Background: Head and neck infections are commonly caused by affections with an odontogenic origin. Untreated or non-responsive to treatment odontogenic infections can cause severe consequences such as localized abscesses, deep neck infections (DNI), and mediastinitis, conditions where emergency procedures such as tracheostomy or cervicotomy could be needed. Methods: An epidemiological retrospective observational study was performed, and the objective of the investigation was to present a single-center 5-years retrospective analysis of all patients admitted to the emergency department of the hospital Policlinico Umberto I “Sapienza” with a diagnosis of odontogenic related head and neck infection, observing the epidemiological patterns, the management and the type of surgical procedure adopted to treat the affections. Results: Over a 5-year period, 376,940 patients entered the emergency room of Policlinico Umberto I, “Sapienza” University of Rome, for a total of 63,632 hospitalizations. A total of 6607 patients were registered with a diagnosis of odontogenic abscess (10.38%), 151 of the patients were hospitalized, 116 of them were surgically treated (76.8%), and 6 of them (3.9%) manifested critical conditions such as sepsis and mediastinitis. Conclusions: Even today, despite the improvement of dental health education, dental affections can certainly lead to acute conditions, necessitating immediate surgical intervention.

Odontogenic-related head and neck infections: from abscess to mediastinitis: our experience, limits, and perspectives—a 5-year survey / Pucci, Resi; Cassoni, Andrea; DI CARLO, Daniele; Bartolucci, Piero; Della Monaca, Marco; Barbera, Giorgio; Di Cosola, Michele; Polimeni, Antonella; Valentini, Valentino. - In: INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH. - ISSN 1660-4601. - 20:4(2023). [10.3390/ijerph20043469]

Odontogenic-related head and neck infections: from abscess to mediastinitis: our experience, limits, and perspectives—a 5-year survey

Resi Pucci
Co-primo
;
Andrea Cassoni
Co-primo
;
Daniele Di Carlo
;
Piero Bartolucci;Marco Della Monaca;Giorgio Barbera;Antonella Polimeni
Penultimo
;
Valentino Valentini
Ultimo
2023

Abstract

Background: Head and neck infections are commonly caused by affections with an odontogenic origin. Untreated or non-responsive to treatment odontogenic infections can cause severe consequences such as localized abscesses, deep neck infections (DNI), and mediastinitis, conditions where emergency procedures such as tracheostomy or cervicotomy could be needed. Methods: An epidemiological retrospective observational study was performed, and the objective of the investigation was to present a single-center 5-years retrospective analysis of all patients admitted to the emergency department of the hospital Policlinico Umberto I “Sapienza” with a diagnosis of odontogenic related head and neck infection, observing the epidemiological patterns, the management and the type of surgical procedure adopted to treat the affections. Results: Over a 5-year period, 376,940 patients entered the emergency room of Policlinico Umberto I, “Sapienza” University of Rome, for a total of 63,632 hospitalizations. A total of 6607 patients were registered with a diagnosis of odontogenic abscess (10.38%), 151 of the patients were hospitalized, 116 of them were surgically treated (76.8%), and 6 of them (3.9%) manifested critical conditions such as sepsis and mediastinitis. Conclusions: Even today, despite the improvement of dental health education, dental affections can certainly lead to acute conditions, necessitating immediate surgical intervention.
2023
head and neck infections; odontogenic infections; deep neck infections; mediastinitis; submandibular abscesses; dental abscess
01 Pubblicazione su rivista::01a Articolo in rivista
Odontogenic-related head and neck infections: from abscess to mediastinitis: our experience, limits, and perspectives—a 5-year survey / Pucci, Resi; Cassoni, Andrea; DI CARLO, Daniele; Bartolucci, Piero; Della Monaca, Marco; Barbera, Giorgio; Di Cosola, Michele; Polimeni, Antonella; Valentini, Valentino. - In: INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH. - ISSN 1660-4601. - 20:4(2023). [10.3390/ijerph20043469]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1672479
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