|Baltic Dental and Maxillofacial Journal|
March, 2010, Vol. 12, No. 1
© 2010 Stomatologija
Stomatologija 2010; 12 (1): 23-27 615 KB
Retrospective analysis of cellulitis of the floor of the mouth
Linas Zaleckas, Ruta Rasteniene, Jurate Rimkuviene, Rimante Seselgyte
Objectives. To analyze clinical data of patients treated for mouth floor cellulitis during 2003-2006 years at the Department of Maxillofacial Surgery, Vilnius University Hospital Zalgiris Clinic and to compare the results with existing data.
Material and methods. Patient’s gender, age, social insurance, demographic profile, preference of first visit, previous treatment, origin of inflammation, symptoms of disease, treatment protocol and outcomes were evaluated from 240 clinical records.
Results. The male-female ratio was 1.3:1. The mean age of patients was 43.18±7.56 years. 65% of patients were from urban. 47% of patients were employed, 15% retirees, 22% unemployed, 10% children, 2% students and 4% handicapped people. In 65% of cases primary diagnosis was incorrect. Majority of patients appealed to doctor on the first five days from the beginning of the disease. 93.7% of mouth floor cellulites were odontogenic origin. In 32.9% of the patients at the time of first examination the extension of inflammation into parapharyngeal, pterygomandibular spaces or neck together with mouth floor cellulitis was diagnosed. In 1.7% (in 4 out of 240) of cases infection extended into the neck and parapharyngeal spaces despite treatment. In 2% (in 5 out of 240) of cases infection extended to mediastinum.
Conclusions. Despite the aggressive treatment serious complications still are possible. Delayed treatment procedures might determine poor prognosis.
Key words: cellulites, floor of the mouth, antibiotics, mediastinitis, odontogenic.
Received: 23 11 2009
Accepted for publishing: 26 03 2010
*Centre of Oral and Maxillofacial Surgery, Institute of Odontology, Faculty of Medicine, Vilnius University, Lithuania
Linas Zaleckas* MD, Assoc. professor, Head of Centre of Oral and Maxillofacial Surgery
Ruta Rasteniene* D.D.S.
Jurate Rimkuviene* D.D.S.
Rimante Seselgyte* MD, D.D.S.
Address correspondence to Dr. Jurate Rimkuviene, Institute of Odontology, Faculty of Medicine, Vilnius University, Lithuania, Zalgirio str. 115, Vilnius, Lithuania.
E-mail address: Jurate.Rimkuviene@mf.vu.lt