JNDA Vol. 20 No. 2 Issue 31 (July - December 2020) |
Assessment of Clinical Pattern and Management of Maxillofacial Space Infection in Children Visiting a Tertiary Health Care Centre in Kavre, Nepal |
Dr. Bibardha Khanal, Dr. Sanad Dulal |
Download Full Article 298.87KB |
Abstract |
Introduction: Maxillofacial space infection is one of the most common type of infections in the head and neck region, which has various causes and can involve different maxillofacial spaces. However, many life-threatening complications can occur due to delay in its diagnosis and treatment. Objective: The objective of this study was to assess the clinical pattern and management of maxillofacial space infection in children.
Result: The results indicated that the most common aetiology of maxillofacial space infection was dental caries in 73 (87.95%) children. Seventy eight (93.97%) children reported pain as the most commonly associated symptom. The mean duration of pain prior to seeking dental care was 12 days and swelling was four days. Similarly, the most common modality of treatment was pulpectomy/ root canal therapy in 46 (55.42%) of children followed by extraction in 20 (24%) and 80 (96.38%) received antibiotics. Conclusion: The majority of the paediatric maxillofacial space infections were of odontogenic origin. Pulpectomy/ root canal treatment along with antibiotics represent clinically acceptable empiric first-line approach in managing such infections. Extraction was indicated only if the involved tooth was grossly decayed and infection failed to improve after the appropriate endodontic procedures. |
Keywords |
Maxillofacial; odontogenic; space infection. |