DEEP NECK INFECTION AFTER THIRD MOLAR EXTRACTION

Yıl 2015, Cilt: 49 Sayı: 2, 41 - 45, 18.05.2015

Seda Yılmaz , Burcu Baş , Bora Özden , Ümit Selçuk , Senem Çengel Kurnaz

https://doi.org/10.17096/jiufd.82633

Öz

Odontogenic and oropharyngeal infections are
relatively common in the cervicofacial region. In rare
cases, odontogenic or peritonsillar abscesses may
spread through the deep fascial cervical spaces and
cause life-threatening complications. Odontogenic
infection is the most common cause of deep neck
infections and it accounts for 43% of the cases.
Early diagnosis, immediate antibiotic treatment, and
surgical drainage are the basis of therapeutic success.
Deep neck infections are potentially life threatening
complications if they are not diagnosed in time and
treated quickly. This case report presents clinical,
radiological features and treatment of the spread of
abscesses through cervical spaces of an unusual case
of deep neck infection that was caused by the secondary
infection of the root remnants after extraction.

Anahtar Kelimeler

Deep neck infection; odontogenic infection; third molar extraction

Üçüncü Molar Çekiminden Sonra Oluşan Derin Boyun Enfeksiyonu

Öz

Odontojenik ve orofaringeal enfeksiyonlar baş boyun bölgesinde oldukça yaygındır. Nadiren odontojenik ve peritonsiller abseler derin fasyal servikal boşluklar yoluyla yayılabilir ve hayatı tehdit eden komplikasyonlara sebep olabilir. Odontojenik enfeksiyonlar derin boyun enfeksiyonlarının en sık karşılaşılan nedenidir ve olguların %43’ünü oluşturmaktadır. Erken teşhis, acil antibiyotik tedavisi ve cerrahi drenaj terapötik başarının temelini oluşturmaktadır. Erken teşhis edilmediği ve hızlı bir şekilde tedavi uygulanmadığı takdirde derin boyun enfeksiyonları potansiyel olarak hayatı tehdit eder. Bu olgu bildirisinde, diş çekimi sonrasında kalan kök parçasından kaynaklanan sekonder enfeksiyonun sebep olduğu derin boyun enfeksiyonu vakasının klinik, radyolojik özellikleri ve tedavisi sunulmuştur

Anahtar Kelimeler

Derin boyun enfeksiyonu, odontojenik enfeksiyon, üçüncü molar çekimi

Kaynakça

• Vieira F, Allen SM, Stocks RM, Thompson JW. Deep neck infection. Otolaryngol Clin North Am 2008;41(3):459-483.
• Lee YQ, Kanagalingam J. Bacteriology of deep neck abscesses: a retrospective review of 96 consecutive cases. Singapore Med J 2011;52(5):351-355.
• Levitt GW. Cervical fascia and deep neck infections. Laryngoscope 1970;80(3):409-435.
• Har-El G, Aroesty JH, Shaha A, Lucente FE. Changing trends in deep neck abscess. A retrospective study of 110 patients. Oral Surg Oral Med Oral Pathol 1994;77(5):446-450.
• Zeitoun IM, Dhanarajani PJ. Cervical cellulitis and mediastinitis caused by odontogenic infections: report of two cases and review of literature. J Oral Maxillofac Surg 1995;53(2):203-208.
• 3. büyük azılarda gömüklük ve cerrahi çekim sıklığı. İstanbul Üniv Diş Hek Fak Derg 1992;26(1):13-17.
• Kunkel M, Kleis W, Morbach T, Wagner W. Severe third molar complications including death-lessons from 100 cases requiring hospitalization. J Oral Maxillofac Surg 2007;65(9):1700-1706.
• Sakaguchi M, Sato S, Ishiyama T, Katsuno S, Taguchi K. Characterization and management of deep neck infections. Int J Oral Maxillofac Surg 1997;26(2):131-134.
• Bakir S, Tanriverdi MH, Gün R, Yorgancilar AE, Yildirim M, Tekbaş G, Palanci Y, Meriç K, Topçu I. Deep neck space infections: a retrospective review of 173 cases. Am J Otolaryngol 2012;33(1):56-63.
• Bottin R, Marioni G, Rinaldi R, Boninsegna M, Salvadori L, Staffieri A. Deep neck infection: a present-day complication. A retrospective review of 83 cases (1998-2001). Eur Arch Otorhinolaryngol 2003;260(10):576-579.
• Daramola OO, Flanagan CE, Maisel RH, Odland RM. Diagnosis and treatment of deep neck space abscesses. Otolaryngol Head Neck Surg 2009;141(1):123-130.
• Dalla Torre D, Brunold S, Kisielewsky I, Kloss FR, Burtscher D. Life-threatening complications of deep neck space infections. Wien Klin Wochenschr 2013;125(21-22):680-686.
• Pappalardo S, Pollicino A, Cantalupo Milazzo D, Brutto D, Carlino V, Astuto M. Phlegmon of the face and neck: a case report. Minerva Stomatol 2009;58(5):233-245.
• Celakovsky P, Kalfert D, Tucek L, Mejzlik J, Kotulek M, Vrbacky A, Matousek P, Stanikova L, Hoskova T, Pasz A. Deep neck infections: risk factors for mediastinal extension. Eur Arch Otorhinolaryngol 2014;271(6):1679-1683.
• Rosenthal M, Oreadi D, Kraus J, Bedi H, Stark PC, Shastri K. Comparison of preoperative computed tomography and surgical findings in maxillofacial infections. J Oral Maxillofac Surg 2011;69(6):1651-1656.
• Bahu SJ, Shibuya TY, Meleca RJ, Mathog RH, Yoo GH, Stachler RJ, Tyburski JG. Craniocervical necrotizing fasciitis: an 11-year experience. Otolaryngol Head Neck Surg 2001;125(3):245-252.
• Hegde A, Mohan S, Lim WE. Infections of the deep neck spaces. Singapore Med J 2012;53(5):305-312.
• Marioni G, Staffieri A, Parisi S, Marchese-Ragona R, Zuccon A, Staffieri C, Sari M, Speranzoni C, de Filippis C, Rinaldi R. Rational diagnostic and therapeutic management of deep neck infections: analysis of 233 consecutive cases. Ann Otol Rhinol Laryngol 2010;119(3):181-187.
• Roccia F, Pecorari GC, Oliaro A, Passet E, Rossi P, Nadalin J, Garzino-Demo P, Berrone S. Ten years of descending necrotizing mediastinitis: management of 23 cases. J Oral Maxillofac Surg 2007;65(9):1716-1724.
• Bas B, Ozden B, Bekcioglu B, Sanal K, Yilmaz S, Celik B, Basoglu A, Celenk C. Descending necrotizing mediastinitis associated with an infected dentigerous cyst. Oral Surg Oral Med Oral Pathol Oral Radiol 2012;114(3):e15-18.
• Hasegawa J, Hidaka H, Tateda M, Kudo T, Sagai S, Miyazaki M, Katagiri K, Nakanome A, Ishida E, Ozawa D, Kobayashi T. An analysis of clinical risk factors of deep neck infection. Auris Nasus Larynx 2011;38(1):101-107.
• Kang SK, Lee S, Oh HK, Kang MW, Na MH, Yu JH, Koo BS, Lim SP. Clinical features of deep neck infections and predisposing factors for mediastinal extension. Korean J Thorac Cardiovasc Surg 2012;45(3):171-176.
• Peterson LJ. Contemporary oral and maxillofacial surgery. Louis, Missouri: Mosby, Inc 2003, p.277-293.
• Page C, Biet A, Zaatar R, Strunski V. Parapharyngeal
• abscess: diagnosis and treatment. Eur Arch Otorhinolaryngol 2008;265(6):681-686.
• Parhiscar A, Har-El G. Deep neck abscess: a retrospective review of 210 cases. Ann Otol Rhinol Laryngol 2001;110(11):1051-1054.