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Phlegmon of the oral floor and deep spaces of the neck, complicated by sepsis: A clinical caseстатья
Статья опубликована в журнале из списка RSCI Web of Science
Информация о цитировании статьи получена из
Scopus
Статья опубликована в журнале из перечня ВАК
Статья опубликована в журнале из списка Web of Science и/или Scopus
Дата последнего поиска статьи во внешних источниках: 15 мая 2024 г.
- Авторы: Mellin R.V., Malykh M.S., Vasil’ev Yu L.
- Журнал: Клиническая стоматология
- Том: 24
- Номер: 4
- Год издания: 2021
- Первая страница: 62
- Последняя страница: 66
- DOI: 10.37988/1811-153x_2021_4_62
- Аннотация: Ludwig's angina is a life-threatening condition of a purulent inflammatory nature, accompanied by diffuse cellulite of the soft tissues of the muscular floor of the oral cavity and neck. The title comes from the name of german physician Wilhelm Friedrich von Ludwig, who first described it in 1836. It includes three sections of the muscular floor of the oral cavity: the sub-lingual, submental and submandibular. Early detection and treatment, including airway protection, surgery, wound drainage, and adequate antibiotic therapy, are critical. The primary task in pyogenic inflammatory diseases of the maxillofacial region is to create an optimal outflow for the inflammatory exudate. The article presents a clinical case of a 40-year-old patient with diffuse phlegmon of the floor of the mouth with spread to the deep cellular spaces of the neck on both sides, complicated by sepsis. According to the patient, about 1 month ago (05/09/2021), aching pain appeared in the area of the tooth 4.8. After 5 days, she noticed pain when biting on a tooth 4.8. She did not seek help, she was self-medicating, aimed at eliminating the pain syndrome. After 2 weeks (05/23/2021) pain in tooth 4.8 disappeared, edema appeared in the submandibular region on the right. Against the background of self-medication, negative dynamics was noted. 06/08/21 the patient was hospitalized in the department of maxillofacial surgery, where surgical and drug treatment was prescribed. After the complete relief of inflammatory manifestations, on the 22nd day from the moment of admission to the hospital (06/30/21), lamellar sutures were imposed, which were removed after 10 days. The wound healing was uneventful. During her stay in the hospital, a physician of physical therapy (exercise therapy) worked with the patient, as a result of which it was possible to restore the swallowing function and remove the nasogastric tube. On the 39th day (July 17, 2021), she was discharged for outpatient follow-up care at a dentist-surgeon and exercise therapy doctor at the place of residence.
- Добавил в систему: Васильев Юрий Леонидович