García-Villarmet CI, Teja-Ángeles E, Ceballos-Hernández H, Ordaz-Favila JC

Language: Spanish
References: 16
Page: 95-100
PDF size: 219.60 Kb.

ABSTRACT

Odontogenic infections of head and neck in children may result from untreated pulp pathology especially if the patient systemic condition is poor. It is necessary to adequate the use of antibiotics, its dose and administration period and the elimination of the causal agent.
A possible complication of odontogenic infections are orbitary infections that may cause cavernous sinus thrombosis and eventual death.
We present the case of a two year-old boy with a periorbitary enlargement started nine days prior to our consultation. He had been treated with no improvement. In the Pediatric Stomatology Service (Servicio de Estomatología Pediátrica) this condition was diagnosed as a periorbitary abscess following a chronic dentoalveolar abscess in the upper incisives and the first left upper molar. He received antibiotics and dental treatment without surgical treatment. He was discharged in good condition.

REFERENCES

1. González SN, Torales TA, Gómez BD. Infectología Clínica Pediátrica. 7ª Ed. McGraw-Hill Interamericana, México 2004;pp3-31.

2. López MJ. Etiología, clasificación y patogenia de la patología pulpar periapical. Med Oral Patol Oral Cir Bucal 2004;9:52-7.

3. Unkel JH, McKibben DH, Fenton SJ. Comparision of odontogenic and nonodontogenic facial cellulitis in a pediatric hospital population. Pediatr Dentist 1997;19:476-9.

4. De Vicente RJ. Celulitis maxilofaciles. Med Oral Patol Oral Cir Bucal 2004;9:126-38.

5. Maestre VJ. Opciones terapéuticas en la infección de origen odontogénico. Med Oral Patol Oral Cir Bucal 2004;9:19-31.

6. De la Teja AE, Escudero CA, Elías MG. Infecciones Odontogénicas. Acta Pediatr Mex 1999;4:208-10.

7. Bagamaspad AR. Management of mandibular fascial space infection of odontogenic origen. J Philipp Dentistr Assoc 1998;50:28-33.

8. Jiménez Y, Bagán JV, Murillo J, Proveda R. Infecciones odontogénicas. Complicaciones, manifestaciones sistémicas. Med Oral Patol Oral Cir Bucal 2004;9:139-47.

9. Haug R, Hoffman MJ, Indresano AT. An epidemiologic and anatomic survey of odontogenic infection. Oral Maxillofac Surg 1991;49:976-80.

10. Kaban LB. Cirugía Bucal y Maxilofacial en Niños. 1ª Ed. Mc- Graw-Hill Interamericana, México 1992;pp167-86.

11. Arcieniegas V, Sierra RP. Celulitis cervicofacial de origen dentario. Una patología que comparte el médico y el odontólogo. Rev Colombiana de Pediatr 2002;5:15-20.

12. Maestre JR. Infecciones bacterianas mixtas de la cavidad oral. Enferm Infecc Microbiol Clin 2002;20:98-101.

13. Travis RT, Steinle CJ. The effects of odontogfenic infection on the complete blood count in children and adolescents. Pediatr Dentistr 1984;6:214-9.

14. Loewen RR, Stephen FC, Post AC. An atypical pathway of infection in an adolescent with a deep neck space abscess. Pediatr Dentistr 1995;17:220-3.

15. Pérez RA, Cueto RG, De la Escosura RG. Mediastinitis necrosante descendente. Resultados del tratamiento médicoquirúrgico en 17 casos. Gac Med Mex 2003;139:199-204.

16. Figueroa DR. Clinical manifestations and lethality of descending necrotizing mediastinitis. Rev Invest Clin 2001;53:35-40.