The value of early intraoral incisions in patients with perimandibular odontogenic maxillofacial abscesses
Abstract Perimandibular abscesses require drainage and removal of the underlying cause of infection. Traditionally drainage was established extraorally, but this can be associated with delay to treatment, because this is done under general anaesthesia. Between July 2008 and June 2013, 205 patients w...
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| Veröffentlicht in: | Journal of cranio-maxillo-facial surgery 2015-03, Vol.43 (2), p.220-223 |
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| container_title | Journal of cranio-maxillo-facial surgery |
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| creator | Mücke, Thomas Dujka, Nina Ermer, Michael A Wolff, Klaus-Dietrich Kesting, Marco Mitchell, David A Ritschl, Lucas Deppe, Herbert |
| description | Abstract Perimandibular abscesses require drainage and removal of the underlying cause of infection. Traditionally drainage was established extraorally, but this can be associated with delay to treatment, because this is done under general anaesthesia. Between July 2008 and June 2013, 205 patients were initially either treated by immediate intraoral incision under local anaesthesia or extraoral incisions under general anaesthesia and prospectively evaluated. Predictors of treatment outcomes and complications were analysed. Fewer secondary procedures were needed for patients with primary treatment under general anaesthesia ( p |
| doi_str_mv | 10.1016/j.jcms.2014.11.009 |
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Traditionally drainage was established extraorally, but this can be associated with delay to treatment, because this is done under general anaesthesia. Between July 2008 and June 2013, 205 patients were initially either treated by immediate intraoral incision under local anaesthesia or extraoral incisions under general anaesthesia and prospectively evaluated. Predictors of treatment outcomes and complications were analysed. Fewer secondary procedures were needed for patients with primary treatment under general anaesthesia ( p < 0.0001), but the overall stay in hospital was shorter after initial treatment under local anaesthesia ( p < 0.0001, Odds Ratio (OR) 0.72, 95% CI 0.62–0.85). Postoperative complications occurred significantly more often under general anaesthesia ( p < 0.0001, OR = 16.63, 95% CI 5.59–49.5). Significant prognostic variable was the administration of amoxicillin combined with clavulanic acid ( p = 0.016, OR = 1.24, 95% CI 1.09–1.41) and adverse prognostic factors were infections with Human Immunodeficiency Virus (HIV) ( p = 0.048, OR 17.45, 95% CI 1.02–298) or diabetes mellitus ( p = 0.003, OR 10.39, 95% CI 2.23–48.41). Amoxicillin combined with clavulanic acid showed a significant impact on the treatment course of patients with perimandibular abscesses.</description><identifier>ISSN: 1010-5182</identifier><identifier>EISSN: 1878-4119</identifier><identifier>DOI: 10.1016/j.jcms.2014.11.009</identifier><identifier>PMID: 25523398</identifier><language>eng</language><publisher>Scotland: Elsevier Ltd</publisher><subject>Abscess - surgery ; Abscess incision ; Adolescent ; Adult ; Aged ; Aged, 80 and over ; Amoxicillin-Potassium Clavulanate Combination - therapeutic use ; Anesthesia, General - methods ; Anti-Bacterial Agents - therapeutic use ; Antibiotics ; beta-Lactamase Inhibitors - therapeutic use ; Child ; Dentistry ; Diabetes Complications ; Drainage - methods ; Female ; HIV Infections - complications ; Humans ; Length of Stay ; Male ; Mandibular Diseases - surgery ; Middle Aged ; Nerve Block - methods ; Outcome ; Postoperative Complications ; Prospective Studies ; Prospective study ; Reoperation ; Surgery ; Treatment Outcome ; Young Adult</subject><ispartof>Journal of cranio-maxillo-facial surgery, 2015-03, Vol.43 (2), p.220-223</ispartof><rights>European Association for Cranio-Maxillo-Facial Surgery</rights><rights>2014 European Association for Cranio-Maxillo-Facial Surgery</rights><rights>Copyright © 2014 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c481t-4ccd19f4d7c48a0bb66ef43e7d21d8f4695395b4a071d37c8865e1a8754483f23</citedby><cites>FETCH-LOGICAL-c481t-4ccd19f4d7c48a0bb66ef43e7d21d8f4695395b4a071d37c8865e1a8754483f23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1010518214003151$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25523398$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mücke, Thomas</creatorcontrib><creatorcontrib>Dujka, Nina</creatorcontrib><creatorcontrib>Ermer, Michael A</creatorcontrib><creatorcontrib>Wolff, Klaus-Dietrich</creatorcontrib><creatorcontrib>Kesting, Marco</creatorcontrib><creatorcontrib>Mitchell, David A</creatorcontrib><creatorcontrib>Ritschl, Lucas</creatorcontrib><creatorcontrib>Deppe, Herbert</creatorcontrib><title>The value of early intraoral incisions in patients with perimandibular odontogenic maxillofacial abscesses</title><title>Journal of cranio-maxillo-facial surgery</title><addtitle>J Craniomaxillofac Surg</addtitle><description>Abstract Perimandibular abscesses require drainage and removal of the underlying cause of infection. Traditionally drainage was established extraorally, but this can be associated with delay to treatment, because this is done under general anaesthesia. Between July 2008 and June 2013, 205 patients were initially either treated by immediate intraoral incision under local anaesthesia or extraoral incisions under general anaesthesia and prospectively evaluated. Predictors of treatment outcomes and complications were analysed. Fewer secondary procedures were needed for patients with primary treatment under general anaesthesia ( p < 0.0001), but the overall stay in hospital was shorter after initial treatment under local anaesthesia ( p < 0.0001, Odds Ratio (OR) 0.72, 95% CI 0.62–0.85). Postoperative complications occurred significantly more often under general anaesthesia ( p < 0.0001, OR = 16.63, 95% CI 5.59–49.5). Significant prognostic variable was the administration of amoxicillin combined with clavulanic acid ( p = 0.016, OR = 1.24, 95% CI 1.09–1.41) and adverse prognostic factors were infections with Human Immunodeficiency Virus (HIV) ( p = 0.048, OR 17.45, 95% CI 1.02–298) or diabetes mellitus ( p = 0.003, OR 10.39, 95% CI 2.23–48.41). Amoxicillin combined with clavulanic acid showed a significant impact on the treatment course of patients with perimandibular abscesses.</description><subject>Abscess - surgery</subject><subject>Abscess incision</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Amoxicillin-Potassium Clavulanate Combination - therapeutic use</subject><subject>Anesthesia, General - methods</subject><subject>Anti-Bacterial Agents - therapeutic use</subject><subject>Antibiotics</subject><subject>beta-Lactamase Inhibitors - therapeutic use</subject><subject>Child</subject><subject>Dentistry</subject><subject>Diabetes Complications</subject><subject>Drainage - methods</subject><subject>Female</subject><subject>HIV Infections - complications</subject><subject>Humans</subject><subject>Length of Stay</subject><subject>Male</subject><subject>Mandibular Diseases - surgery</subject><subject>Middle Aged</subject><subject>Nerve Block - methods</subject><subject>Outcome</subject><subject>Postoperative Complications</subject><subject>Prospective Studies</subject><subject>Prospective study</subject><subject>Reoperation</subject><subject>Surgery</subject><subject>Treatment Outcome</subject><subject>Young Adult</subject><issn>1010-5182</issn><issn>1878-4119</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU-L1TAUxYMozh_9Ai4kSzetuUnapiCCDOoIAy4c1yFNbp3UtHkm7ej79qa80YULVzmBcw_3_C4hL4DVwKB9PdWTnXPNGcgaoGasf0TOQXWqkgD946IZsKoBxc_IRc4TY6xlqn9KznjTcCF6dU6m2zuk9yZsSONI0aRwpH5Zk4nJhKKszz4uuSh6MKvHZc30p1_v6AGTn83i_LAFk2h0cVnjN1y8pbP55UOIo7G-ZJghW8wZ8zPyZDQh4_OH95J8_fD-9uq6uvn88dPVu5vKSgVrJa110I_SdeVv2DC0LY5SYOc4ODXKtm9E3wzSsA6c6KxSbYNgVNdIqcTIxSV5dco9pPhjw7zq2ZcVQjALxi1raBsumWACipWfrDbFnBOO-rC3SkcNTO-M9aR3xnpnrAF0YVyGXj7kb8OM7u_IH6jF8OZkwNLy3mPS2RZyFp1PaFftov9__tt_xm3whasJ3_GIeYpbWgo_DTpzzfSX_cr7kUGy0qkB8RtU5qPU</recordid><startdate>20150301</startdate><enddate>20150301</enddate><creator>Mücke, Thomas</creator><creator>Dujka, Nina</creator><creator>Ermer, Michael A</creator><creator>Wolff, Klaus-Dietrich</creator><creator>Kesting, Marco</creator><creator>Mitchell, David A</creator><creator>Ritschl, Lucas</creator><creator>Deppe, Herbert</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20150301</creationdate><title>The value of early intraoral incisions in patients with perimandibular odontogenic maxillofacial abscesses</title><author>Mücke, Thomas ; Dujka, Nina ; Ermer, Michael A ; Wolff, Klaus-Dietrich ; Kesting, Marco ; Mitchell, David A ; Ritschl, Lucas ; Deppe, Herbert</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c481t-4ccd19f4d7c48a0bb66ef43e7d21d8f4695395b4a071d37c8865e1a8754483f23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Abscess - surgery</topic><topic>Abscess incision</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Amoxicillin-Potassium Clavulanate Combination - therapeutic use</topic><topic>Anesthesia, General - methods</topic><topic>Anti-Bacterial Agents - therapeutic use</topic><topic>Antibiotics</topic><topic>beta-Lactamase Inhibitors - therapeutic use</topic><topic>Child</topic><topic>Dentistry</topic><topic>Diabetes Complications</topic><topic>Drainage - methods</topic><topic>Female</topic><topic>HIV Infections - complications</topic><topic>Humans</topic><topic>Length of Stay</topic><topic>Male</topic><topic>Mandibular Diseases - surgery</topic><topic>Middle Aged</topic><topic>Nerve Block - methods</topic><topic>Outcome</topic><topic>Postoperative Complications</topic><topic>Prospective Studies</topic><topic>Prospective study</topic><topic>Reoperation</topic><topic>Surgery</topic><topic>Treatment Outcome</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mücke, Thomas</creatorcontrib><creatorcontrib>Dujka, Nina</creatorcontrib><creatorcontrib>Ermer, Michael A</creatorcontrib><creatorcontrib>Wolff, Klaus-Dietrich</creatorcontrib><creatorcontrib>Kesting, Marco</creatorcontrib><creatorcontrib>Mitchell, David A</creatorcontrib><creatorcontrib>Ritschl, Lucas</creatorcontrib><creatorcontrib>Deppe, Herbert</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of cranio-maxillo-facial surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mücke, Thomas</au><au>Dujka, Nina</au><au>Ermer, Michael A</au><au>Wolff, Klaus-Dietrich</au><au>Kesting, Marco</au><au>Mitchell, David A</au><au>Ritschl, Lucas</au><au>Deppe, Herbert</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The value of early intraoral incisions in patients with perimandibular odontogenic maxillofacial abscesses</atitle><jtitle>Journal of cranio-maxillo-facial surgery</jtitle><addtitle>J Craniomaxillofac Surg</addtitle><date>2015-03-01</date><risdate>2015</risdate><volume>43</volume><issue>2</issue><spage>220</spage><epage>223</epage><pages>220-223</pages><issn>1010-5182</issn><eissn>1878-4119</eissn><abstract>Abstract Perimandibular abscesses require drainage and removal of the underlying cause of infection. Traditionally drainage was established extraorally, but this can be associated with delay to treatment, because this is done under general anaesthesia. Between July 2008 and June 2013, 205 patients were initially either treated by immediate intraoral incision under local anaesthesia or extraoral incisions under general anaesthesia and prospectively evaluated. Predictors of treatment outcomes and complications were analysed. Fewer secondary procedures were needed for patients with primary treatment under general anaesthesia ( p < 0.0001), but the overall stay in hospital was shorter after initial treatment under local anaesthesia ( p < 0.0001, Odds Ratio (OR) 0.72, 95% CI 0.62–0.85). Postoperative complications occurred significantly more often under general anaesthesia ( p < 0.0001, OR = 16.63, 95% CI 5.59–49.5). Significant prognostic variable was the administration of amoxicillin combined with clavulanic acid ( p = 0.016, OR = 1.24, 95% CI 1.09–1.41) and adverse prognostic factors were infections with Human Immunodeficiency Virus (HIV) ( p = 0.048, OR 17.45, 95% CI 1.02–298) or diabetes mellitus ( p = 0.003, OR 10.39, 95% CI 2.23–48.41). Amoxicillin combined with clavulanic acid showed a significant impact on the treatment course of patients with perimandibular abscesses.</abstract><cop>Scotland</cop><pub>Elsevier Ltd</pub><pmid>25523398</pmid><doi>10.1016/j.jcms.2014.11.009</doi><tpages>4</tpages></addata></record> |
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| subjects | Abscess - surgery Abscess incision Adolescent Adult Aged Aged, 80 and over Amoxicillin-Potassium Clavulanate Combination - therapeutic use Anesthesia, General - methods Anti-Bacterial Agents - therapeutic use Antibiotics beta-Lactamase Inhibitors - therapeutic use Child Dentistry Diabetes Complications Drainage - methods Female HIV Infections - complications Humans Length of Stay Male Mandibular Diseases - surgery Middle Aged Nerve Block - methods Outcome Postoperative Complications Prospective Studies Prospective study Reoperation Surgery Treatment Outcome Young Adult |
| title | The value of early intraoral incisions in patients with perimandibular odontogenic maxillofacial abscesses |
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