Odontogenic infections are a frequent illness that, if not treated right away, can swiftly spread to the rest of the body, and turn into infections that are life-threatening. As these infections may result in life-threatening consequences such airway obstruction, mediastinitis, sepsis, and respiratory distress syndrome, early identification and knowledge of the deep neck areas and fascial planes are essential. The use of regular therapy for localized or severe odontogenic infections with little risk is now possible because to advancements in medical treatments and antibiotics that have decreased morbidity and death rates. Here we report, a lower right canine abscess that started as a phlegmonous neck collection with mediastinal involvement in a 70-year-old man with multiple comorbidities. To control the infection and protect the airways, prompt surgical treatments were necessary. This included drainage, tracheostomy placement, and tooth extraction. In managing life-threatening deep-neck infections, the case emphasizes the value of early discovery, vigorous treatment, and multidisciplinary management. Accurate diagnosis and prompt treatments depend greatly on knowledge of and use of trustworthy diagnostic techniques like CT scans and laboratory markers. To shorten hospital stays and speed patients’ recovery without raising risks, it is crucial to use broad-spectrum antibiotics, early surgical drainage, and adequate airway care.

COMPLICATIONS ARISING FROM ODONTOGENIC INFECTION: A CASE INVOLVING DEEP NECK SPACE AND MEDIASTINAL IMPLICATIONS

G. Dipalma;G. Favia;F. Inchingolo
;
S. Grasso;F. Murgolo;N. A. A. Quaranta;L. Limongelli;
2024-01-01

Abstract

Odontogenic infections are a frequent illness that, if not treated right away, can swiftly spread to the rest of the body, and turn into infections that are life-threatening. As these infections may result in life-threatening consequences such airway obstruction, mediastinitis, sepsis, and respiratory distress syndrome, early identification and knowledge of the deep neck areas and fascial planes are essential. The use of regular therapy for localized or severe odontogenic infections with little risk is now possible because to advancements in medical treatments and antibiotics that have decreased morbidity and death rates. Here we report, a lower right canine abscess that started as a phlegmonous neck collection with mediastinal involvement in a 70-year-old man with multiple comorbidities. To control the infection and protect the airways, prompt surgical treatments were necessary. This included drainage, tracheostomy placement, and tooth extraction. In managing life-threatening deep-neck infections, the case emphasizes the value of early discovery, vigorous treatment, and multidisciplinary management. Accurate diagnosis and prompt treatments depend greatly on knowledge of and use of trustworthy diagnostic techniques like CT scans and laboratory markers. To shorten hospital stays and speed patients’ recovery without raising risks, it is crucial to use broad-spectrum antibiotics, early surgical drainage, and adequate airway care.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11586/458523
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