ODONTOGENIC MAXILLOFACIAL CELLULITIS IN CHILDREN: EPIDEMIOLOGICAL ASPECTS AND PREDICTORS

Dr Makungu Alain Patrick, Dr Moubissa MOUELE Datien, Dr Late Stephan, Dr Kengue MIKOLO Gabrielle, Dr Roukaya Mouhamed
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Abstract

Introduction: Odontogenic maxillofacial cellulitis is a serious acute infection of the cellulo-adipose tissues of the face and neck of dental origin that is life-threatening. The aim of this work is to determine the epidemiological aspects and predictive factors of odontogenic maxillofacial cellulitis. Materials and methods: This is a bi-centric, retrospective, cross-sectional, descriptive study, from March 2016 to July 2022, carried out in the stomatology and maxillofacial surgery department and the ENT department. All patients under 18 years of age hospitalised for management of odontogenic maxillofacial cellulitis were included. Patients over 18 years of age and those with non-odontogenic cellulitis were not included. The parameters studied were frequency, age, sex, place of residence, school attendance, tooth brushing, dental check-ups, consumption of cariogenic foods, use of NSAIDs and self-medication. Results: This study collected 72 files over a period of 6 years. The frequency was 5.05% compared to hospitalisations in general and 28.33% compared to hospitalisations for cellulitis only. There were 42 boys with a sex ratio of 1.4. The mean age was 9.03±5.71 years. 93% lived in urban areas. 84.7% had self-medicated for toothache. 52.8% had used non-steroidal anti-inflammatory drugs. Conclusion: Quite common condition in children. It is promoted by the consumption of cariogenic foods and self-medication with non-steroidal anti-inflammatory drugs.
儿童牙源性颌面蜂窝织炎:流行病学方面和预测因素
导言:牙源性颌面蜂窝织炎是一种严重的牙源性面部和颈部蜂窝组织急性感染,可危及生命。本研究旨在确定牙源性颌面蜂窝织炎的流行病学方面和预测因素。材料和方法:这是一项双中心、回顾性、横断面、描述性研究,于 2016 年 3 月至 2022 年 7 月在口腔颌面外科和耳鼻喉科开展。所有住院治疗牙源性颌面蜂窝织炎的 18 岁以下患者均被纳入研究范围。18岁以上和非牙源性蜂窝织炎患者不包括在内。研究参数包括频率、年龄、性别、居住地、就学情况、刷牙情况、牙科检查、食用致龋食物、使用非甾体抗炎药和自行用药情况。研究结果本研究收集了 72 份档案,历时 6 年。与一般住院病例相比,发病率为 5.05%;与仅因蜂窝组织炎住院的病例相比,发病率为 28.33%。其中有42名男孩,性别比为1.4。平均年龄为(9.03±5.71)岁。93%的人居住在城市地区。84.7%的人曾自行用药治疗牙痛。52.8%的人使用过非类固醇消炎药。结论牙痛在儿童中相当常见。食用致龋食物和自行服用非甾体类消炎药会导致牙痛。
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