International journal of clinical oral and maxillofacial surgery最新文献

{"title":"Ludwig Angina in Pregnancy: Treatment Outcome in 12 Patients and Review of Literature","authors":"I. Traoré, R. Béogo, Toua Antoine Coulibaly, Der Adolphe Somé, Alain Ibrahim Traore, Gandaaza Euthyme Armel Poda","doi":"10.11648/J.IJCOMS.20190501.12","DOIUrl":"https://doi.org/10.11648/J.IJCOMS.20190501.12","url":null,"abstract":"Ludwig angina is a rare but severe life-threatening cellulitis, classically of odontogenic origin, characterized by an extensive and a rapidly progressive inflammation of subcutaneous tissue of the face and severe systemic toxicity. Its prognosis is potentially worse in pregnancy given the higher vulnerability of both mother and fetus to infection and to the consequences of therapies. Early diagnosis and timely treatment are of paramount importance in the prognosis of this condition but could be however challenging as it is infrequently observed in current daily practice. Moreover, literature dealing with Ludwig’s angina in pregnancy is scarce, consisting mostly in isolated case reports from developed countries. The aim of this article was to improve awareness on Ludwig angina in pregnancy through a report of experience in 12 patients and a literature review on the diagnosis and treatment of this clinical entity. To this end, medical records of 12 patients with Ludwig angina in pregnancy were analysed retrospectively and the diagnosis and treatment approaches discussed through a literature review. Age of pregnancy ranged from 27 to 37 weeks. In all the patients, the cellulitis origin was a carious molar of the mandible. The infection spread extended to the neck (4 patients), the thorax (3 patients) and the temporal fossa (2 patients). One patient presented with necrotizing fasciitis extending from the submandibular and submental regions to the thorax. Bacteriological examination of pus which was possible and successful in 4 patients only, showed staphylococcus aureus (2 patients) staphylococcus SP (1 patient) and staphylococcus epidermidis (1 patient). Death occurred in 2 mothers and in 7 fetus giving mortality rates of 16.7% and 58.3% respectively. Direct causes of death in mothers were sepsis shock and air way compromise. In 6 out of the 7 mothers who had dead fetus, the infection extended beyond the mouth floor. Oral health care providers should be aware for proper treatment of dental infections. They should also be alert for early recognition and multidisciplinary treatment of Ludwig angina in pregnancy in collaboration with obstetricians, specialists of intensive care and infectious diseases.","PeriodicalId":92911,"journal":{"name":"International journal of clinical oral and maxillofacial surgery","volume":"97 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83363801","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating of the Mental Foramen Region Based on CBCT","authors":"Cao Kun, Lin Jiafeng, Bao Qiang, Lv Zhongjing, Lu Qiuning","doi":"10.11648/j.ijcoms.20190501.11","DOIUrl":"https://doi.org/10.11648/j.ijcoms.20190501.11","url":null,"abstract":"Objective: The aim of this study was to measure and evaluate the bone anatomy morphology in mental foramen area using cone-beam computed tomography (CBCT). Methods: CBCT images of 100 patients were retrospective studied and measured. The anatomy morphology and adjacency of mental foramen, mental canal and mandibular canal were observed and measured. All the dates were analyzed by statistical package of SPSS17.0 software. Results: The anterior terminal part of the mandibular canal divided into mental canal and incisor nerve canal, 87.5% mental canal bended backward, upward and outward then opened to the mental foramen. The average distance from the superior border of mental foramen to the alveolar crest was (12.9±1.28) mm, and from the anterior border of mental foramen to the anterior end of mandibular canal was (3.6±1.14) mm, and from the inferior border of mental foramen to the superior border of mandibular canal was (3.9±0.97) mm, and from the superior border of mental foramen to the superior border of mental canal was (1.4±0.42) mm. Conclusions: CBCT can reflect the bone anatomy morphology of mandible accurately, and the safe distance from the tip of implant to the mental foramen should be re-evaluated.","PeriodicalId":92911,"journal":{"name":"International journal of clinical oral and maxillofacial surgery","volume":"32 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88696706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Head and Neck Cancers Case Control Study of HIV Positive Compared to Negative Patients in a Ugandan Population Sample.","authors":"Kamulegeya Adriane,&nbsp;Otiti Jeff","doi":"10.11648/j.ijcoms.20170304.11","DOIUrl":"https://doi.org/10.11648/j.ijcoms.20170304.11","url":null,"abstract":"<p><p>Increased availability of highly active anti-retroviral therapy (HAART) has led to a change in the spectrum of neoplastic diseases affecting people living with HIV. Some cancers such as invasive cervical carcinoma and anal cancers have not changed or instead risen while others such as Kaporsi's sarcoma have seen a sharp decline. The aim of this study was to compare clinical findings at presentation between HIV positive and Negative patients with head and neck cancers using a retrospective case control design. The study was done at the Uganda cancer Institute by performing a manual match of records in the head and neck cancer database at a ratio of 1:2 cases: controls. The matching was done on the age group, gender and diagnosis. Clinical and demographic characteristics between HIV positive and HIV negative head and neck cancer patients were compared using chi square and a multinomial model including ECOG performance score, stage, grade and duration group was run. In the multinomial regression only duration group was significant with the HIV positive patients being more likely to present after a longer duration of the symptoms than HIV negative patients (OR=0.42 CI 0.20-0.86 p=0.02). The data does not show statistically significant difference between HIV positive and HIV negative head and neck cancer patients in terms of presentation at time of diagnosis except for duration of symptoms group. This study clearly demonstrates the need for more research on head and neck cancer in Africa in the context of HIV/AIDS, since the reasons for the high HIV prevalence among this cohort of patients hasn't been established.</p>","PeriodicalId":92911,"journal":{"name":"International journal of clinical oral and maxillofacial surgery","volume":"3 4","pages":"20-25"},"PeriodicalIF":0.0,"publicationDate":"2017-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7015529/pdf/nihms-1030431.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37638717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}