Volume 15, Number 4, December 2003

Risk Factors Affecting Duration of Management of Odontogenic Maxillofacial Cellulitis

Yoshinari Morimoto,1,2 Yuichiro Imai,2 Shigeru Tatebayashi,2 Kazuhiko Ohgi,2 Kunichika Yamamoto,2 Masamitsu Hyomoto,2 Ayumu Morisaki,2 Shigehiro Tamaki,2 Tadaaki Kirita2

1Department of Dental Anesthesiology, Graduate School of Dentistry, Osaka University, Osaka, and 2Department of Oral and Maxillofacial Surgery, Nara Medical University, Nara, Japan

Abstract
Purpose: To elucidate the risk factors influencing the duration of management of odontogenic maxillofacial cellulitis.
Patients and Methods: Forty five consecutive patients with odontogenic maxillofacial cellulitis were enrolled. By a retrospective chart review, the duration of surgical drainage was investigated in relation to the following variables: age, body temperature at presentation, underlying medical conditions (diabetes mellitus and liver disease), number and location of involved surgical spaces, duration from the onset of inflammatory swelling to surgical drainage, and laboratory findings.
Results: Age, body temperature, number and location of involved spaces, and duration from the onset of inflammatory swelling to surgical drainage strongly correlated with duration of surgical drainage. Furthermore, patients older than 50 years with a body temperature of 37.8ºC or higher, 4 or more involved spaces, deep site infection, duration from the onset of inflammatory swelling to surgical drainage of 6 days or more, and diabetes mellitus indicated significantly longer duration of surgical drainage than other patients.
Conclusion: These results contribute to predicting the duration of management of odontogenic maxillofacial cellulitis based on the correlations reported.


Key words: Cellulitis, Infection, Maxillofacial, Medical conditions, Risk factors

Asian J Oral Maxillofac Surg. 2003;15:256-260.
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