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  Contents > Previous page > Article detail print Order
o Issue N# 4 - 2012 o

MAXILLO-FACIAL

Cervicofacial cellulitises of dental origin: Etioepidemio­lo­gical and therapeutic aspects


Authors : Lawson Afouda S, Avakoudjo F, Alamou S, Hounkpatin SHR, Satowakou M, Hounkpè YYC, Adjibabi W. (Cotonou)

Ref. : Rev Laryngol Otol Rhinol. 2012;133,4:197-200.

Article published in french
Downloadable PDF document french



Summary : Objectives: Cervicofacial cellulitises are dominated by dental affections. The aim of this study is to describe etio­epidemio­logical and therapeutic aspects of cervicofacial cellulitis of dental cause at the CNHU-HKM in Cotonou (Benin). Methods: Itís a retrospective study from 1998 to 2007 included patients with inflammatory cervicofacial tumefaction of dental cause. A glycaemia, a HIV serology and a blood formula numeration are realized. Some patients practiced stan­dard oral and dental radio. Patients were hospitalized and received mono, bi or triple antibiotic. Lancing with swab of pus for cytobacterio­logical and antibiogram examination was reali­zed for some of patients. Dental cares were been systematic. Results: 68 cases whose 53 dental cause where been collected 77.94%. Bracket concern patients between 0-20 and 20-40 yea­r­s old (64.15%). Males were more concerned. Dental trauma­tisms find again (18.88%), tooth decay (56.60%) and 24.53% patients practiced dental extraction. Anti inflammatory prac­ti­ced by 67.92% patients associated to antibiotic in 41.51% cases. The three latest molar were concerned to 26 patients. Among those last 22 had attack of mandibular teeth. Treatment consisted in lancing drainage to 2/3 patients in 83.40% cases associated to tri antibiotic. Evolution has been favourable with recovery to 86.67%; 6 decreases to 13.33% cases. Conclu­sions: Cervico­facial cellulitises are dangerous, rapidly res­pon­sible of deceases by extension. A better oral and dental hygiene would improved prognosis.

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