess group and 72.21 mg/L (min: 3.17-max: 159.17) in the cellulite group. Neutrophil values in the abscess group; It was found to be 6.57±2.12 mm3 and 9.47±3.93 mm3 in the cellulite group. The low level of all three parameters in abscess, which is a more local clinical response than cellulite, is consistent with clinical findings. Fourteen (53.8%) of the twenty-six abscess cases originated from the mandibular posterior tooth. USG can be a useful technique for repeated follow-up examinations for hospitalized patients with complaints of orofacial region infection.

Keywords

Abscess,, odontogenic infections,, ultrasonography, superficial facial space infections.

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