Surgical Approaches in Odontogenic Orbital Cellulitis (OOC): Our Experience and Review of Literature
Autor: | Arena Antonio, Giovanni Dell'Aversana Orabona, Iaconetta Giorgio, Califano Lugi, Seidita Francesco, Romano Antonio, Committeri Umberto, Troise Stefania, Bonavolontà Paola |
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Přispěvatelé: | Romano, A., Troise, S., Committeri, U., Arena, A, Dell'Aversana Orabona, G., Seidita, F., Bonavolontà, P., Iaconetta, G., Califano, L. |
Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
medicine.medical_specialty
Maxillary sinus business.industry Standard treatment Perforation (oil well) Surgical approach Odontogenic orbital celluliti Early diagnosi medicine.disease Surgery 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure Endophthalmitis Otorhinolaryngology 030221 ophthalmology & optometry Dental extraction Medicine Orbital cellulitis Stage (cooking) 030223 otorhinolaryngology business Abscess |
Popis: | Aims Odontogenic orbital cellulitis represents a complication of root infections of upper pre-molars and molars. The severity depends on the orbital structure involved. The treatment is based on antibiotic therapy associated or not to surgery. Through the presentation of three cases and a review of literature, we purpose as aim of our study to underline the necessity of a timely diagnosis and to provide the correct surgical approach in each different types and stages of orbital infections. Methods We present three patients that were affected by dental infection evolved in orbital cellulitis. In two cases the disease was solved with the extraction of infected tooth and a surgical endoscopic drainage of the abscess through antrostomy of maxillary sinus. In the third patient the disease had already induced a bulbar perforation and endophthalmitis, so an orbit evisceration was necessary. Results Review of literature showed that the standard treatment of orbital cellulitis is the transnasal approach associated or not by a transoral and/or transcutaneous procedure depending on the stage of the disease and on the causes. In our 3 cases these indications were followed without relapses of the disease. Conclusion An early diagnosis is mandatory in odontogenic orbital cellulitis specially to avoid serious complications. Surgical treatment can be simple and effective mostly in early-stage infection: it is based on extraction of infected tooth and on the drainage of abscess. Surgical approach consists in transnasal procedure flanked or not by transoral and transcutaneous procedures based on the stage of the infection considering involved structures. |
Databáze: | OpenAIRE |
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