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Surgical Approaches in Odontogenic Orbital Cellulitis (OOC): Our Experience and Review of Literature

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...

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Autores principales: Antonio, Romano, Stefania, Troise, Umberto, Committeri, Antonio, Arena, Dell’Aversana Orabona, Giovanni, Francesco, Seidita, Paola, Bonavolontà, Giorgio, Iaconetta, Lugi, Califano
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer India 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9895144/
https://www.ncbi.nlm.nih.gov/pubmed/36742684
http://dx.doi.org/10.1007/s12070-021-02576-y
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author Antonio, Romano
Stefania, Troise
Umberto, Committeri
Antonio, Arena
Dell’Aversana Orabona, Giovanni
Francesco, Seidita
Paola, Bonavolontà
Giorgio, Iaconetta
Lugi, Califano
author_facet Antonio, Romano
Stefania, Troise
Umberto, Committeri
Antonio, Arena
Dell’Aversana Orabona, Giovanni
Francesco, Seidita
Paola, Bonavolontà
Giorgio, Iaconetta
Lugi, Califano
author_sort Antonio, Romano
collection PubMed
description 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.
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spelling pubmed-98951442023-02-04 Surgical Approaches in Odontogenic Orbital Cellulitis (OOC): Our Experience and Review of Literature Antonio, Romano Stefania, Troise Umberto, Committeri Antonio, Arena Dell’Aversana Orabona, Giovanni Francesco, Seidita Paola, Bonavolontà Giorgio, Iaconetta Lugi, Califano Indian J Otolaryngol Head Neck Surg Other Articles 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. Springer India 2021-05-02 2022-12 /pmc/articles/PMC9895144/ /pubmed/36742684 http://dx.doi.org/10.1007/s12070-021-02576-y Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Other Articles
Antonio, Romano
Stefania, Troise
Umberto, Committeri
Antonio, Arena
Dell’Aversana Orabona, Giovanni
Francesco, Seidita
Paola, Bonavolontà
Giorgio, Iaconetta
Lugi, Califano
Surgical Approaches in Odontogenic Orbital Cellulitis (OOC): Our Experience and Review of Literature
title Surgical Approaches in Odontogenic Orbital Cellulitis (OOC): Our Experience and Review of Literature
title_full Surgical Approaches in Odontogenic Orbital Cellulitis (OOC): Our Experience and Review of Literature
title_fullStr Surgical Approaches in Odontogenic Orbital Cellulitis (OOC): Our Experience and Review of Literature
title_full_unstemmed Surgical Approaches in Odontogenic Orbital Cellulitis (OOC): Our Experience and Review of Literature
title_short Surgical Approaches in Odontogenic Orbital Cellulitis (OOC): Our Experience and Review of Literature
title_sort surgical approaches in odontogenic orbital cellulitis (ooc): our experience and review of literature
topic Other Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9895144/
https://www.ncbi.nlm.nih.gov/pubmed/36742684
http://dx.doi.org/10.1007/s12070-021-02576-y
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