The diagnosis and the treatment of severe cervicofacial infections represents a challenging problem to the oral and maxillofacial surgeon. These infections remain an important health problem, with significant risks of morbidity and mortality, if the situations likely to develop a life threatening condition are not recognized in due time. Because of the variety of antibiotics, the development of new therapeutical schemes and of the safety of surgical techniques as well, the complications rate of cervicofacial infections is decreasing, especially when the medical-surgical intervention is performed in due course. The phlegmon and the cervical necrotizing fasciitis, the most severe forms, are the consequence of acute, difuse infections, favourised by the deficient immunologic background, having a mandibulary molar tooth as the most frequent etiologic factor. The infectious process has a local expansive tendency, through the infiltration and destruction of cervical tissues, following the anatomic cleavage plans and an aggressive evolution, with rapid deterioration of the generalcondition, jeopardizing the patient's life.
Patients with cervicofacial infections who arrived late in the Clinic of Oral and Maxillofacial Surgery and whose treatment was delayed or misconducted, can expect a greater number of complications and the recovering period is prolonged. Early recognition of life-threatening cervicofacial infections of dental origin: Emilia Ianes, Serban Rosu, Felicia Streian, Adriana Rosu
Last date updated on June, 2014