Leandro Díez Suárez*, Deisy Yolany Meza Enamorado, Mario Alberto Teliz Meneses and Diego Antonio Cariño Cartagena
Department of Oral and Maxillofacial Surgery, National Autonomous University of Mexico (UNAM), MexicoFulltext PDF
Introduction: The complex anatomy of the head and neck is a challenge in the treatment of odontogenic infections. Currently, conventional management consists of removal of the causative agent, antibiotic therapy, drainage, and surgical debridement. However, adjuvant therapies have been developed that have improved the prognosis of the patient with complex odontogenic infection.
Material and Methods:A retrospective review of 10 patients is carried out; 7 men and 3 women who presented a diagnosis of Head and Neck Deep Abscess (HNDA) and Necrotizing Fasciitis (NF) of odontogenic origin classified as complex and were treated with adjuvant Vacuum-Assisted Closure (VAC).
Results:The study consisted of 10 patients; 7 men and 3 women. The mean age was 39.9 years; the main systemic disease was diabetes mellitus followed by systemic arterial hypertension. Three patients had a diagnosis of NF and 7 patients presented HNDA. The most compromised aponeurotic space was the submandibular, followed by submental and sublingual. One patient died with a diagnosis of cervicofacial NF with extension to the mediastinum and 9 patients resolved favorably.
Conclusion:Complex odontogenic infections of the head and neck continue to be a disease with a high mortality rate. Radical and timely diagnosis and treatment are crucial for patient survival. The benefit of Vacuum assisted closure favors drainage and healing of the infected site, reduces the number of surgical washes and the patient's hospital stay.
Necrotizing Fasciitis (NF); Head and Neck Deep Abscess (HNDA); Odontogenic infection; Head and neck infection; Vacuum Assisted Closure (VAC)
Suárez LD, Enamorado DYM, Meneses MAT, Cartagena DAC. Adjuvant Therapy of Vacuum Assisted Closure (VAC) in Complex Odontogenic Head and Neck Infections: A Retrospective Study of 10 Patients. Am J Otolaryngol Head Neck Surg. 2021; 4(8): 1152..