최근 5년간 구강악안면 감염 환자의 임상통계학적 연구 = A CLINICOSTASTICAL STUDY OF ORAL AND MAXILLOFACIAL INFECTED PATIENTS FOR THE LAST 5 YEARS

다국어 초록 (Multilingual Abstract)

Infections of the oral and maxillofacial region are one of the most common conditions for which a patient presents to a maxillofacial surgeons. Although these infections can arise from a variety of source, dental disease is the most common etiology. So, odontogenic infection are frequently encountered in the practice of oral and maxillofacial surgery. These infections often respond to antimicrobial chemotherapy or surgical intervention, such as extraction of teeth, incision and drainage through clinical features. But, odontogenic infections have the potential to spread via the fascial spaces in the head and neck region, and, they spread to cavernous sinus, deep musculofascial space and other vital structure. We have undertaken clinical studies on infections in the oral and maxillofacial regions by analyzing retrospectively hospitalized patients in the Dept. of Oral and Maxillofacial Surgery, Chonbuk National University Hospital past 5 years from 2000 to 2004. And, the patients’age, sex, medical history, causes of the infection, surgical intervention, and other clinical parameters were reviewed. The obtained results were as follows : 1. The most frequent cause of oral and maxillofacial infection was odontogenic. And in the odontogenic cause, dental caries was the most common cause (47.2%). 2. The most common fascial space involved was the submandibular space (15.7%), followed by the buccal space (14.8%). 3. 60.4% of all patients required surgical drainage of the abscess, endodontic treatment or tooth extraction or periodontal treatment with drainage. 4. The most causative organism isolated from the pus culture were streptococcus viridans (53.9%). 5. Underlying medical problems were found in 136 patients (41.9%), the most common being hypertension (27.9%) and diabetes (14.7%).

참고문헌 (Reference)

1 "Tracheotomy Versus EndotrachealIntubation for Airway Management in Deep Neck Space Infections" 60 : 349-354, 2002

2 "The swollen face.Severe odontogenic infections" 18 : 481-519, 2000

3 "The patient with an odontogenic infection" 35 : 482-502, 2004

4 "The clinical significance of anaerobicbacteria in acute orofacial odontogenic infections" 98 : 398-408, 2004

5 "The Changing Face ofOdontogenic Infections" 59 : 739-748, 2001

6 "Systemic Effects of Oral Infections:A PossiblePreventive Role for the Oral and Maxillofacial Surgeon" 59 : 2001

7 "Spread of odontogenic infectionoriginating in the maxillary teeth:Computerized tomographic assessment" 98 : 223-231, 2004

8 "Risk Factors AffectingHospital Length of Stay in Patients With Odontogenic MaxillofacialInfections" 54 : 1386-1391, 1996

9 "Principles of Management and Prevention ofOdontogenic Infections" BC Decker 344-365, 2004

10 "Past administrationof β-lactam antibiotics and increase in the emergence of β-lactamaseproducingbacteria in patients with orofacial odontogenic infections" 89 : 186-192, 2000

11 "Odontogenic infectionpathway to the submandibular space: imaging assessment" 31 : 165-169, 2002

12 "Is Preoperative CT Imaging Necessary for OdontogenicFascial Space Infections" 62 : 2004

13 "How serious are oral infections?" 118 : 561-565, 2004

14 "Empirical antimicrobial therapyfor odontogenic infections" 100 : 263-264, 2005

15 "DifferencesBetween Patients With or Without the Need for Intensive Care Due toSevere Odontogenic Infections" 59 : 867-872, 2001

16 "Descendingnecrotizing mediastinitis : Ten years’experience" 83 : 774-, 2004

17 "Descending necrotizing mediastinitis :Trends in a developing country. Ten years’experience" 84 : 242-, 2004

18 "Deep facial infection of odontogenic origin" 80 : 2001

19 "Culturing the exudate of an odontogenic infection-a usefulprocedure" 88 : 1999

20 "Culturing the exudate of an odontogenic infection-a usefulprocedure" 90 : 2-4, 2000

21 "Considerations in the Managementof Maxillofacial Infections in the Pregnant Patient" 54 : 474-485, 1996

22 "Clinicostatistical study of inpatients of abscess in fascial spaces for thelast 5 years" 30 : 497-503, 2004

23 "Clinical study on the fascial space infections of oral and maxillofacialregion for recent 5 years" 23 : 106-116, 1997

24 "Clinical study of chronic osteomyelitis" 26 : 514-518, 2000

25 "Characterization and Managementof Deep Neck Infections" 26 : 1997

26 "Cervical NecrotizingFasciitis of Odontogenic Origin.A Report of 11 Cases" 58 : 1347-1352, 2000

27 "Bacteriology and antimicrobialsusceptibility of gram-positive cocci isolated from pus specimens oforofacial odontogenic infections" 17 : 132-135, 2002

28 "Bacteriologic features andantimicrobial susceptibility in isolates from orofacial odontogenicinfections" 90 : 600-608, 2000

29 "Antibiotic therapy-managing odontogenicinfections" 46 : 623-633, 2002

30 "Anatomy and Surgical Therapy of Oral andMaxillofacial Infections" 62 : 86-87, 2004

31 "Anatomical considerationsfor the spread of odontogenic infection originating from the pericoronitisof impacted mandibular third molar:Computed tomographicanalyses" 98 : 589-597, 2004

32 "A study of microorganismsin oral & maxillofacial infected patients" 22 : 420-429, 2000

33 "A five-year retrospective study ofodontogenic maxillofacial infections in a large urban public hospital" 34 : 646-649, 2005

34 "A clinicostatistical analysis oforal and maxillofacial infected patients" 24 : 317-324, 2002

35 "A clinico-statistical analysis onthe fascial space infections of oral and maxillofacial region" 26 : 490-496, 2000

36 "A clinical studyon the facial space infections or oral and maxillofacial region" 38 : 94-101, 2000