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
Objectives Aim 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 methods A 3-year retrospective study...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Heim, Nils [verfasserIn] Warwas, Felix Benjamin [verfasserIn] Wiedemeyer, Valentin [verfasserIn] Wilms, Christian Timm [verfasserIn] Reich, Rudolf H. [verfasserIn] Martini, Markus [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2019 |
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| Schlagwörter: |
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| Übergeordnetes Werk: |
Enthalten in: Clinical Oral Investigations - Springer-Verlag, 2001, 23(2019), 7 vom: 08. Jan., Seite 2921-2927 |
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| Übergeordnetes Werk: |
volume:23 ; year:2019 ; number:7 ; day:08 ; month:01 ; pages:2921-2927 |
| Links: |
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| DOI / URN: |
10.1007/s00784-018-02796-7 |
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SPR007827024 |
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| 245 | 1 | 4 | |a 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 |
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| 520 | |a Objectives Aim 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 methods A 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. Results Removal 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. Conclusion Simultaneous 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. | ||
| 650 | 4 | |a Odontogenic abscess |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Head and neck infection |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Length of stay in hospital |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a LOS |7 (dpeaa)DE-He213 | |
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| 700 | 1 | |a Wiedemeyer, Valentin |e verfasserin |4 aut | |
| 700 | 1 | |a Wilms, Christian Timm |e verfasserin |4 aut | |
| 700 | 1 | |a Reich, Rudolf H. |e verfasserin |4 aut | |
| 700 | 1 | |a Martini, Markus |e verfasserin |4 aut | |
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10.1007/s00784-018-02796-7 doi (DE-627)SPR007827024 (SPR)s00784-018-02796-7-e DE-627 ger DE-627 rakwb eng Heim, Nils verfasserin aut 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 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objectives Aim 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 methods A 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. Results Removal 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. Conclusion Simultaneous 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. Odontogenic abscess (dpeaa)DE-He213 Head and neck infection (dpeaa)DE-He213 Length of stay in hospital (dpeaa)DE-He213 LOS (dpeaa)DE-He213 Warwas, Felix Benjamin verfasserin aut Wiedemeyer, Valentin verfasserin aut Wilms, Christian Timm verfasserin aut Reich, Rudolf H. verfasserin aut Martini, Markus verfasserin aut Enthalten in Clinical Oral Investigations Springer-Verlag, 2001 23(2019), 7 vom: 08. Jan., Seite 2921-2927 (DE-627)SPR007794231 nnns volume:23 year:2019 number:7 day:08 month:01 pages:2921-2927 https://dx.doi.org/10.1007/s00784-018-02796-7 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA AR 23 2019 7 08 01 2921-2927 |
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10.1007/s00784-018-02796-7 doi (DE-627)SPR007827024 (SPR)s00784-018-02796-7-e DE-627 ger DE-627 rakwb eng Heim, Nils verfasserin aut 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 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objectives Aim 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 methods A 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. Results Removal 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. Conclusion Simultaneous 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. Odontogenic abscess (dpeaa)DE-He213 Head and neck infection (dpeaa)DE-He213 Length of stay in hospital (dpeaa)DE-He213 LOS (dpeaa)DE-He213 Warwas, Felix Benjamin verfasserin aut Wiedemeyer, Valentin verfasserin aut Wilms, Christian Timm verfasserin aut Reich, Rudolf H. verfasserin aut Martini, Markus verfasserin aut Enthalten in Clinical Oral Investigations Springer-Verlag, 2001 23(2019), 7 vom: 08. Jan., Seite 2921-2927 (DE-627)SPR007794231 nnns volume:23 year:2019 number:7 day:08 month:01 pages:2921-2927 https://dx.doi.org/10.1007/s00784-018-02796-7 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA AR 23 2019 7 08 01 2921-2927 |
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10.1007/s00784-018-02796-7 doi (DE-627)SPR007827024 (SPR)s00784-018-02796-7-e DE-627 ger DE-627 rakwb eng Heim, Nils verfasserin aut 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 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objectives Aim 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 methods A 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. Results Removal 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. Conclusion Simultaneous 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. Odontogenic abscess (dpeaa)DE-He213 Head and neck infection (dpeaa)DE-He213 Length of stay in hospital (dpeaa)DE-He213 LOS (dpeaa)DE-He213 Warwas, Felix Benjamin verfasserin aut Wiedemeyer, Valentin verfasserin aut Wilms, Christian Timm verfasserin aut Reich, Rudolf H. verfasserin aut Martini, Markus verfasserin aut Enthalten in Clinical Oral Investigations Springer-Verlag, 2001 23(2019), 7 vom: 08. Jan., Seite 2921-2927 (DE-627)SPR007794231 nnns volume:23 year:2019 number:7 day:08 month:01 pages:2921-2927 https://dx.doi.org/10.1007/s00784-018-02796-7 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA AR 23 2019 7 08 01 2921-2927 |
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10.1007/s00784-018-02796-7 doi (DE-627)SPR007827024 (SPR)s00784-018-02796-7-e DE-627 ger DE-627 rakwb eng Heim, Nils verfasserin aut 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 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objectives Aim 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 methods A 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. Results Removal 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. Conclusion Simultaneous 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. Odontogenic abscess (dpeaa)DE-He213 Head and neck infection (dpeaa)DE-He213 Length of stay in hospital (dpeaa)DE-He213 LOS (dpeaa)DE-He213 Warwas, Felix Benjamin verfasserin aut Wiedemeyer, Valentin verfasserin aut Wilms, Christian Timm verfasserin aut Reich, Rudolf H. verfasserin aut Martini, Markus verfasserin aut Enthalten in Clinical Oral Investigations Springer-Verlag, 2001 23(2019), 7 vom: 08. Jan., Seite 2921-2927 (DE-627)SPR007794231 nnns volume:23 year:2019 number:7 day:08 month:01 pages:2921-2927 https://dx.doi.org/10.1007/s00784-018-02796-7 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA AR 23 2019 7 08 01 2921-2927 |
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10.1007/s00784-018-02796-7 doi (DE-627)SPR007827024 (SPR)s00784-018-02796-7-e DE-627 ger DE-627 rakwb eng Heim, Nils verfasserin aut 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 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objectives Aim 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 methods A 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. Results Removal 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. Conclusion Simultaneous 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. Odontogenic abscess (dpeaa)DE-He213 Head and neck infection (dpeaa)DE-He213 Length of stay in hospital (dpeaa)DE-He213 LOS (dpeaa)DE-He213 Warwas, Felix Benjamin verfasserin aut Wiedemeyer, Valentin verfasserin aut Wilms, Christian Timm verfasserin aut Reich, Rudolf H. verfasserin aut Martini, Markus verfasserin aut Enthalten in Clinical Oral Investigations Springer-Verlag, 2001 23(2019), 7 vom: 08. Jan., Seite 2921-2927 (DE-627)SPR007794231 nnns volume:23 year:2019 number:7 day:08 month:01 pages:2921-2927 https://dx.doi.org/10.1007/s00784-018-02796-7 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA AR 23 2019 7 08 01 2921-2927 |
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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 Odontogenic abscess (dpeaa)DE-He213 Head and neck infection (dpeaa)DE-He213 Length of stay in hospital (dpeaa)DE-He213 LOS (dpeaa)DE-He213 |
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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 |
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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 |
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Heim, Nils |
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Heim, Nils Warwas, Felix Benjamin Wiedemeyer, Valentin Wilms, Christian Timm Reich, Rudolf H. Martini, Markus |
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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 |
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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 |
| abstract |
Objectives Aim 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 methods A 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. Results Removal 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. Conclusion Simultaneous 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. |
| abstractGer |
Objectives Aim 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 methods A 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. Results Removal 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. Conclusion Simultaneous 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. |
| abstract_unstemmed |
Objectives Aim 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 methods A 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. Results Removal 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. Conclusion Simultaneous 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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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 |
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