Characterization of patients with odontogenic necrotizing soft tissue infections in the head and neck area. A retrospective analysis.

IF 1.4 4区医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

Acta Odontologica Scandinavica Pub Date : 2024-01-01 Epub Date: 2023-09-09 DOI:10.1080/00016357.2023.2254389

Signe Undall-Behrend Hansen, Frederik Viktor Bang Jespersen, Merete Markvart, Ole Hyldegaard, Christina Caroline Plaschke, Thomas Bjarnsholt, Claus Henrik Nielsen, Simon Storgård Jensen

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Abstract

Objective: Necrotizing soft-tissue infection (NSTI) in the head and neck area may develop from odontogenic infections. The aim of this study was to characterize patients with NSTI in the head and neck with odontogenic origin in a well-defined prospectively collected cohort.

Material and methods: Patients with NSTI in the head and neck, hospitalized between 2013 and 2017 at Copenhagen University Hospital and registered in the Scandinavian INFECT database were included. Medical records of identified patients and from the INFECT database were screened for a defined set of data including the primary focus of infection, comorbidities, predisposing factors, clinical and radiographic diagnostics, course of treatment, and treatment outcome.

Results: Thirty-five patients with NSTI in the head and neck area were included in the study. A total of 54% had odontogenic origin, primarily from mandibular molars, and 94% had radiographic signs of infectious oral conditions. Overall, comorbidities were reported in 51% with cardiovascular disease being the most prevalent. In 20%, no comorbidities or predisposing conditions could be identified. The overall 30-day mortality rate was 9%.

Conclusions: More than half of NSTI cases in the head and neck region had an odontogenic origin, and special attention should be paid to infections related to mandibular molars.

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头颈部牙源性坏死软组织感染患者的特征。回顾性分析。

目的：头颈部坏死性软组织感染（NSTI）可能源于牙源性感染。本研究旨在通过明确界定的前瞻性收集队列，描述头颈部源于牙源性的坏死性软组织感染患者的特征：研究纳入了 2013 年至 2017 年期间在哥本哈根大学医院住院并在斯堪的纳维亚 INFECT 数据库中登记的头颈部 NSTI 患者。对已确定患者的病历和 INFECT 数据库中的病历进行筛选，以获得一组确定的数据，包括主要感染病灶、合并症、易患因素、临床和影像学诊断、治疗过程和治疗结果：研究共纳入 35 名头颈部 NSTI 患者。54%的患者为牙源性感染，主要来自下颌磨牙，94%的患者有口腔感染性疾病的影像学表现。总体而言，51%的患者患有合并症，其中以心血管疾病最为常见。20%的患者没有发现合并症或易感疾病。30 天的总死亡率为 9%：超过一半的头颈部 NSTI 病例源于牙源性感染，应特别注意与下颌磨牙有关的感染。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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