구강ㆍ악안면 부위 급성감염 환자의 치료경과에 대한 임상적 연구

A clinical study on the patients with aeute infaction of the oral and maxillofacial region

This is a retrospective study on the patients with acute infection of the oral and maxillofacial region of Yonsei Medical Center for the period of Jan. 1984 to Oct. 1989. The number of the patients involved in this study were 164 in total, including 97 male patients and 67 female patients. The results obtained were as follows: 1. The most frequent cause of acute infection of this region was odontogenic(50.1%), and in 10 patients the symptom aggravated after teeth extraction. 2. The most common fascial spaces involved were Submandibular space(31.3%), Submental space(14.8%), Neck(11.7%), Buccal space(10.9%) in order, and 11 cases(4.8%) were Ludwig s angina. In 59.8% of the patients, the infection involved only one fascial space and in 32.2% of the patients, it involved two or more fascial spaces. 3. Antibiotics were administrated in all of the cases, and surgical incision and drainage were performed in 76.8%, and extraction or treatment of the causative teeth were performed in 33.0% of all cases. 4. The causative organisms isolated from pus culture were Streptococci(42.4%), Staphylococci(27.1%), Neisseria(9.3%), Bacteroides(7.0%), Pseudomonas(3.5%) and E. coli(3.5%). 5. The most commonly used antibiotics in the treatment were combination of Cephalosporin and Aminoglycoside(32.9%), combination of Penicillin and Aminoglycoside(29.9%), and combination of Cephalosporin, Aminglycoside and Metronidazole(14.1%).