Quintana DJC, Algozain AY, Gómez CA, Álvarez RY, Quintana GM

Language: Spanish
References: 20
Page: 19-24
PDF size: 609.41 Kb.

ABSTRACT

Objective: To characterize the patients with the diagnosis of odontogenic and non-odontogenic facial cellulites according to their clinical behavior, etiology and therapeutic management.
Materials and methods: A retrospective descriptive study was conducted, which included a sample of 112 patients admitted to the “Ciro Redondo García” Hospital of Artemisa, with diagnosis of facial cellulites, during a period of five years (2010-2014). The analyzed variables were the following: age, sex, severity of the patients, the antimicrobial therapy used and the pathogenic mechanism of this condition. The information was presented in frequency tables and the percentage calculation was used as statistical method.
Results: Facial cellulites predominated in the group of patients aged 15-24 years (39.2%) and male. Cellulites of moderate severity prevailed (54.4%), with a higher percentage of cases within odontogenic etiology (41.9%), the most used antimicrobial therapy was the combination of crystalline penicillin G plus metronidazole (35.7% %). The necrotic dental pulp (47.2%) and root rests (35.6%) were the fundamental pathogenic mechanisms of odontogenic cellulites and facial skin infections in non-odontogenic patients (44.0%).
Conclusions: Facial cellulite is a frequent reason for admission in this hospital. Its behavior from a clinical and therapeutic point of view is similar to that described in other studies.

REFERENCES

1. Thikkurissy S, Rawlins J, Kumar A, Evans E, Casamassimo P. Rapid treatment reduces hospitalization for pediatric patients with odontogenic-based cellulitis. American Journal Emergency Medicine 2010; 28(6): 668-672.

2. De Croos F, Liao J, Ramey N, Li I. Management of Odontogenic Orbital Cellulitis. Journal of Medicine & Life 2011; 4(3): 314- 317.

3. Tavakoli M, Bagheri A, Faraz M, Salehirad S, Roghaee S. Orbital cellulitis as a complication of mandibular odontogenic infection. Ophthalmic Plastic and Reconstructive Surgery 2013; 29(1): 5-7

4. Pereira CI, Sánchez G, Basulto F. Necrotizing fasciitis of an odontogenic origin: Case presentation. Rev Haban Cienc Méd 2008; 7(1):105

5. Martínez N, Díaz D, Guerra O, Guillian I; Martínez N. Comportamiento clínico y manejo terapéutico de pacientes diagnosticados con Celulitis facial odontógena. Hospital Militar Central “Dr. Luis Díaz Soto” Rev Haban Cienc Med 2014; 13 (3):80

6. Hernández AB. Complicaciones derivadas del absceso dentoalveolar agudo en pacientes pertenecientes al área VII, Cienfuegos. Rev Cubana Estomatol [Internet]. 2015 [citado: 6 enero 2016]; 52(4). Disponible en:http://www.revestomatologia.sld.cu/index. php/est/article/view/588/232

7. Morales D. Comportamiento clínico de la celulitis facial odontógena. Hospital Universitario “General Calixto García”. Rev Cubana Estomatol 2009; 46(4): 102-110.

8. Haces M. et al. El uso del piercing en la cavidad bucal de adolescentes. Rev Cienc Med Pinar Rio 2014, [citado: 6 enero 2016];18(2): 267-274. Disponible en : http://scielo.sld.cu/pdf/rpr/v18n2/rpr10214.pdf

9. Jundt J, Gutta R. Characteristics and cost impact of severe odontogenic infections. Oral Surg Oral Med Oral Pathol Oral Radiol 2012; 114(5): 558-566.

10. Fernández M, Vila D, Rodríguez A, Mesa DL, Pérez G. Lesiones periapicales agudas en pacientes adultos. Rev Cubana Estomatol [Internet]. 2012 [citado: 6 enero 2016]; 49(2):107-16. Disponible en: http://scielo.sld.cu/pdf/est/v49n2/est04212. pdf

11. Rodríguez N, Morales M, Álvarez B, Hernández G, Gallardo V. Terapia antimicrobiana en procesos sépticos orales y faciales. Medi Ciego [Internet] 2012 [citado: 6 enero 2016]; 18(no. esp.). Disponible en:http://bvs.sld.cu/revistas/mciego/ vol_18noespc_2012/pdf/T12.pdf

12. Rodríguez O, Pérez O, Rodríguez A. Celulitis facial odontógena como urgencia en estomatología. Rev Cien Med Habana 2009; 15(1): 94-98

13. Vozza I; Fusco F; Corridore D; Ottolenghi L. Awareness of complications and maintenance mode of oral piercing in a group of adolescents and young Italian adults with intraoral piercing. Med Oral Patol Oral Cir Bucal 2015; 20(4):e413-8.

14. Al-Asfour A. Postoperative Infection after Surgical Removal of Impacted Mandibular Third Molars: An Analysis of 110 Consecutive Procedures. Med Princ Pract 2011 May; 18(4):48-52.

15. Ducasse PA, Roca R. La extracción dentaria en la celulitis facial odontogénica. Rev Cubana Estomatol 2004; 41(2): 56-60

16. Malkawi Z, Al-Omiri M, Khraisat A. Risk Indicators of Postoperative Complications following Surgical Extraction of Lower Third Molars. Medical Principles & Practice [Internet]. 2011 May; 20(4): 321-25.[citado 6 oct 2015]. Disponible en : https://www.ncbi. nlm.nih.gov/pubmed/21576990

17. Rodríguez M, De la Teja E, Téllez J, Rubí M, Durán A. Criterios de hospitalización en un centro de tercer nivel de atención pediátrica: Enfoque estomatológico. Acta Pediatr Mex 2011; 32(1):46-51.

18. Boza Y, Mora C, Romero J, Sosa S, Payo M, Díaz A. Celulitis facial odontogénica. Medisur [Internet]. 2012 [citado: 6 enero 2016]; 10(5): [aprox. 5 p.].Disponible en: http://medisur.sld.cu/index.php/medisur/article/view/2262/7282

19. Vila D, Fernández ME, González-Longoria R. Celulitis facial en niños con criterio de hospitalización. Rev Cubana Estomatol [Internet] 2013 [citado: 6 enero 2016]; 50(3):240-9. Disponible en:http://scielo.sld.cu/pdf/est/v50n3/est02313.pdf

20. Márquez Rodríguez O, González Calzada N. Celulitis facial odontógena. Estudio de 96 casos en la provincia de Sancti Spíritus. 2009-2010. Gaceta Méd Espirituana [Internet]. 2011 [citado: 6 enero 2016]; 13(3). Disponible en: http://revgmespirituana.sld. cu/index.php/gme/article/view/373/349