ArticleClinical oral investigations2019
The role of immediate versus secondary removal of the odontogenic focus in treatment of deep head and neck space infections. A retrospective analysis of 248 patients.
Article in Clinical oral investigations, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.
- Optimal treatment time with systemic antimicrobial therapy in odontogenic infections affecting the jaws: a systematic review.BMC oral health · 2025Pooled it
- Implementation of a Manual Vacuum Drainage System for Odontogenic Space Infections: Technical Note.Journal of maxillofacial and oral surgery · 2026Article
- Factors influencing recurrence after in-hospital treatment of odontogenic-related oromaxillofacial infections: a single-centre experience.BMC oral health · 2025Article
- Article
- Patients with severe odontogenic infections receive insufficient dental treatment before hospitalization - a retrospective cross-sectional study.Acta odontologica Scandinavica · 2024Article
- Microbial spectrum and resistance of odontogenic abscesses - microbiological analysis using next generation sequencing.Clinical oral investigations · 2024Article
- An analysis of contributing factors of head and neck space infections of odontogenic origin: A long-term retrospective clinical study (including COVID-19 pandemic period).Medicina oral, patologia oral y cirugia bucal · 2023Article
- Airway Management of Orofacial Infections Originating in the Mandible.Journal of personalized medicine · 2023Article
- Article
- Role of early extraction of odontogenic focus in deep neck infections.Medicina oral, patologia oral y cirugia bucal · 2023Article
- Maxillofacial space infection experience and risk factors: a retrospective study of 222 cases.Irish journal of medical science · 2021Article
- Surgical multidisciplinary approach in the management of odontogenic or non-odontogenic neck infections.Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale · 2021Article
- Cefazolin versus ampicillin/sulbactam as an empiric antibiosis in severe odontogenic neck infection descending from the lower jaw-retrospective analysis of 350 cases.Clinical oral investigations · 2021Article
- Odontogenic Head and Neck Region Infections Requiring Hospitalization: An 18-Month Retrospective Analysis.BioMed research international · 2021Article
- Mapping the microbiological diversity of odontogenic abscess: are we using the right drugs?Clinical oral investigations · 2021Article
- Deep neck space infections: an upward trend and changing characteristics.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2020Article
- Fatal complications in a patient with severe multi-space infections in the oral and maxillofacial head and neck regions: A case report.World journal of clinical cases · 2019Article
- Computed tomography analysis of fascial space involvement demonstrates correlations with laboratory tests, length of hospital stays and admission to the intensive care unit in odontogenic infections.Brazilian journal of otorhinolaryngologyArticle
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesAim of this study was to investigate conditions and predisposing factors for head and neck infection progress regarding the length of stay (LOS) in hospital, with special emphasis on the time of removal of the odontogenic infection focus. MATERIAL AND
methodsA 3-year retrospective study reviewed hospital records of 248 subjects who were treated under inpatient conditions with severe odontogenic infections who received surgical incisions, drainage, and intravenous (IV) antibiotics. Outcomes measured included age, gender, involved fascial spaces, LOS, number of infected spaces, antibiotics administered, and comorbidities. We precisely recorded the time between abscess incision and focus extraction.
resultsRemoval of infection focus (tooth) in the same stay (1 stay, n = 106; group 1; mean 6.5 days ± 3) showed significantly higher (p = 0.042) LOS than extraction in a second stay (2 stays, n = 46; group 2; 5.3 ± 3.1). Group 3 patients showed infection after removal of teeth in outpatient management (1 stay ex-op, n = 96) and presented significantly lower LOS (5.6 ± 2.5) compared to group 1 (p = 0.0216). LOS of group 3 to group 2 patients showed no significance (p = 0.668). Infection expansion and diabetes showed a significant increase of LOS.
conclusionSimultaneous removal of infection focus and abscess incision leads to the lowest LOS. If tooth extraction is performed after incision, subsequent focus extraction performed in a second stay shows lower overall-LOS than extraction at the same stay at later stage. CLINICAL RELEVANCE: Multiple factors tend to increase the LOS of patients with severe head and neck infections of odontogenic origin. Our data reveals the role of removal of odontogenic focus and additionally ranks further parameters that influence the LOS. Based on our findings, decisions regarding the surgical treatment can be recommended.
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