Adam S, Sama HD, Chossegros C, Bouassalo MK, Akpoto MY, Kpemissi E. Improvised Vacuum-Assisted Closure for severe neck infection in poorly equipped conditions.
J Stomatol Oral Maxillofac Surg 2017;
118:178-180. [PMID:
28391076 DOI:
10.1016/j.jormas.2017.03.008]
[Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/03/2016] [Revised: 03/11/2017] [Accepted: 03/29/2017] [Indexed: 11/18/2022]
Abstract
INTRODUCTION
Dental infections are common and are mainly due to dental caries. When left untreated, these infections can lead to severe life-threatening sepsis.
CASE REPORT
The authors reported a case of a severe odontogenic deep neck space infection in a 54-year-old male. The patient was a heavy smoker with incidentally discovered diabetes. He was successfully treated by surgical drainage combined with an improvised Vacuum-Assisted Closure (VAC) system. The results of surgical drainage followed by insertion of an improvised VAC system were spectacular. The abscess resolved in response to dual-agent antibiotic therapy on day 17 and blood glucose control was achieved with insulin. Full-thickness skin graft was performed to repair the necrotic zone of the neck.
DISCUSSION
The use of VAC can be a valuable alternative to conventional dressings and hyperbaric oxygen therapy in poorly equipped conditions. Public awareness campaigns remain the most effective form of prevention against these odontogenic infections.
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