Cervico-thoracic cellulitis at the Yalgado Ouedraogo University Hospital: About 50 cases - 27/10/22
, Idani Motandi a, Richard Wend-Lassida Ouedraogo c, Sanfo Mahamadi b, Michel Fabien Dargani b, Konsem Tarcissus aAbstract |
Introduction |
Cervicofacial cellulitis is mainly due to neglected oral/pharyngeal diseases. Untreated or incorrectly treated, they can be complicated by thoraco-cervical necrosis, which has a gloomy prognosis and is difficult to manage, especially in an under-medicalized environment. The aim of this work was to report the difficulties of management in precarious context by underlining the interest of primary prevention.
Patients and method |
This was a descriptive cross-sectional retrospective study from January 2018 to March.
Results |
Fifty cases of thoracic-cervical necrosis were collected during this period. The man/woman sex ratio was 3.55. Dental etiology was found in 96% of cases. The main complications were: pneumopathy (n = 10), mediastinitis (n = 10), pleurisy (n = 3) and polyseritis (n = 2). The management combined medical and surgical treatment under local or general anesthesia. The mortality rate was 12.8%. The functional results were satisfactory in surviving cases.
Conclusion |
The management of thoracic-cervical necrosis remains a challenge in precarious conditions. Primary must play a major role in these conditions.
Le texte complet de cet article est disponible en PDF.Keywords : Cellulitis, Thoraco-cervical necrosis, Pneumopathy, Mediastinitis, Prevention
Plan
Vol 123 - N° 6
P. e724-e730 - novembre 2022 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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