牙源性坏死性筋膜炎。

Stomatologiia. Stomatology Pub Date : 1989-01-01
R Kolarov
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引用次数: 0

摘要

本文首先对文献进行了简要的回顾,发现头面区域的牙源性坏死性筋膜炎很少观察到,文献交流很少。鉴于保加利亚口腔科文献迄今尚未使用该术语,也没有关于该疾病的资料,提交人描述了一名患有严重糖尿病的52岁女性患者。在糖尿病背景下,下磨牙拔除后未作任何预处理,颞下、颞、顶骨、枕区出现严重坏死性筋膜炎。患者通过根治性坏死切除受影响的筋膜和皮下脂肪组织,并通过积极的抗生素,一般补药和降糖治疗治愈。
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[Necrotic fasciitis of odontogenic origin].

A brief literature review is presented at the beginning of the paper, revealing that the necrotic fasciitis of odontogenic origin in the region of head and face is rarely observed with just a few communications in literature. Proceeding from the fact that term has not been introduced so far in the Bulgarian stomatological literature and that no communications are available about that disease, the author describes a 52-old female patient, affected by severe diabetes. Grave necrotic fasciitis in the infratemporal, temporal, parietal and occipital region advanced after the extraction of lower molars without any pretreatment on the background of the diabetes. The patient was healed by radical necrotomy of the affected fasciae and subcutaneous adipose tissue and via active antibiotic, general tonic and antidiabetic therapy.

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